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Free Content Completeness of notification of adult tuberculosis in Iasi County, Romania: a capture-recapture analysis

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Abstract:

SETTING: Iasi County, Romania.

OBJECTIVE: To assess the completeness of notification of adult tuberculosis (TB; age ≥15 years) in 2004.

DESIGN: Record-linkage and capture-recapture analysis of three TB-related registers: a notification register, a laboratory register and a prescriptions register.

RESULTS: After record linkage, the observed completeness of the notification register was 86.4%, giving an observed adult TB incidence rate of 202 per 100 000 population. After capture-recapture analysis, internal validity analysis and application of alternative truncated population estimation models, the estimated completeness of the notification register was 82–85%, giving an estimated adult TB incidence rate of between 204 and 212/100 000.

CONCLUSION: This study shows that the severity of the TB problem in Iasi County is under-reported. The results are in agreement with a previous estimate of the undernotification of TB in Romania by the the World Health Organization.

Keywords: Romania; capture-recapture analysis; epidemiology; tuberculosis; undernotification

Document Type: Regular Paper

Affiliations: 1: Pulmonary Disease Division, University of Medicine and Pharmacy ‘Gr T Popa’, Iasi, Romania 2: Department of Tuberculosis Control, Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, The Netherlands 3: The Cardiothoracic Centre Liverpool National Health Service Trust, Liverpool, UK

Publication date: September 1, 2009

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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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