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Battling tuberculosis in an island context with a high burden of communicable and non-communicable diseases: epidemiology, progress, and lessons learned in Kiribati, 2000 to 2012

Hoy, Damian; Kienene, Takeieta; Reiher, Bereka; Roth, Adam; Tira, Teatoa; McKenzie, Jeanie; Merilles, Onofre Edwin A.; Viney, Kerri

Description

OBJECTIVES: To examine the epidemiology of tuberculosis (TB) in Kiribati from 2000 to 2012, document lessons learned, and recommend ways to mitigate the burden of TB in Kiribati. METHODS: A descriptive study was performed using data on TB case notifications, prevalence, incidence, mortality, and treatment outcomes from global reports and data files. Progress towards meeting the Millennium Development Goal TB target (to reduce TB incidence by 2015) and the Regional Strategy to Stop Tuberculosis...[Show more]

dc.contributor.authorHoy, Damian
dc.contributor.authorKienene, Takeieta
dc.contributor.authorReiher, Bereka
dc.contributor.authorRoth, Adam
dc.contributor.authorTira, Teatoa
dc.contributor.authorMcKenzie, Jeanie
dc.contributor.authorMerilles, Onofre Edwin A.
dc.contributor.authorViney, Kerri
dc.date.accessioned2015-06-11T04:06:21Z
dc.date.available2015-06-11T04:06:21Z
dc.identifier.issn1878-3511
dc.identifier.urihttp://hdl.handle.net/1885/13863
dc.description.abstractOBJECTIVES: To examine the epidemiology of tuberculosis (TB) in Kiribati from 2000 to 2012, document lessons learned, and recommend ways to mitigate the burden of TB in Kiribati. METHODS: A descriptive study was performed using data on TB case notifications, prevalence, incidence, mortality, and treatment outcomes from global reports and data files. Progress towards meeting the Millennium Development Goal TB target (to reduce TB incidence by 2015) and the Regional Strategy to Stop Tuberculosis in the Western Pacific 2011-2015 targets (to reduce TB prevalence and mortality by half by 2015 relative to the level in 2000) was examined. RESULTS: TB case notifications and the estimated incidence and prevalence have increased in Kiribati since 2000. From 2000 to 2012, Kiribati reported a total of 3863 TB notifications; in 2012, the case notification rate was 343/100 000 population. The majority (89%) of TB patients complete treatment and/or are cured, and the estimated TB mortality rate has remained relatively stable at around 16/100 000 population. HIV testing of TB patients has increased over recent years from 8% of notifications tested in 2003 to 43% tested in 2012. Of all 818 tests, only four (0.5%) patients were confirmed HIV-positive. Drug-resistant TB has been detected in a small number of cases. CONCLUSIONS: TB rates continue to increase in Kiribati and the 2015 goals for TB control are unlikely to be met. This is probably due to the complex mix of risk factors present in Kiribati, including smoking, diabetes, alcohol use, crowded living, and poverty. A comprehensive approach to address these risk factors is needed to mitigate the burden of TB in Kiribati.
dc.description.sponsorshipThe preparation of this paper was funded by the Global Fund.
dc.publisherElsevier
dc.rights© 2014 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
dc.sourceInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
dc.subjectepidemiology
dc.subjectisland
dc.subjectkiribati
dc.subjectlessons learned
dc.subjectpacific
dc.subjecttuberculosis
dc.titleBattling tuberculosis in an island context with a high burden of communicable and non-communicable diseases: epidemiology, progress, and lessons learned in Kiribati, 2000 to 2012
dc.typeJournal article
local.identifier.citationvolume30
dcterms.dateAccepted2014-11-25
dc.date.issued2015-01
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationU3488905xPUB5127
local.publisher.urlhttp://www.elsevier.com/
local.type.statusPublished Version
local.contributor.affiliationViney, K., National Centre of Epidemiology and Population Health, The Australian National University
local.identifier.essn1878-3511
local.bibliographicCitation.startpage135
local.bibliographicCitation.lastpage141
local.identifier.doi10.1016/j.ijid.2014.11.025
dc.date.updated2015-12-11T09:24:06Z
local.identifier.scopusID2-s2.0-84919717034
CollectionsANU Research Publications

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