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Bonsu F, Addo KK, Alebachew Z, Gyapong J, Badu-Peprah A, Gockah R, Hanson-Nortey NN, Law I, Tadolini M, Onozaki I, Sismanidis C, Owusu-Dabo E. National population-based tuberculosis prevalence survey in Ghana, 2013. Int J Tuberc Lung Dis 2021; 24:321-328. [PMID: 32228763 DOI: 10.5588/ijtld.19.0163] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: The prevalence of tuberculosis (TB) disease is one of the three main indicators used to assess the epidemiological burden of TB and the impact change of TB control; the other two are incidence and mortality.OBJECTIVE: To estimate the prevalence of TB disease among adults in Ghana.METHODS: A nationally representative cross-sectional survey was conducted. Participants were screened for TB using interview and chest X-ray (CXR). For those participants with cough ≥2 weeks and/or abnormal CXR, spot and morning sputum specimens were collected and examined by smear microscopy and culture.RESULTS: The study revealed that the prevalence of smear-positive TB among adults (age ≥15 years) was 111 (95%CI 76-145) and that of bacteriologically confirmed TB was 356 (95%CI 288-425) per 100 000 population. Males and older people had a higher prevalence than their counterparts. The majority of TB cases were smear-negative and had an abnormal CXR without reported chronic cough.CONCLUSION: The survey revealed much higher TB disease burden than previously estimated. This implies that the programme needs more effort and resources to find undiagnosed and unreported cases. The higher proportion of smear-negative and asymptomatic TB cases suggests the need to revise the existing screening and diagnostic algorithms.
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Affiliation(s)
- F Bonsu
- National Tuberculosis Programme, Accra
| | - K K Addo
- Department of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Accra
| | | | - J Gyapong
- University of Health & Allied Sciences PMB 31, Ho
| | - A Badu-Peprah
- Kwame Nkrumah University of Science and Technology, Kumasi
| | - R Gockah
- National Tuberculosis Programme, Accra
| | | | - I Law
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - M Tadolini
- Unit of Infectious Diseases, Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - I Onozaki
- World Health Organization, Yangon, Myanmar
| | - C Sismanidis
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - E Owusu-Dabo
- Kwame Nkrumah University of Science and Technology, Kumasi
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Kebede AH, Alebachew Z, Tsegaye F, Lemma E, Abebe A, Agonafir M, Kebede AJ, Demissie D, Girmachew F, Yaregal Z, Dana F, Getahun M, Fiseha Y, Meaza A, Dirse N, Timimi H, Sismanidis C, Tadolini M, Onozaki I. The first population-based national tuberculosis prevalence survey in Ethiopia, 2010-2011. Int J Tuberc Lung Dis 2014; 18:635-9. [DOI: 10.5588/ijtld.13.0417] [Citation(s) in RCA: 93] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- A. H. Kebede
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Z. Alebachew
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - F. Tsegaye
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - E. Lemma
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - A. Abebe
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - M. Agonafir
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - A. J. Kebede
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - D. Demissie
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - F. Girmachew
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Z. Yaregal
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - F. Dana
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - M. Getahun
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Y. Fiseha
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - A. Meaza
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - N. Dirse
- Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - H. Timimi
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - C. Sismanidis
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - M. Tadolini
- Infectious Diseases Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - I. Onozaki
- Global TB Programme, World Health Organization, Geneva, Switzerland
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