Epidemiologia della tubercolosi

Transcript

1 Sorveglianza della tubercolosi nelle strutture sanitarie e socio-assistenziali Parma, 19 maggio 26 Epidemiologia della tubercolosi Bianca Maria Borrini Dipartimento Sanità Pubblica AUSL di Parma La tubercolosi nel mondo 1

2 Tuberculosis notification rates, 24 Notified TB cases (new and relapse) per 1 population or more No report The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 25. All rights reserved Estimated number of new TB cases, 24 Estimated number of new cases (all forms) or more No estimate The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 25. All rights reserved 2

3 Estimated TB incidence rates, 24 Estimated new TB cases (all forms) per 1 population or more No estimate The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 25. All rights reserved 22 high-burden countries Russia Afghanistan Pakistan Cambodia China Philippines Vietnam Brazil Ethiopia DR Congo Kenya Mozambique Nigeria S. Africa Tanzania Uganda Zimbabwe Bangladesh India Indonesia Myanmar Thailand Global Tuberculosis Control. WHO Report 22. WHO/CDS/TB/

4 Estimated HIV prevalence in new adult TB cases HIV prevalence in TB cases, years (%) or more No estimate The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 25. All rights reserved La tubercolosi in Europa 4

5 Geographic areas, Europe European Union (EU, solid blue) Austria Belgium Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Latvia Lithuania Luxembourg Malta Netherlands Poland Portugal Slovakia Slovenia Spain Sweden United Kingdom Armenia Azerbaijan Belarus Georgia Kazakhstan Kyrgyzstan Moldova, Republic of Russian Federation Tajikistan Turkmenistan Ukraine Uzbekistan Non-EU (blue hatch) Andorra Iceland Israel Monaco Norway San Marino Switzerland Albania Bosnia & Herzegovina Bulgaria Croatia Macedonia, F.Y.R Romania Serbia & Montenegro Turkey EuroTB TB notification rates per 1, population Europe, 23 EuroTB 5

6 TB notification rates by geographic area, Europe, TB cases / 1, 1 East 8 6 Centre 4 2 EU & West * excluding Bosnia & Herzegovina EuroTB Percentage change in TB notification rates, EU & West*, Lithuania Israel France Latvia Belgium Spain Estonia Ireland Netherlands Poland Sweden Switzerland Slovakia Portugal Austria Finland Denmark Germany Hungary Czech Republic Slovenia Greece Italy United Kingdom Norway -12% -1% -8% -6% -4% -2% % 2% 4% 6% 8% 1% % change * Excluding countries with <6 cases notified in 23 (Andorra, Cyprus, Iceland, Luxembourg, Malta, Monaco, San Marino) EuroTB 6

7 Proportion of TB cases of foreign origin, Europe, 23 EuroTB TB cases by geographic origin, EU & West*, TB cases 21 Nationals 18 Foreigners 15 Unknown * Austria, Belgium, Denmark, Estonia, Finland, France, Germany, Iceland, Israel, Netherlands, Norway, Slovakia, Slovenia, Sweden and Switzerland EuroTB 7

8 Proportion of pulmonary TB cases by geographic area, Europe, 23* % cases 1% 8% 6% 4% 2% % EU & West Centre East * Dots indicate mean for area, lines indicate country range. Excluding countries with respiratory classification: Belarus, Bulgaria, San Marino, Serbia & Montenegro, Spain, Tajikistan, Ukraine. EuroTB Multi-drug resistance (MDR), new cases, 23* % MDR Estonia Lithuania Latvia Israel Switzerland Sweden Austria Germany Netherlands Ireland Slovakia Finland United Kingdom (excl. Scotland, 22) Belgium Croatia Slovenia Czech Republic Bosnia & Herzegovina (Fed.) Denmark Norway * countries with nationwide-representative data and with more than 6 new cases reported countrywide survey, 21 EuroTB 8

9 La tubercolosi in Italia 9

10 Incidenza dei casi notificati di tubercolosi polmonare Anno 22 Incidenza per 1. abitanti < 4 4-6,9 7-9,9 > 1 Ministero della Salute La tubercolosi in Emilia-Romagna 1

11 Tassi di incidenza (x 1.) di tubercolosi polmonare ed extrapolmonare. Emilia-Romagna e Italia. Periodo tasso incidenza x 1 abitanti 12, 1, 8, 6, 4, 2,, TB extrapolmonare RER TB extrapolmonare ITA TB polmonare RER TB polmonare ITA 4 Casi di tubercolosi notificati. Emilia-Romagna. Periodo TB polmonare TB extrapolmonare 11

12 Incidenza annuale di tubercolosi polmonare per AUSL. Emilia-Romagna. Periodo Incidenza per 1. abitanti 5,5-6,9 7,-8,5 8,6-9,9 >=1, Tasso medio annuo RER 7,4 Casi totali 436; polmonari 296 Incidenza annuale di tubercolosi polmonare per AUSL. Emilia-Romagna. Periodo Incidenza per 1. abitanti 5,5-6,9 7,-8,5 8,6-9,9 >=1, Tasso medio annuo RER 7,9 Casi totali 477; polmonari

13 Tassi di incidenza della tubercolosi per classi di età Emilia-Romagna. Periodo Casi notificati per 1. ab Casi di tubercolosi distinti per luogo di nascita. Emilia-Romagna. Periodo N. casi Italiani Non italiani 13

14 Casi di tubercolosi (%) notificati in cittadini nati all estero Emilia-Romagna. Periodo % , 14, 13, 19,3 23, 21,3 28,2 3,3 4,7 37,9 45, Anno di notifica 46,4 Casi di tubercolosi notificati in cittadini nati all estero per anni di residenza in Italia. Emilia-Romagna. Anno Casi Notificati < Anni di residenza in Italia 14

15 Casi notificati con esame diretto dell espettorato positivo per 1. abitanti. Emilia-Romagna. Periodo Casi per 1. ab. 4,5 4 3,5 3 2,5 2 1,5 1, Anno di notifica Proporzione delle sedi anatomiche nei casi di tubercolosi extrapolmonare. Emilia-Romagna. Periodo Osteo- Articolare 8% Meningi- SNC 3% Altri organi 21% Genito- Urinaria 17% Intestinale 5% Respiratoria 17% Linfonodale 29% 15

16 Presenza di fattori di rischio nei casi di tubercolosi. Emilia-Romagna. Periodo Tossicodipendenza/alcolismo Patologie Ospite/personale istituti di detenzione Operatore sanitario/sociale Infezione recente Totale Non italiani Italiani Grave immunodeficienza acquisita Esiti di TB Contatto con malato di TB, 2, 4, 6, 8, 1, 12, 14, 16, 18, 2, La tubercolosi in Provincia di Parma 16

17 Casi notificati di TB polmonare ed extrapolmonare. Provincia di Parma. Periodo numero casi Polmonare Extrapolmonare Incidenza della tubercolosi in Provincia di Parma e in Regione. Periodo RER - Extra polmonare RER - Polmonare RER - Totale Parma - Extra polmonare Parma - Polmonare Parma - Totale 17

18 25 Incidenza della tubercolosi per classi di età. Provincia di Parma. Anni