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Tuberculosis in Wales Annual Report 2018 Data to the end of 2017

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Presentation on theme: "Tuberculosis in Wales Annual Report 2018 Data to the end of 2017"— Presentation transcript:

1 Tuberculosis in Wales Annual Report 2018 Data to the end of 2017
Communicable Disease Surveillance Centre, Health Protection, Public Health Wales, Cardiff, UK

2 Number of cases and rate of TB per 100,000 population, Wales, 2008-2017

3 Rate of TB per 100,000 population in the UK, 2017

4 Rate of TB per 100,000 population by Local Authority, Wales
a) b) © Crown Copyright and database right Ordnance Survey

5 Rate of TB per 100,000 population by age group and year, Wales, 2008-2017

6 Average annual number of TB cases and rate per 100,000 population by ethnic group, Wales, 2013-2017
Rates for ethnic groups were calculated using ONS 2011 population estimates for ethnic groups resident in Wales

7 Number of non-UK born TB cases, Wales, 2008-2017
During between 1-10% of cases were reported with an unknown origin for place of birth.

8 History of or current social risk factors among TB patients, Wales, 2013-2017

9 Rate of TB per 100,000 population by deprivation quintile, Wales, 2017
The 2014 Welsh Index of Multiple Deprivation (WIMD) was used to assign cases to deprivation fifth using postcode of residence and Lower Super Output Area (LSOA). Rates by deprivation fifth were calculated using ONS 2014 population estimates for LSOAs. Deprivation scores from the 2014 index are not comparable to previous indices. The WIMD is an ecological measure and not all deprived people live in deprived areas and not all people in deprived areas are deprived.

10 Number and percentage of TB cases by site of disease, Wales, 2013-2017
Patients may have disease at more than one site Pulmonary TB includes miliary TB in accordance with the WHO’s recommendation and international reporting definitions. Revised trends in site of disease are presented for previous years using the revised WHO definitions.

11 Number and percentage of TB cases with bacteriological confirmation, Wales, 2013-2017
Denominator for percentage culture confirmed is total number of TB cases. Denominator for percentage of pulmonary cases culture confirmed is total number of pulmonary TB cases. Denominator for percentage of positive sputum smear pulmonary cases is the number of pulmonary cases with sputum smear taken. 1Denominator for percentage culture confirmed is total number of TB cases. 2Denominator for percentage of pulmonary cases culture confirmed is total number of pulmonary TB cases. 3Denominator for percentage of positive sputum smear pulmonary cases is the number of pulmonary cases with sputum smear taken.

12 Species identification in culture confirmed TB cases, Wales, 2013-2017

13 Number and proportion of TB cases with first line drug resistance, Wales, 2008-20171
1 Includes culture confirmed cases with drug susceptibility results for at least isoniazid and rifampicin 2 Excludes M. bovis cases

14 TB treatment outcome at 12 months for drug sensitive cases with expected treatment duration <12 months, Wales, 2016 Excludes initial and amplified to rifampicin resistant TB and MDR-TB cases and MDR-TB treated cases and those with CNS, spinal, miliary or cryptic disseminated TB. Not evaluated includes missing, unknown and transferred out. As treatment outcomes are reported at 12 months, treatment outcomes are only available to be reported on for cases notified in the previous year, at the time data are extracted for the report.

15 Last recorded TB treatment outcome for the entire drug sensitive cohort, Wales, 2016
Excludes initial and amplified to rifampicin resistant TB and MDR-TB cases and MDR-TB treated cases. Not evaluated includes missing, unknown and transferred out. As treatment outcomes are reported at 12 months, treatment outcomes are only available to be reported on for cases notified in the previous year, at the time data are extracted for the report.

16 All drug sensitive TB cases reported to have died at last recorded treatment outcome, Wales, 2007–2016 Excludes initial and amplified to rifampicin resistant TB and MDR-TB treated cases


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