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SURVEILLANCE AND EPIDEMIOLOGY OF TUBERCULOSIS IN FIJI

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Presentation on theme: "SURVEILLANCE AND EPIDEMIOLOGY OF TUBERCULOSIS IN FIJI"— Presentation transcript:

1 SURVEILLANCE AND EPIDEMIOLOGY OF TUBERCULOSIS IN FIJI
SPECIFIC DATA 1) TB Suspects examined – Tamavua Hospital (National TB Control Centre) Year 2001 D/Smear Culture - 53 X-Rays

2 D/Smear - 1319 Cultures - 811 X-Rays - 956 LAUTOKA HOSPITAL
Year 2002 D/Smear Cultures X-Rays LAUTOKA HOSPITAL SPT/Microscopy: Year

3 2) HEALTH FACILITIES National TB Control Centre - Tamavua Hospital
Divisional Hospitals - 3 Sub-Divisional Hospitals - 16 Area Hospital : Rot. - E/Div Matutu E/Div Wainibokasi - C/Div

4 Health Centres Nursing Stations DOTS Centres Tamavua Hospital and Lautoka Hospital Diagnostic Centres Tamavua & CWM Hospitals: Pop.: 318,089 / 44,646 Northern Div “ : 166, 421 Western Div “ : 343,829

5 3. TB CASES 2001: Forms: All types - 183 PTB - 136 Smear +ve - 74

6 Forms : All Types - 150 PTB - 111 Smear +ve - 77 “ -ve - 34 EPTB - 39
2002: Forms : All Types PTB Smear +ve “ -ve EPTB - 39

7 TREATMENT OUTCOMES (percents)
1998 1999 2000 2001 2002 Cured 82.2 92 80.6 84.9 Completed 7.6 4.8 Defaulted 8.9 8.1 5.5 Failed Died 1.3 8.2 Transferred out 1.6 1.4 Non evaluated

8 TB/HIV As from June 2002: Pop. = 814,000 Sero +ve = 100 AIDS = 15
HIV Prev. in TB Male = 61% Cases not Female = 39% Available/unknown Hetro Sexual = 50% Homos = 5% 20 – 29yrs = 51% 30 – 39yrs = 27% 40 – 49yrs = 10%

9 LATEST TB INDICATORS (YEAR)
1999 2000 2001 2002 No. of new cases (all types & rate 192 185/ 22 150/ 18 No new smear positive & rate 65/21 73/9 75/9 % smear positive out of total new cases 33.8 40 50 % retreatment cases out of total new plus retreatment % population with access to DOTS 100 DOTS cure rate 83 85 DOTS success rate 92 DOTS case detection rate 66/ 59 61/ 68

10 MORTALITY TB Mortality not readily available.
Estimate Year /100, 000

11 OVERALL ASSESSMENT OF NATIONAL INFORMATION SYSTEM
Needs a lot of improvement in country coverage, timeliness of reporting. Problems identified: a) Recording and reporting systems needs to be improved. b) Modification in recording of vital statistics

12 TB CASES All types by region: DIVISION 2001 2002 Central 73 99 Eastern
11 1 Western 48 25 Northern 22

13 TB CASES ALL TYPES 1986 –2002

14 TRENDS IN NOTIFICATION

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