1. Sub-regional and metropolitan TB in Hungary in 2002
Dr. J. Mester, Dr. I. Vadász,
Dr. D. Kozma
Korányi Natl. Inst. TB and Pulmonology, Budapest, Hungary
Tuberculosis Surveillance Centre

2. Trend of TB incidence in Hungary

3. Tuberculosis notification rates in Hungary 2002
Czech Republic
15.9
Tuberculosis notification rates in Hungary 2002
Slovakia
22.6
Ukraine
64.9
30.4
43.4
24.9
Austria
14.7
27.9
33.7
Budapest
24.8
38.7
39.1
28.4
Romania
119.9
14.5
33.3
14.7
24.5
16.3
21.4
Slovenia
22.0
29.3
Rate per 100,000 inhabitants
24.6
15.2
22.4
< 20
19.9
20-25
Yugoslavia
28.4
Croatia
39.5
25-35
35-45
> 45

4. Regional TB burden trends in Hungary
Geographical distribution of TB cases
Incidence of different regions
high (North-East, Capital)
low (West-South)
midiate stage (Centre)

5. High burden regions in Hungary
Low living standard
High rate of joblessness
Low level of education
Legal/illegal immigration (Ukraine, Romania)
Internal migration to the cities (Budapest!)

6. Risk factors of new TB cases, 2002

7. Network of chest clinics in Hungary
19 county Institutes for Pulmonology
4 Institutes for Pulmonology in Budapest (includes the Korányi National Institute for TB and Pulmonology)

8. Case detection rate in Hungary, 2002%
Estimated real incidence
Total notification
3007
100
2684
Bact. confirmed
1254 37
1556 58
Bact. not confirmed
1762 63
1128 42
Case detection rate of bact. conf. cases: 80%
Bact. not confirmed cases: 63% (1762)
36% of them is overdiagnosed (643)
Real incidence of bact. not confirmed cases: 41% (1128)