Steep increases in tuberculosis notification among young men in the industrialised districts of Danang, Vietnam
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.
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: 2007-05-01
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