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Chest Infections |

Tuberculosis Endemia Evolution in Romania's Counties 2008-2010

Constantin Marica*, MD; Cristian Didilescu, MD; Liviu Marinas, PhD; Mara Popescu Hagen, MD
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Institute of Pneumology "Marius Nasta", Bucharest, Romania


Chest. 2012;142(4_MeetingAbstracts):202A. doi:10.1378/chest.1389183
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Abstract

SESSION TYPE: Respiratory Infections Posters I

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: Romania still has the greatest number of tuberculosis cases from the EU countries. In 2010 the notification rate was 90,5%ooo (74,8%ooo new cases and 15,7%ooo relapses). The total numbers of cases registered in 2010 was 19 322 (15 963 new cases and 3 359 relapses), decreasing since 2002, when registered the endemic “peak”. Although, in the last years it’s ascertained a decreasing mainstream of incidence, tuberculosis still remains an important challenge for health system so by the total number of cases and particularly by the MDR TB and XDR TB cases.

METHODS: Romania still has the greatest number of tuberculosis cases from the EU countries. In 2010 the notification rate was 90,5%ooo (74,8%ooo new cases and 15,7%ooo relapses). The total numbers of cases registered in 2010 was 19 322 (15 963 new cases and 3 359 relapses), decreasing since 2002, when registered the endemic “peak”.

RESULTS: Incidence by tuberculosis isn’t uniformly distributed in Romania territories. High values of new cases incidence was registered in some counties: Olt (139,5%ooo.), Teleorman (122,7%ooo), Giurgiu (120,2%ooo), Dolj (117,4%ooo), Neamt (111,6%ooo), Galati (108,6%ooo loc.). Low rates was registered in Harghita (33,0%ooo), Covasna (40,9%ooo), Brasov (45,4%ooo), Sibiu (47,5%ooo), Cluj (50,4%oooe)- counties from the central region of Romania. In Bucharest the incidence in new cases was 66,5 %ooo, lowest then average per country, which is 83,2 %ooo. The relapses incidence follow that of new cases, with high values in counties as Olt(30,2%ooo), Giurgiu(30,2%ooo), Mehedinti (29,7%ooo), Dolj (26,7%ooo), Neamt (25,8%ooo).The lowest rates was registered in Harghita (3,7%ooo), Salaj (5,8%ooo.), Brasov (6,5%ooo), Covasna (6,7%ooo), Bihor (8,8%ooo). In Bucharest the rate of relapses was 11,6 %ooo, lowest then country average-16,7%ooo .

CONCLUSIONS: These differences in territory bear out economics and social difficulties, unemployment and deficiency at counties levels in apply of health programs, sanitary education, responsibilities of sanitary workers.

CLINICAL IMPLICATIONS: -

DISCLOSURE: The following authors have nothing to disclose: Constantin Marica, Cristian Didilescu, Liviu Marinas, Mara Popescu Hagen

No Product/Research Disclosure Information

Institute of Pneumology "Marius Nasta", Bucharest, Romania

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