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Published on: September 5, 2017
General and tuberculosis mortality in two states of India: A population-based survey
C Kolappan1, R Subramani1, S Swaminathan1
1National Institute for Research in Tuberculosis, Chennai, India.
Background:
General and cause-specific mortality data for causes of death are not available for the states of Andhra Pradesh (AP) and Orissa in India.
Objectives:
To estimate general mortality rate (GMR) and the tuberculosis mortality rate (TMR) among the general population in the two states.
Methods:
All permanent residents in households of selected districts of AP and Orissa states were registered in the survey in 2005-2006. A sample size of 380,000 persons was selected from each state. Health workers carried out house-to-house enumeration. Demographic and occurrence of death data were collected. The cause of death was determined using the instrument of verbal autopsy.
Results:
The GMR for AP and Orissa was 636 (95% CI: 610-662) and 616 (95% CI: 588-643) per 100,000 person years (p-ys) respectively. The TMR for AP and Orissa was 76 (95% CI: 67-85) and 41 (95% CI: 34-48) per 100,000 p-ys respectively. The difference in TMR between the states was statistically significant (P<0.0001).
Conclusion:
The GMRs are similar in AP and Orissa states. Tuberculosis accounted for 12% and 7% of deaths in AP and Orissa respectively. Focused strategies are needed to reduce mortality due to tuberculosis.
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