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[Tuberculosis in Denmark 1972-1996].

S Poulsen1, T Rønne, A Kok-Jensen

  • 1H:S Rigshospitalet, Rhima-Centret, lungemedicinsk klinik, Statens Serum Institut, København.

Ugeskrift for Laeger
|July 1, 1999
PubMed
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Tuberculosis incidence declined in Denmark until the mid-1980s, then rose due to cases in foreigners. The disease is near elimination in native Danes but persists in high-risk groups.

Area of Science:

  • Epidemiology
  • Public Health

Context:

  • The study analyzes tuberculosis (TB) incidence in Denmark from 1972 to 1996 using the National TB Register.
  • Focuses on trends in both the native Danish population and foreign residents.

Purpose:

  • To investigate the changing epidemiology of tuberculosis in Denmark over a 25-year period.
  • To identify factors contributing to TB incidence trends, particularly the impact of immigration and demographic shifts.

Summary:

  • TB incidence declined in Denmark from 1972 until the mid-1980s, after which it increased due to a rise in cases among foreigners, primarily refugees from highly endemic areas.
  • In 1996, 60% of TB cases were in foreigners. Among native Danes, incidence fell significantly and stabilized, though with shifts between age groups and a concentration in the capital.

Related Experiment Videos

  • The indigenous Danish population shows near elimination of TB, but the disease persists at low levels, potentially sustained by delays in diagnosis and treatment, leading to microepidemics in high-risk populations.

    • Impact:

    • Highlights the significant impact of immigration on infectious disease patterns in developed countries.
    • Suggests that targeted interventions and reduced diagnostic delays are crucial for TB elimination, even in low-incidence settings.
    • Provides insights into the dynamics of TB control and elimination strategies in diverse populations.