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Trend of childhood TB case notification in Lagos, Nigeria, 2011-2014
Olusoji James Daniel1, Olusola Adedeji Adejumo2, Husseine A Abdur-Razzaq3
1Department of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
Insights
Childhood tuberculosis (TB) cases in Lagos, Nigeria, showed a rising trend from 2011 to 2014. This increase in childhood TB notification rates highlights the need for sustained public health efforts.
Area of Science:
- Pediatrics
- Public Health
- Infectious Diseases
Background:
- Childhood tuberculosis (TB) is a significant global health issue, disproportionately affecting sub-Saharan Africa due to program focus on adult cases.
- Over 550,000 childhood TB cases occur annually, with TB being a major cause of mortality in children, including 80,000 HIV-positive children.
- National TB programs often neglect childhood TB, emphasizing adult smear-positive cases.
Purpose of the Study:
- To assess the trend of childhood tuberculosis (TB) case notifications in Lagos, Nigeria.
- To analyze the changes in childhood TB case notification rates between 2011 and 2014.
- To provide data for informing public health strategies for childhood TB control.
Main Methods:
- Retrospective data analysis of childhood TB cases.
- Utilized data from the Lagos State TB and Leprosy Control Programme (LSTBLCP).
- Reviewed notifications from January 1, 2011, to December 31, 2014.
Main Results:
- A total of 2396 childhood TB cases were treated, representing 6.8% of all TB cases.
- The proportion of children treated for TB progressively increased from 5.9% in 2011 to 7.6% in 2014.
- The case notification rate (CNR) for childhood TB per 100,000 population increased from 13.4 in 2011 to 17.2 in 2014.
Conclusions:
- Childhood TB case notification rates in Lagos, Nigeria, demonstrated an increasing trend between 2011 and 2014.
- Sustained public health interventions are crucial to maintain and build upon this positive trend in childhood TB management.
- The findings underscore the importance of addressing childhood TB within national control programs.
Background:
Childhood tuberculosis (TB) has been neglected by national TB programs in sub-Saharan Africa because of the emphasis on adult smear-positive TB cases. About 80,000 HIV children die from TB, and over 550,000 childhood TB cases occur annually, representing 6% of the global TB burden, making TB an important cause of morbidity and mortality in children. Thus, this study assessed the trend of childhood TB cases notified in Lagos, Nigeria from 2011 to 2014.
Methods:
Retrospective data review of childhood TB cases notified to the Lagos State TB and Leprosy Control Programme (LSTBLCP) between January 1, 2011 and December 31, 2014.
Results:
A total of 2396 children were treated for all forms of TB representing 6.8% of the total 35,305 TB cases notified during the study period. This constituted 1102 (46%) males and 1294 (54%) females. There was a progressive increase in the proportion of children treated for TB from 495 (5.9%) in 2011, 539 (6.4%) in 2012, 682 (7.2%) in 2013 and 680 (7.6%) in 2014. Of the total childhood TB cases notified, 16.3-20% were new sputum pulmonary smear positive; 68.2-74.6% were new sputum pulmonary smear negative; while extra-pulmonary TB accounted for 6.7-10.6%. The case notification rate (CNR) of childhood TB per 100,000 increased from 13.4 in 2011, 14.3 in 2012, 17.7 in 2013 and 17.2 in 2014.
Conclusion:
There was an increase in the case notification rate of TB among children between 2011 and 2014. Efforts should be made to sustain this increasing trend.
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