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