       Document 0139
 DOCN  M9640139
 TI    [The trends by province of tuberculosis in Cuba: 1979-1993]
 DT    9604
 AU    Gonzalez Ochoa E; Armas Perez L; Machin Gelaber A; Instituto Pedro
       Kouri, Grupo de Vigilancia e Investigaciones de; Tuberculosis e
       Infecciones Respiratorias Agudas, La Habana, Cuba.
 SO    Bol Oficina Sanit Panam. 1995 Nov;119(5):396-404. Unique Identifier :
       AIDSLINE MED/96128332
 AB    This study was carried out in order to describe tuberculosis trends in
       Cuba and its provinces between 1979 and 1993. For this purpose, reports
       of new cases of all forms of tuberculosis were obtained from the
       National Statistics Bureau of the Ministry of Public Health. In
       addition, tuberculosis incidence rates and their trends between 1979 and
       1992 were determined. The data were analyzed by means of simple linear
       and exponential regression models. Finally, the percentage reductions in
       incidence between 1979 and 1992 were calculated and the observed changes
       were described in reference to the expected values derived from the
       regression models. The number of new tuberculosis cases reported in Cuba
       decreased from 1133 (11.6 per 100,000 population) in 1979 to 633 (5.8
       per 100,000) in 1992 (a 44% reduction). In 1993, 788 cases were reported
       (7.2 per 100,000). In almost all the provinces the incidence tended to
       decrease between 1979 and 1992, and the average annual number of new
       case notifications fell between 4.0 and 5.4%, although in some, less
       than 3%. In 1992, the number of new case notifications in the country
       was 25% higher than in 1991, and the incidence rates in all the
       provinces were higher than expected. The incidence in La Habana, the
       City of Havana, Villa Clara, Cienfuegos, Ciego de Avila, Santiago de
       Cuba, and Guantanamo exceeded the overall national incidence. In 1993,
       incidence in the country was 55.6% higher than it had been in 1991 and
       24.5% higher than in 1992. Incidence rose in all provinces, and
       especially in the City of Havana, Matanzas, and Guantanamo. Although
       incidence remained below 8 cases per 100,000 population between 1992 and
       1993, it rose during those years, as it did in other countries. The
       increase appears to be attributable to the economic crisis that affects
       the country and to have very little connection to human immunodeficiency
       virus infection.
 DE    AIDS-Related Opportunistic Infections/EPIDEMIOLOGY  Cuba/EPIDEMIOLOGY
       English Abstract  Human  HIV-1  Incidence  Linear Models
       Morbidity/TRENDS  Reproducibility of Results  Tuberculosis/*EPIDEMIOLOGY
       Tuberculosis, Pulmonary/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

