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Tuberculosis elimination: theory and practice in Europe

D'Ambrosio, Lia and Dara, Masoud and Tadolini, Marina and Centis, Rosella and Sotgiu, Giovanni and van der Werf, Marieke J. and Gaga, Mina and Cirillo, Daniela Maria and Spanevello, Antonio and Raviglione, Mario C. and Blasi, Francesco and Migliori, Giovanni Battista (2014) Tuberculosis elimination: theory and practice in Europe. European respiratory journal, Vol. 43 (5), p. 1410-1420. ISSN 0903-1936. eISSN 1399-3003. Article.

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DOI: 10.1183/09031936.00198813

Abstract

Although Europe identified the pathway to tuberculosis (TB) elimination in 1990, no information on programmes for country preparedness is available. A questionnaire investigating TB elimination activities was submitted to 38 national TB programme representatives of low TB incidence (<20 cases per 100 000 population) European countries/territories of the World Health Organization European region. Out of 31 providing a complete answer, 17 (54.8%) reported to have a dedicated national TB programme, 20 (64.5%) a national plan including TB elimination (13 (41.9%) including targets), 22 (71%) guidelines, 14 (45.2%) a specific budget for TB activities, and 23 (74.2%) TB reference centres. All countries reported having case-based electronic TB surveillance, 19 (61.3%) perform regular supervision, 12 (38.7%) have a monitoring and evaluation plan and five (16.1%) perform modelling. In three countries (9.7%), TB health services are free for insured individuals only. In 22 countries/territories (71%) not all TB drugs were available, while in 12 (38.7%) drug stock-outs have been described. Although high-risk group screening for latent TB infection is performed by the majority of countries, only 6 (19.4%) provided figures on preventive treatment completion rates. Not all elements identified as essential for country preparedness to achieve TB elimination are available in the countries surveyed.

Item Type:Article
ID Code:10250
Status:Published
Refereed:Yes
Uncontrolled Keywords:Tuberculosis incidence, TB elimination, theory
Subjects:Area 06 - Scienze mediche > MED/01 Statistica medica
Divisions:002 Altri enti e centri di ricerca del Nord Sardegna > AOU -Azienda Ospedaliero Universitaria, Sassari
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Publisher:European Respiratory Society Journals
ISSN:0903-1936
eISSN:1399-3003
Deposited On:31 Oct 2014 10:06

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