The epidemiology of tuberculosis in children in Australia, 2003-2012

Stephen S Teo1, Ee Laine Tay2, Paul Douglas3

  • 1Western Sydney University, Sydney, NSW s.teo@westernsydney.edu.au.

Insights

Paediatric tuberculosis (TB) in Australia remains low, with no significant changes observed between 2003 and 2012. Children born overseas experienced higher TB rates, highlighting the importance of immigration screening for TB elimination efforts.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • Paediatric tuberculosis (TB) represents a significant global health challenge.
  • Understanding national trends in childhood TB is crucial for targeted public health interventions.

Purpose of the Study:

  • To analyze the burden and temporal trends of paediatric TB in Australia from 2003 to 2012.
  • To identify key demographic and epidemiological characteristics of childhood TB cases.

Main Methods:

  • Retrospective analysis of paediatric TB data (under 15 years) from the National Notifiable Diseases Surveillance System (NNDSS).
  • Data covered the 10-year period from 2003 to 2012, including case notifications, place of birth, age, and detection methods.

Main Results:

  • 538 child TB cases were reported, constituting 4.6% of all TB cases.
  • Overseas-born children had significantly higher TB notification rates (9.57 per 100,000) compared to Australian-born children (0.61 per 100,000).
  • Pulmonary TB was most common (64.7%), with close contact and recent travel to high-incidence countries as primary risk factors.

Conclusions:

  • The burden of paediatric TB in Australia is low and stable.
  • Higher rates in overseas-born children underscore the critical role of immigration screening in TB control.
  • These findings support Australia's goal of TB elimination.
Abstract

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