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Related Experiment Videos

The Singapore Tuberculosis Elimination Programme: the first five years.

Cynthia B E Chee1, Lyn James

  • 1Department of Respiratory Medicine, Tan Tock Seng Hospital, Singapore.

Bulletin of the World Health Organization
|May 24, 2003
PubMed
Summary

Singapore

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Area of Science:

  • Public Health
  • Infectious Disease Control
  • Epidemiology

Background:

  • Tuberculosis incidence in Singapore remained high (49-56 per 100,000) for a decade.
  • A comprehensive national program was needed to reduce tuberculosis (TB) burden.

Purpose of the Study:

  • To evaluate the effectiveness of the Singapore Tuberculosis Elimination Programme (STEP).
  • To assess the impact of key interventions on TB incidence.

Main Methods:

  • Implementation of directly observed therapy (DOT) in primary care.
  • Establishment of a National Treatment Surveillance Registry for monitoring.
  • Preventive therapy for close contacts and enhanced defaulter tracing.

Main Results:

  • Tuberculosis incidence decreased from 57 per 100,000 in 1998 to 44 per 100,000 in 2001.
  • Key interventions demonstrated a positive impact on reducing TB rates.

Conclusions:

  • The Singapore Tuberculosis Elimination Programme (STEP) has shown success in reducing tuberculosis incidence.
  • Sustained political will and community support are crucial for TB elimination.

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