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Updated: May 30, 2026
23:06
The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Cuba's strategy for childhood tuberculosis control, 1995-2005.
Gladys Abreu1, José A González, Edilberto González
1Medical University of Havana.
MEDICC Review
|July 23, 2011
Summary
Cuba
Area of Science:
- Pediatrics
- Public Health
- Infectious Diseases
Background:
- Tuberculosis incidence in Cuba tripled between 1991-1994.
- A national strategy was implemented in 1995 to address rising childhood tuberculosis.
- Key initiatives included establishing a National Reference Center for Childhood TB.
Purpose of the Study:
- To evaluate the effectiveness of Cuba's revised TB control strategy for children under 15.
- The study assessed impact and process indicators from 1995 to 2005.
Main Methods:
- A descriptive review of health services and systems in Cuba.
- Analyzed 157 cases of TB in children (<15 years) from 1995-2005.
- Compared impact indicators (incidence, serious forms, mortality, outcomes) and process indicators (diagnostics, source tracing, treatment timeliness).
Main Results:
- Childhood TB rates decreased by 50% (1.0 to 0.5 per 100,000) between 1995-2005.
- Serious TB forms and mortality significantly reduced, with no deaths after 2000.
- High cure rates (99.4%) achieved; knowledge of infection source increased to 90%.
Conclusions:
- The National Reference Center for Childhood TB improved TB control in children.
- Childhood TB incidence returned to pre-epidemic levels, comparable to developed countries.
- Further training for healthcare personnel is needed to eliminate TB as a national health problem.
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