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Free Content Incidence rates, clinical features, and case identification of pediatric tuberculosis in Alaska

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Abstract:

Setting: The population of Alaska.

Objective: To determine incidence rates, clinical features, and source of case identification for pediatric tuberculosis in Alaska.

Design: A state-wide, population-based, retrospective analysis of all cases of tuberculosis among children 0 to 14 years of age reported to the Alaska Division of Public Health during 1987–1994.

Results: Seventy children with tuberculous disease were identified for an incidence rate of 5.8/100000/year. Compared to whites, Alaska Natives (relative risk [RR], 65; 95% confidence interval [CI], 20 to 207) and people of other races (RR, 21; 95% CI, 5.6 to 79) had an increased risk of tuberculosis. Clinical features did not differ by race. Twenty-three of 45 persons with at least one specimen collected had a positive culture result, including three with isoniazid-resistant strains. While most cases were identified through contact investigations, 23% were identified through required school screening.

Conclusion: Alaska has a high rate of pediatric tuberculosis, with non-white race identified as a risk factor. Required school screening proved useful for case identification.

Keywords: Alaska; Alaska Native; epidemiology; pediatric; tuberculosis

Document Type: Regular Paper

Affiliations: Alaska Division of Public Health, Section of Maternal, Child, and Family Health, Epidemiology and Evaluation Unit, Anchorage, Alaska, USA

Publication date: May 1, 1998

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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