Assessment of tuberculosis surveillance in Romania

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TB notification, Balkans, 2006 Level of
ascertainment by Laboratory criteria alone, all
TB cases notified
Confirmed
Probable
Not classified
100
80
60
40
20
0
Croatia
Bosnia
Serbia
Macedonia,
Albania
Turkey
Herzegovina
F.Y.R.
Classification as per revised European TB case
definition (publication pending see also EuroTB
report 2006 Table 16 on www.eurotb.org). Probable
if in a clinical specimen there is detection of
either (i) acid-fast bacilli (AFB) or equivalent
fluorescent staining bacilli on light microscopy,
or (ii) M. tb complex nucleic acid, or (iii)
histological appearance of granulomata. Confirmed
if in a clinical specimen there is either (i)
isolation of M.tb complex (excluding
M.bovis-BCG), or (ii) detection of M.tb complex
nucleic acid AND AFB or equivalent fluorescent
staining bacilli on light microscopy. All
countries report data of varying completeness on
culture and AFB in sputum countries denoted by
() also report data on M.tb complex nucleic acid
and those with () report data on histological
appearance of granulomata. Montenegro not
included as case-based data n/a (60 culture
positive).
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TB notification rates, Balkans (1)By country,
1995-2006
TB cases / 100,000
100
80
Bosnia
Herzegovina
Macedonia, Former
60
Yugoslav Rep.
Serbia
Montenegro
40
Turkey
20
Croatia
Albania
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Serbia included cases from Kosovo until 1997
and from Montenegro until 2004.
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TB notification rates, Balkans (2) Mean annual
percentage change, by country, 2002-2006
Turkey
Macedonia, F.Y.R.
Albania
Serbia
Croatia
Bosnia
Herzegovina
-12
-11
-10
-9
-8
-7
-6
-5
-4
-3
-2
-1
0
1
2
change
Including Montenegro until 2004.
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TB notifications, Balkans, 2006 (1)By country
Serbia
2 150
Bosnia
Herzegovina
1 800
Croatia
1 135
Macedonia, F.Y.R.
Turkey
627
20 526
Albania
502
Montenegro
171
Excluding 1 122 cases from Kosovo.
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TB notifications, Balkans, 2006 (2)By age-group
and sex
TB cases
Males
25
Females
20
15
10
5
0
0-4
5-14
15-24
25-34
35-44
45-54
55-64
65
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TB notifications, Balkans, 2006 (3)By site of
disease and country
Pulmonary
Extrapulmonary
Mixed sites
TB cases
100
80
60
40
20
0
Montenegro
Serbia
Bosnia
Croatia
Macedonia,
Turkey
Albania
Herzegovina
F.Y.R.
Cases with mixed pulmonary and extrapulmonary
sites included under pulmonary.
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HIV infection among TB cases, Balkans, 2006
HIV positive
Albania
Montenegro
Serbia
Macedonia,
F.Y.R.
Results available for lt1 to 15 of cases in
countries. No data from Bosnia Herzegovina,
Croatia and Turkey.
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Multidrug resistance (MDR), Balkans,
2006Combined MDR, by country
MDR
6
5
4
3
2
1
0
Croatia
Bosnia
Albania
Serbia
Montenegro
Macedonia,
Turkey
Herzegovina
F.Y.R.
Orange bars data representative of all TB
cases notified Yellow bars other data
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Treatment outcome, Balkans, 2005New pulmonary
sputum smear positive TB cases, by country
Success
Died
Failed
Still on treatment
Other
100
80
60
40
20
0
Bosnia
Turkey
Serbia (C)
Macedonia,
Albania
Croatia (C)
Montenegro
Herzegovina
F.Y.R.
(C)
Incomplete data in Croatia and Montenegro. C
indicates culture positive cases rather than
sputum smear positive. Defaulted, Transferred
and Unknown.
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TB mortality rates, Balkans (1)Total rates,
2000-2005
TB deaths / 100 000 pop
5
4
Macedonia,
F.Y.R.
3
Croatia
2
Serbia
1
0
2000
2001
2002
2003
2004
2005
Source WHO Mortality Database, October 2007
update. Including codes ICD-9 010-018 or ICD-10
A15-19 for countries with 80 completeness and
coverage in last reporting year. Including also
Montenegro
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TB mortality rates, Balkans (2)Age-group
specific rates, latest available year
TB deaths / 100 000 pop
25
Macedonia, F.Y.R.
20
(2003)
Croatia (2005)
15
Serbia (2002)
10
5
0
0-4
5-14
15-24
25-34
35-44
45-54
55-64
65
Source WHO Mortality Database, October 2007
update. Including codes ICD-9 010-018 or ICD-10
A15-19 for countries with 80 completeness and
coverage in last reporting year. Including also
Montenegro