slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent Trends ” (La Tuberculose à L`ile Maurice) PowerPoint Presentation
Download Presentation
Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent Trends ” (La Tuberculose à L`ile Maurice)

Loading in 2 Seconds...

play fullscreen
1 / 30

Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent Trends ” (La Tuberculose à L`ile Maurice) - PowerPoint PPT Presentation


  • 145 Views
  • Uploaded on

Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent Trends ” (La Tuberculose à L`ile Maurice). Dr R.Reesaul Chest Physician Chest Clinic P. D`or Hospital. INCIDENCE AND MORTALITY OF TB WORLDWIDE PER 100,000 INHABITANTS 2006. 50. 12. 43. 8. 30. 6. 190. 125. 1M.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent Trends ” (La Tuberculose à L`ile Maurice)' - hayes


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Epidemiology of Tuberculosis in The Republic of Mauritius“ Recent Trends ”(La Tuberculose à L`ile Maurice)

Dr R.Reesaul

Chest Physician

Chest Clinic

P. D`or Hospital

slide2

INCIDENCE AND MORTALITY OF TB WORLDWIDE PER 100,000 INHABITANTS 2006

50

12

43

8

30

6

190

125

1M

25

3M

72

350

2M

122

100

2M

22

90

45

97

10

1/3 of world population infected

10 M new cases yearly

3 M cases of death yearly

slide3

INCIDENCE AND RATE OF TB IN THE INDIAN OCEAN PER 100,000 INHABITANTS in 2006

75

1M

115

125

1M

2M

44

8000

350

2M

2M

25

20

17

120

97

40,000

Low incidence in

a

High risk region

10

115

9 75

tuberculosis in mauritius
Tuberculosis in Mauritius
  • Population of 1.2 million( 2006)
  • Tuberculosis is a notified disease to the MOH
  • Free treatment of all persons with active TB
  • Anti- TB drugs(1st line and 2nd line drugs ) are available only at MOH central pharmacy
  • Only few cases treated in private
slide5

ORGANIZATION AND SET UP OF TB IN MAURITIUS

M.O.H

In -patients

30 Beds TB

AIDS Unit

CHEST Clinic

5 Out- patients in

Regional Hospitals

W.H.O

Africa

Administration

Procurement, Tenders

Statistics, notifications…

Specialized National

Laboratory

For TB detection

Home Visits

Specialized Nurses

DOTS, Drugs

Counselling

Specialized Pharmacy

Anti-TB Drugs

BCG

Screening

Contacts

Migrant workers

Prisoners

Homes

High risks

age group and tb 2001 2005
Age group and TB 2001-2005

Few cases <14 , protection BCG vaccin ?

Max cases age 25-44

case notifications and sex ratio
Case notifications and sex ratio

Sex ratio: M/F

Age 15-24 : 2/1

Age 25-34 : 3/1

Age 35-44 :4/1

Age 45-54 : 2/1

Age >55 : 4/1

slide16

EVOLUTION INCIDENCE PER 100,000 INHABITANTS DISTRICT from 1993 AND 2005

17

14

13

12

23

40

20

13

4

9

4

13

5

08

6

13

14

10

Incidence 1993 - 15.6 per 100,000 inhabitants

Incidence 2005 - 11 per 100,000 inhabitants

dots and case detection rate
DOTS and case detection rate

Objectives of WHO

  • Implementation of DOTS coverage ( Directly observed short course treatment) 100%
  • Case detection rate of at least 70% of smear positive pulmonary TB cases
  • Improve Cure rate > 80%
    • Non-compliance spread of infection lead to :

MDR ( Resistance to INAH & Rifampicin )

XDR TB( MDR and resistance to at least 3 major second line drugs )

conclusion
Conclusion
  • Incidence TB stable 10-14 /100,000 since 1995
  • Incidence highest among age group 35-45
  • Increase of extra-pulmonary TB since1992
  • Low death rate < 1/100,000 since 1998
  • Increase of TB among migrant workers noted since 1998
  • Few cases of Co-infection TB / HIV-AIDS and MDR TB
  • Cases MDR TB not among HIV/AIDS patients
tuberculosis in mauritius27
Tuberculosis in Mauritius
  • Capital –District of Port Louis
  • Area 1865 km² , 9 districts + Rodrigues
  • Population of 1.2 million( 2006)
  • Tuberculosis notified disease to MOH
  • Gross national income per capita USD :12.45
  • Total expenditure on health as % GDP :4.3
  • Life expectancy at birth M/F :69/76
  • Free treatment of all persons with active TB
  • Anti- TB drugs available only at MOH central pharmacy and few cases treated in private