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The epidemiology of pulmonary tuberculosis in children in mainland China, 2009-2015

Archives of Diseases in Childhood Mar 26, 2020

Yang R, Lium M, Jiang H, et al. - Researchers sought to describe the incidence and epidemiological characteristics of child pulmonary tuberculosis (PTB) notified to the Chinese Center for Disease Control and Prevention (CDC) Tuberculosis Information Management System (TBIMS) from 2009 to 2015. They performed retrospective analysis of a database of child PTB for 31 provinces in mainland China over 7 years. The TBIMS had notification of 35,710 child PTB cases, which represent only 0.60% of all 5,991,593 PTB case notifications. Analysis revealed a substantial decrease in the notified incidence of child PTB in mainland China over 7 years. The highest incidence was reported in Tibet (15.95/ per 100,000 children), followed by Guizhou and Xinjiang. However, Guizhou had the most case numbers. The most cases were observed in the 0-1 year and 12–14 years of age groups. Based on these findings, they recommend focusing future prevention and control of PTB in children on the 0–1 and 12–14 years of age groups, and Tibet and Guizhou provinces. However, the low notified incidence, relative to adults, indicate substantial under-reporting. Thus, they suggest undertaking more effective care seeking, identification and registration of children with TB as crucial.

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