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[Reappearance of tuberculosis, risks and consequences!]

H Exner-Freisfeld1

  • 1Johann-Wolfgang-Goethe-Universität, Zentrum der Inneren Medizin, Infektiologie, Frankfurt/Main.

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|December 1, 1995
PubMed
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Tuberculosis (TB) cases are rising globally, with significant increases projected. While treatment is effective and costs are low, high mortality rates persist in certain regions, necessitating increased physician awareness and targeted interventions for at-risk populations.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • Worldwide tuberculosis (TB) cases are projected to increase significantly from 7.5 million in 1990 to 11.9 million by 2005.
  • TB treatment is highly effective (>95%) and cost-efficient, yet mortality rates remain high in South East Asia and Sub-Saharan Africa.

Purpose of the Study:

  • To analyze global and German TB trends.
  • To assess the impact of immigration and socio-economic factors on TB morbidity.
  • To highlight the co-occurrence of TB and HIV.

Main Methods:

  • Analysis of World Health Organization (WHO) estimates for global TB incidence and mortality.
  • Review of statistical data on TB morbidity in Germany.
  • Examination of TB prevalence in HIV-infected individuals.

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Main Results:

  • Germany shows a slight increase in TB morbidity, primarily among immigrants.
  • Large-scale, costly preventive measures are not currently warranted in Germany.
  • Disadvantaged groups and recipients of social welfare exhibit higher TB rates.
  • 5-10% of HIV-infected patients in Germany also have TB.

Conclusions:

  • Physician awareness of TB and its inclusion in differential diagnoses are crucial.
  • Targeted attention is needed for high-risk populations and those who may infect others.
  • Growing economic instability poses a potential risk for increased TB incidence.