Tuberculosis control in Bolivia, Chile, Colombia and Peru: why does incidence vary so much between neighbors?
RA Sobero, JW Peabody - 2006 - cabidigitallibrary.org
RA Sobero, JW Peabody
2006•cabidigitallibrary.orgAbstract SETTING: In 2003, Peru and Bolivia reported the highest annual tuberculosis (TB)
incidence rates in the Americas. Neighboring Colombia and Chile had lower annual
incidence rates despite their proximity. OBJECTIVE: To determine what factors contribute to
differences in TB incidence rates among Chile, Colombia, Bolivia and Peru. DESIGN:
Multiple sources of literature dating between 1990 and 2005 were used and World Health
Organization TB control guidelines were consulted for policy level comparisons. RESULTS …
incidence rates in the Americas. Neighboring Colombia and Chile had lower annual
incidence rates despite their proximity. OBJECTIVE: To determine what factors contribute to
differences in TB incidence rates among Chile, Colombia, Bolivia and Peru. DESIGN:
Multiple sources of literature dating between 1990 and 2005 were used and World Health
Organization TB control guidelines were consulted for policy level comparisons. RESULTS …
Abstract
SETTING: In 2003, Peru and Bolivia reported the highest annual tuberculosis (TB) incidence rates in the Americas. Neighboring Colombia and Chile had lower annual incidence rates despite their proximity. OBJECTIVE: To determine what factors contribute to differences in TB incidence rates among Chile, Colombia, Bolivia and Peru. DESIGN: Multiple sources of literature dating between 1990 and 2005 were used and World Health Organization TB control guidelines were consulted for policy level comparisons. RESULTS: Comprehensive implementation of the DOTS strategy is the main factor explaining the differences in TB incidence rates, even after considering socio-economic factors. CONCLUSION: Cross-national comparisons suggest ways to improve regional DOTS implementation.
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