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Childhood tuberculosis in a low-income Paris suburb: lessons from a resurgence brought under control

L de Pontual1, V Hollebecque, Z Bessa

  • 1Department of Paediatrics, Jean Verdier Teaching Hospital, Bondy, France. loic.de-pontual@jvr.ap-hop-paris.fr

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|August 13, 2004
PubMed

Insights

Childhood tuberculosis (TB) is a significant public health issue in Seine-Saint-Denis. Effective contact tracing identified most pediatric TB cases, highlighting the need for broader notification criteria.

Area of Science:

  • Public Health
  • Pediatrics
  • Infectious Diseases

Background:

  • Paediatric tuberculosis (TB) reporting has been limited in recent decades.
  • Seine-Saint-Denis, a low-income Paris suburb, faces a notable burden of childhood TB.

Purpose of the Study:

  • To investigate diagnostic and treatment practices for children with TB in Seine-Saint-Denis.
  • To assess the effectiveness of current TB surveillance and notification methods in a pediatric population.

Main Methods:

  • A retrospective study identified pediatric TB cases (under 15 years) treated between September 1996 and December 1997.
  • Questionnaires were distributed to hospitals and prevention units serving the area to collect data on TB diagnosis and treatment.

Main Results:

  • Ninety-two pediatric TB cases were identified, with 65% diagnosed through contact tracing.
  • Latent TB infection accounted for 50% of treatments, and 40% of affected children were under five years old.
  • Current mandatory notification criteria in France were found to be too restrictive, with only 15 of 35 notified cases meeting the requirements.

Conclusions:

  • Tuberculosis remains a public health concern in Seine-Saint-Denis, particularly among children.
  • The high rate of case identification via contact tracing underscores the program's success.
  • Revisions to mandatory notification criteria since 2002, including tuberculous infection, aim to improve childhood TB surveillance.
Abstract

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