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J Trop Pediatr. 2013 Apr;59(2):134-9. doi: 10.1093/tropej/fms065. Epub 2012 Dec 12.

Trends in childhood tuberculosis in Zambia: a situation analysis.

Author information

  • 1Ministry of Health, Lusaka, Zambia. nkapata@gmail.com

Abstract

OBJECTIVES:

To ascertain childhood tuberculosis (TB) trends, human immunodeficiency virus (HIV) co-infection rates and multi-drug resistant TB (MDR-TB) prevalence rates in Zambia.

METHODS:

A retrospective review of Zambian annual TB notification data and National TB Programme reports for a 7 year period (2004-2011). TB trends were stratified by age and HIV status.

RESULTS:

The total number of children notified during this period with all forms of TB was 40 976. A total of 2670 of 40 976 (6%) were smear-positive cases. Notification rates of all forms of childhood TB show a decline in trends from 135 per 100 000 population in 2004, to 69 per 100 000 population in 2011.

CONCLUSIONS:

Childhood TB is an important but neglected problem in Zambia highlighted by the fact that no data exists on HIV co-infection and MDR-TB. Strengthening of the National TB Programme and diagnostics services/algorithms are required to accurately define the TB burden, HIV co-infection and MDR-TB rates in children in Zambia.

PMID:
23243079
[PubMed - indexed for MEDLINE]
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