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Tuberculosis in San Diego county: a border community perspective
S Banerji1, A L Bellomy, E S Yu
1Department of Public Health, San Bernardino County, CA, USA.
Public Health Reports (Washington, D.C. : 1974)
|September 1, 1996
Summary
Tuberculosis cases surged in San Diego County from 1989-1993, particularly among immigrants and minority groups. Targeted control strategies are crucial to manage this growing public health issue.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease
Background:
- Tuberculosis (TB) remains a significant global health concern.
- Understanding local TB epidemiology is vital for effective control.
Purpose of the Study:
- To describe the epidemiology of active tuberculosis in San Diego County between 1989 and 1993.
- To identify specific subgroups disproportionately affected by TB.
Main Methods:
- Analysis of 1860 verified TB cases from the San Diego County Health Department's surveillance database.
- Data stratified by age, gender, ethnicity, nativity, HIV co-infection, infection site, and drug resistance.
Main Results:
- San Diego County experienced a 77.7% increase in incident TB cases (1989-1993), far exceeding state (22.8%) and national (9.9%) rates.
- Key affected groups included immigrants (62.5% of new cases), U.S.-born minorities, the elderly, and young adult males.
- Increasing case counts reflected a local TB resurgence.
Conclusions:
- TB cases in San Diego County showed a consistent annual increase from 1989.
- Certain subgroups experienced more significant increases compared to national trends.
- Factors like immigration and travel contribute to increased TB incidence, necessitating tailored control strategies.