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Chinese Journal of Antituberculosis ›› 2013, Vol. 35 ›› Issue (12): 973-978.

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Analysis of tuberculosis control in Qingshan district of Wuhan city from 2005 to 2012

SU Ya-wen, ZHONG Hong-hui   

  1. The Director’s Office of Anti-TB Clinic of Wuhan Iron and Steel Cooperation, Wuhan 430080,China
  • Received:2013-03-05 Online:2013-12-10 Published:2014-03-04
  • Contact: SU Ya-wen E-mail:540610958@qq.com

Abstract: Objective  To investigate the tuberculosis control situation in Qingshan district of Wuhan city from 2005 to 2012 in order to provide evidence for the implementation of 5 years TB program between 2011 and 2015. Methods  Data was collected through the quarterly and annual TB report and the National TB Information System between 2005 and 2010. χ2 test is used for rates comparison. Results  A total of 2848 cases of active pulmonary tuberculosis (APTB) were registered between 2005 and 2012, among which 2100 male and 748 female cases. In terms of the number of APTB, new smear-positive PTB, retreatment smear-positive PTB and smear-negative PTB, male cases were 2.8 (2100/748), 3.3 (949/289), 5.3 (159/30) and 2.3 (992/429) times of the female cases. Over 65 years old elderly patients accounted for the largest proportion in both new and retreatment smear positive patients, 263 and 52 cases respectively. Ranking the number of cases in each age group, the first three group were 65- years (52 cases), 45- years (49 cases) and 55- years (33 cases) for retreatment smear positive cases, while 25- years (268 cases), 15- years (259 cases), 35- years (242 cases) were the top three age groups for smear-negative cases. As for the occupational distribution, the retirees were highest up to 711 cases, followed by workers of 647 cases and the housekeeper of 489 cases. The annual average registration rates were 78.6/100 000 for active PTB, 34.2/100 000 for new smear positive PTB, 5.2/100 000 for retreatment PTB and 39.2/100 000 for smear-negative PTB. In total, 962 smear-positive patients were clinically cured between 2005 and 2010 with the cure rates up to more than 90% after 2008. 1073 PTB patients were detected by passive identification. The proportion of active PTB and smear positive PTB detected by passive identification decreased from 41.0% (133/324) and 52.6% (70/133)in 2005 to 11.9%(40/336) and 47.5%(19/40) in 2012, respectively. A total of 1477 cases of active PTB and 722 cases of smear positive PTB were detected by non-TB institutions. Conclusion  More TB patients were male and the elderly retirees in Qingshan district. The TB registration rate is not high. The proportion of patients detected by passive identification has declined.

Key words: Tuberculosis, pulmonary/epidemiology, Registries, Wuhan city