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Free Content Steep increases in tuberculosis notification among young men in the industrialised districts of Danang, Vietnam

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Abstract:

BACKGROUND: Tuberculosis (TB) notification is increasing among young adults in urban provinces in Vietnam, despite having achieved World Health Organization targets for treatment success and case detection.

OBJECTIVES: To identify causes for non-declining TB case rates in an urban area of Vietnam, and to describe trends in new smear-positive pulmonary TB notification by age, sex and district in the period 1999–2004 in Danang City, Vietnam.

RESULTS: Age and sex-standardised notification rates declined by 1.3% (95%CI −2.3–0.3%) annually. Notification rates among men aged 15–44 in Danang City increased significantly (5%, 95%CI 2.4–7.7 annually), most notably in industrialised districts (≥12% annually).

CONCLUSION: TB notification rates among young men in an urban setting in Vietnam increased most notably in industrialised districts. We hypothesise that this is due to poor living and working conditions and internal migration rather than to an emerging human immunodeficiency virus epidemic.

Keywords: Vietnam; disease notification; epidemiology; pulmonary; tuberculosis; urban health

Document Type: Regular Paper

Affiliations: 1: Danang Hospital for Tuberculosis and Lung Disease, Danang, Vietnam 2: KNCV Tuberculosis Foundation, The Hague, The Netherlands; and Centre for Infection and Immunity (CINIMA), Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands 3: National Tuberculosis Programme Vietnam, Hanoi, Vietnam

Publication date: May 1, 2007

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  • 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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