Completeness of notification of adult tuberculosis in Iasi County, Romania: a capture-recapture analysis
Source: The International Journal of Tuberculosis and Lung Disease, Volume 13, Number 9, September 2009 , pp. 1094-1099(6)
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.
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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