1. Country presentation Dr.Vija Riekstina National TB registry
TB in Latvia
Country presentation
Dr.Vija Riekstina
National TB registry

3. INCIDENCE PER 1000000 POPULATION
INCIDENCE OF TB
INCIDENCE PER POPULATION
YEAR

4. INCIDENCE PER 1000000 POPULATION
DATA FROM PRISONS HAVE BEEN INCLUDED IN THE STATE REGISTER OF TB SINCE JUNE OF 1996
INCIDENCE PER POPULATION
YEAR

5. NOTIFICATION RATE PER 100 000 POPULATION
NOTIFIED TB CASES
NOTIFICATION RATE PER POPULATION
- TB RELAPSES
- PRIMARY TB

6. INCEDENCE OF TB BY AGE GROUPS 1991-2001
INCIDENCE PER POPULATION
YEAR

7. INCEDENCE OF TB BY AGE GROUPS 2002
INCIDENCE PER POPULATION
AGE
The incidence is 2,5 times higher among men than woman.

8. Incidence by regions, 2002

9. All administrative units (34)
Incidence, 2002
Numbers
Per population
Cities (7)
1.15 mill.
678
58,6
Regions (27)
1,2 mill.
862
71,9
All administrative units (34)
2,35 mill.
1540
65,4

10. THE ABSOLUTE NUMBER OF TB/HIV CO-INFECTION IN LATVIA30 27 25 20
Number of patients 14 9 10 1 1
2002
1994
1995
1996
1997
1998
1999
2000
2001

11. 1999 (n= 919) 2000 (n= 957) 2001 (n= 1004) 1999 (n= 218) 2000 (n= 267)
COHORT ANALYSIS FOR NEW TM POSITIVE CASES
1999 (n= 919)
2000 (n= 957)
2001 (n= 1004)
COHORT ANALYSIS FOR NEW TM POSITIVE RELAPSES
1999 (n= 218)
2000 (n= 267)
2001 (n= 271)
treatment success
defaulted
died
failure
transferred out
MDR - TB

12. TREATMENT OUTCOMES, 2001

13. Treatment outcomes for TB cases regarding HIV status

14. Cohort analysis (2001) Civilian sector Prisoners cases % 692 75.5 77
Cured and completed
692
75.5 77
88.5
Failure 9
1.0 -
Default 60
6.5 7
8.0
Transferred out 1
0.1
Died 69
7.5
MDR TB 86
9.4 3
3.5
Total
917
100 87

15. Cohort analysis (2001) Cities Regions cases % 339 73,0 439 81,4 2 0,4
Cured and completed
339
73,0
439
81,4
Failure 2
0,4 7
1,3
Default 43
9,2 24
4,4
Transferred out 1
0,2 -
Died 34
7,3 35
6,5
MDR TB 46
9,9
8,0
Total
465
100
539

16. Cohort analysis for primary TM positive cases in 1999
Sm+
Sm-/C+ 1.
Tr. success
434
74.1%
282
84.7% 2.
Failed 8
1.4% 1
0.3% 3.
Defaulted 23
3.9% 18
5.4% 4.
Transferred 5
0.8% 4
1.2% 5.
Died 67
11.4% 3
0.9% 6.
MDR TB 49
8.4% 25
7.5%
Total
586
100%
333
Dr.Riekstina, TPSVC 2002

17. Treatment results for MDR TB cases (n=74)
Dr.Riekstina, TPSVC 2002

18. Cohort analysis including MDR TB cases results
Dr.Riekstina, TPSVC 2002

19. Cohort analysis including MDR TB cases results
Sm+
Sm-/C+ 1.
Tr. success
469
80.0%
301
90.4% 2.
Failed 16
2.7% 2
0.6% 3.
Defaulted 26
4.4% 22
6.6% 4.
Transferred 5
0.9% 4
1.2% 5.
Died 70
12.0%
Total
586
100%
333
Dr.Riekstina, TPSVC 2002

20. Treatment results for all new MDR TB cases in 1999 (n=82)
Dr.Riekstina, TPSVC 2002

21. Problems for NTP
TB/HIV dual infection – collaboration with AIDS program
MDR TB
DOTS – Plus program, accepted by GLC
International definitions for MDR TB
Latvia, Peru, South Africa
CDC, Atlanta
WHO