The missing cases of tuberculosis in Malawi: the contribution from cross-border registrations

Low case detection rates of new smear-positive pulmonary tuberculosis (PTB) patients globally are a cause for concern. The aim of this study was to determine for patients registered for TB in Malawi the number and percentage who lived in a neighbouring country and the registration, recording and rep...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 2004-04, Vol.98 (4), p.251-254
Hauptverfasser: Salaniponi, Felix M, Gausi, Francis K, Chimzizi, Rhehab B, Harries, Anthony D
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container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
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creator Salaniponi, Felix M
Gausi, Francis K
Chimzizi, Rhehab B
Harries, Anthony D
description Low case detection rates of new smear-positive pulmonary tuberculosis (PTB) patients globally are a cause for concern. The aim of this study was to determine for patients registered for TB in Malawi the number and percentage who lived in a neighbouring country and the registration, recording and reporting practices for these ‘foreign’ patients. All 44 non-private hospitals, which register and treat all TB patients in the public health sector in Malawi, were visited. Ten (23%) hospitals in 2001 and 14 (32%) in 2002 maintained a separate register for cross-border TB cases. Patients recorded in these registers were not formally reported to the Malawi National TB Programme (NTP), the neighbouring country’s NTP, nor to WHO. They therefore constitute missing cases. In Malawi, the number of cross-border new smear-positive PTB cases was 77 in 2001 and 91 in 2002, constituting about 3% of missing smear-positive cases in those hospitals that maintain cross-border registers and about 1% of missing cases nationally.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Bacterial diseases
Biological and medical sciences
Cross-border TB registrations
Human bacterial diseases
Humans
Incidence
Infectious diseases
Malawi
Malawi - epidemiology
Medical sciences
Registries
Smear-positive PTB
Transients and Migrants
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Pulmonary - epidemiology
title The missing cases of tuberculosis in Malawi: the contribution from cross-border registrations
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