Epidemiology of tuberculosis in big cities of the European union and European economic area countries

G. de Vries, R. W. Aldridge, J. A. Caylã, W. H. Haas, A. Sandgren, N. A. van Hest, I. Abubakar, D. Antoine, F. Antoun, Arrazola W. de Oñate, L. R. Codecasa, M. Dedicoat, H. van Deutekom, A. Gori, B. Hauer, A. Hayward, E. Huitric, J. Jonsson, Ã Orcau, L. QuabeckA. Rodés, A. Story, M. Wanlin, P. Williams, P. H S Andersen, B. Bonita, N. Cioran, J. C. Cameron, E. Davidaviciene, R. Kalkouni, Korányi Bulletin, M. Korzeniewska, V. Martini, V. Milanov, V. Riekstina, Elena Rodríguez Valín, K. Rønning, B. Schmidgruber, T. Vasankari, J. Wallenfels

Research output: Contribution to journalArticle

Abstract

This cross-sectional survey aimed to examine the epidemiology of tuberculosis (TB) in European Union (EU) and European Economic Area (EEA) cities with populations greater than 500,000. National TB programme managers were asked to provide data on big city population size, total number of notified TB cases in big cities and national notification rate for 2009. A rate ratio was calculated using the big city TB notification rate as a numerator and country TB notification rate, excluding big city TB cases and population, as a denominator. Twenty of the 30 EU/EEA countries had at least one big city. Pooled rate ratios were 2.5, 1.0, and 0.7 in low-, intermediate- and high-incidence countries respectively. In 15 big cities, all in low-incidence countries, rate ratios were twice the national notification rate. These data illustrate the TB epidemiology transition, a situation whereby TB disease concentrates in big cities as national incidence falls, most likely as a result of the higher concentration of risk groups found there. This situation requires targeted interventions and we recommend that big city TB data, including information about patients' risk factors, are collected and analysed systematically, and that successful interventions are shared.

Original languageEnglish (US)
JournalEurosurveillance
Volume19
Issue number9
StatePublished - 2014
Externally publishedYes

Fingerprint

European Union
Epidemiology
Tuberculosis
Economics
Incidence
Population Density
Population
Cross-Sectional Studies

ASJC Scopus subject areas

  • Virology
  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

de Vries, G., Aldridge, R. W., Caylã, J. A., Haas, W. H., Sandgren, A., van Hest, N. A., ... Wallenfels, J. (2014). Epidemiology of tuberculosis in big cities of the European union and European economic area countries. Eurosurveillance, 19(9).

Epidemiology of tuberculosis in big cities of the European union and European economic area countries. / de Vries, G.; Aldridge, R. W.; Caylã, J. A.; Haas, W. H.; Sandgren, A.; van Hest, N. A.; Abubakar, I.; Antoine, D.; Antoun, F.; de Oñate, Arrazola W.; Codecasa, L. R.; Dedicoat, M.; van Deutekom, H.; Gori, A.; Hauer, B.; Hayward, A.; Huitric, E.; Jonsson, J.; Orcau, Ã; Quabeck, L.; Rodés, A.; Story, A.; Wanlin, M.; Williams, P.; Andersen, P. H S; Bonita, B.; Cioran, N.; Cameron, J. C.; Davidaviciene, E.; Kalkouni, R.; Bulletin, Korányi; Korzeniewska, M.; Martini, V.; Milanov, V.; Riekstina, V.; Valín, Elena Rodríguez; Rønning, K.; Schmidgruber, B.; Vasankari, T.; Wallenfels, J.

In: Eurosurveillance, Vol. 19, No. 9, 2014.

Research output: Contribution to journalArticle

de Vries, G, Aldridge, RW, Caylã, JA, Haas, WH, Sandgren, A, van Hest, NA, Abubakar, I, Antoine, D, Antoun, F, de Oñate, AW, Codecasa, LR, Dedicoat, M, van Deutekom, H, Gori, A, Hauer, B, Hayward, A, Huitric, E, Jonsson, J, Orcau, Ã, Quabeck, L, Rodés, A, Story, A, Wanlin, M, Williams, P, Andersen, PHS, Bonita, B, Cioran, N, Cameron, JC, Davidaviciene, E, Kalkouni, R, Bulletin, K, Korzeniewska, M, Martini, V, Milanov, V, Riekstina, V, Valín, ER, Rønning, K, Schmidgruber, B, Vasankari, T & Wallenfels, J 2014, 'Epidemiology of tuberculosis in big cities of the European union and European economic area countries', Eurosurveillance, vol. 19, no. 9.
de Vries G, Aldridge RW, Caylã JA, Haas WH, Sandgren A, van Hest NA et al. Epidemiology of tuberculosis in big cities of the European union and European economic area countries. Eurosurveillance. 2014;19(9).
de Vries, G. ; Aldridge, R. W. ; Caylã, J. A. ; Haas, W. H. ; Sandgren, A. ; van Hest, N. A. ; Abubakar, I. ; Antoine, D. ; Antoun, F. ; de Oñate, Arrazola W. ; Codecasa, L. R. ; Dedicoat, M. ; van Deutekom, H. ; Gori, A. ; Hauer, B. ; Hayward, A. ; Huitric, E. ; Jonsson, J. ; Orcau, Ã ; Quabeck, L. ; Rodés, A. ; Story, A. ; Wanlin, M. ; Williams, P. ; Andersen, P. H S ; Bonita, B. ; Cioran, N. ; Cameron, J. C. ; Davidaviciene, E. ; Kalkouni, R. ; Bulletin, Korányi ; Korzeniewska, M. ; Martini, V. ; Milanov, V. ; Riekstina, V. ; Valín, Elena Rodríguez ; Rønning, K. ; Schmidgruber, B. ; Vasankari, T. ; Wallenfels, J. / Epidemiology of tuberculosis in big cities of the European union and European economic area countries. In: Eurosurveillance. 2014 ; Vol. 19, No. 9.
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abstract = "This cross-sectional survey aimed to examine the epidemiology of tuberculosis (TB) in European Union (EU) and European Economic Area (EEA) cities with populations greater than 500,000. National TB programme managers were asked to provide data on big city population size, total number of notified TB cases in big cities and national notification rate for 2009. A rate ratio was calculated using the big city TB notification rate as a numerator and country TB notification rate, excluding big city TB cases and population, as a denominator. Twenty of the 30 EU/EEA countries had at least one big city. Pooled rate ratios were 2.5, 1.0, and 0.7 in low-, intermediate- and high-incidence countries respectively. In 15 big cities, all in low-incidence countries, rate ratios were twice the national notification rate. These data illustrate the TB epidemiology transition, a situation whereby TB disease concentrates in big cities as national incidence falls, most likely as a result of the higher concentration of risk groups found there. This situation requires targeted interventions and we recommend that big city TB data, including information about patients' risk factors, are collected and analysed systematically, and that successful interventions are shared.",
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T1 - Epidemiology of tuberculosis in big cities of the European union and European economic area countries

AU - de Vries, G.

AU - Aldridge, R. W.

AU - Caylã, J. A.

AU - Haas, W. H.

AU - Sandgren, A.

AU - van Hest, N. A.

AU - Abubakar, I.

AU - Antoine, D.

AU - Antoun, F.

AU - de Oñate, Arrazola W.

AU - Codecasa, L. R.

AU - Dedicoat, M.

AU - van Deutekom, H.

AU - Gori, A.

AU - Hauer, B.

AU - Hayward, A.

AU - Huitric, E.

AU - Jonsson, J.

AU - Orcau, Ã

AU - Quabeck, L.

AU - Rodés, A.

AU - Story, A.

AU - Wanlin, M.

AU - Williams, P.

AU - Andersen, P. H S

AU - Bonita, B.

AU - Cioran, N.

AU - Cameron, J. C.

AU - Davidaviciene, E.

AU - Kalkouni, R.

AU - Bulletin, Korányi

AU - Korzeniewska, M.

AU - Martini, V.

AU - Milanov, V.

AU - Riekstina, V.

AU - Valín, Elena Rodríguez

AU - Rønning, K.

AU - Schmidgruber, B.

AU - Vasankari, T.

AU - Wallenfels, J.

PY - 2014

Y1 - 2014

N2 - This cross-sectional survey aimed to examine the epidemiology of tuberculosis (TB) in European Union (EU) and European Economic Area (EEA) cities with populations greater than 500,000. National TB programme managers were asked to provide data on big city population size, total number of notified TB cases in big cities and national notification rate for 2009. A rate ratio was calculated using the big city TB notification rate as a numerator and country TB notification rate, excluding big city TB cases and population, as a denominator. Twenty of the 30 EU/EEA countries had at least one big city. Pooled rate ratios were 2.5, 1.0, and 0.7 in low-, intermediate- and high-incidence countries respectively. In 15 big cities, all in low-incidence countries, rate ratios were twice the national notification rate. These data illustrate the TB epidemiology transition, a situation whereby TB disease concentrates in big cities as national incidence falls, most likely as a result of the higher concentration of risk groups found there. This situation requires targeted interventions and we recommend that big city TB data, including information about patients' risk factors, are collected and analysed systematically, and that successful interventions are shared.

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