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. 2003 Sep;88(9):772–777. doi: 10.1136/adc.88.9.772

A decade of change: tuberculosis in England and Wales 1988–98

S Balasegaram 1, J Watson 1, A Rose 1, A Charlett 1, A Nunn 1, A Rushdy 1, J Leese 1, L Ormerod 1
PMCID: PMC1719643  PMID: 12937094

Abstract

Tuberculosis cases in children (aged under 15 years) in the National Surveys rose from 308 (rate: 3.3 per 100 000) in 1988 to 408 (4.2 per 100 000) in 1993 and then fell to 364 (3.6 per 100 000) in 1998. The rates in white children were 1.6, 2.0, and 1.1 per 100 000 respectively; in Indian subcontinent children, the rates were unchanged between 1988 and 1993 at around 33 per 100 000 but fell to 23 per 100 000 in 1998. In black African children, the rates were 15, 34, and 71 per 100 000 respectively. From 1988 to 1998, the proportion of cases resident in London more than doubled to 49% (rate: 11.9 per 100 000) and the proportion of cases in children born abroad increased from 13% to 27% in the country as a whole.

Although the overall rate of tuberculosis in children in England and Wales has changed little between 1988 and 1998, the distribution of disease has changed in line with the change in adults. Services for the diagnosis and treatment of tuberculosis in children should be adapted to the changing pattern of disease in this group. Continuous enhanced tuberculosis surveillance will enable more detailed and timely scrutiny of trends in tuberculosis in the future.

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Figure 1.

Figure 1

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Age specific rates for tuberculosis in children of white and ISC ethnicity (UK born) resident in England.

Figure 2.

Figure 2

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Number of cases of tuberculosis in children in English regions by year of survey and place of birth. Regions are April 1999 NHS regions.

Figure 3.

Figure 3

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Statutory notifications for tuberculosis in children in England and Wales by year.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Drobniewski F. A., Magee J. G., Smith E. G., Williams R. PHLS mycobacteriology reference services in England and Wales. Commun Dis Rep CDR Rev. 1997 Jul 25;7(8):R106–R109. [PubMed] [Google Scholar]
  2. Eriksson M., Bennet R., Danielsson N. Clinical manifestations and epidemiology of childhood tuberculosis in Stockholm 1976-95. Scand J Infect Dis. 1997;29(6):569–572. doi: 10.3109/00365549709035896. [DOI] [PubMed] [Google Scholar]
  3. Joseph C. A., Watson J. M., Fern K. J. BCG immunisation in England and Wales: a survey of policy and practice in schoolchildren and neonates. BMJ. 1992 Aug 29;305(6852):495–498. doi: 10.1136/bmj.305.6852.495. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Kumar D., Watson J. M., Charlett A., Nicholas S., Darbyshire J. H. Tuberculosis in England and Wales in 1993: results of a national survey. Public Health Laboratory Service/British Thoracic Society/Department of Health Collaborative Group. Thorax. 1997 Dec;52(12):1060–1067. doi: 10.1136/thx.52.12.1060. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Long R., Njoo H., Hershfield E. Tuberculosis: 3. Epidemiology of the disease in Canada. CMAJ. 1999 Apr 20;160(8):1185–1190. [PMC free article] [PubMed] [Google Scholar]
  6. Maltezou H. C., Spyridis P., Kafetzis D. A. Extra-pulmonary tuberculosis in children. Arch Dis Child. 2000 Oct;83(4):342–346. doi: 10.1136/adc.83.4.342. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Ormerod L. P., Watson J. M., Pozniak A., Kumar D., McManus T. Notification of tuberculosis: an updated code of practice for England and Wales. J R Coll Physicians Lond. 1997 May-Jun;31(3):299–303. [PMC free article] [PubMed] [Google Scholar]
  8. Rose A. M., Watson J. M., Graham C., Nunn A. J., Drobniewski F., Ormerod L. P., Darbyshire J. H., Leese J., Public Health Laboratory Service/British Thoracic Society/Department of Health Collaborative Group Tuberculosis at the end of the 20th century in England and Wales: results of a national survey in 1998. Thorax. 2001 Mar;56(3):173–179. doi: 10.1136/thorax.56.3.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Starke J. R., Correa A. G. Management of mycobacterial infection and disease in children. Pediatr Infect Dis J. 1995 Jun;14(6):455–470. doi: 10.1097/00006454-199506000-00001. [DOI] [PubMed] [Google Scholar]
  10. Starke J. R., Jacobs R. F., Jereb J. Resurgence of tuberculosis in children. J Pediatr. 1992 Jun;120(6):839–855. doi: 10.1016/s0022-3476(05)81949-3. [DOI] [PubMed] [Google Scholar]

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