Prevalence and surveillance of tuberculosis in Yemen from 2006 to 2018

Tuberculosis is a major public health issue in Yemen, a country located at the southwestern tip of the Arabian Peninsula, while the situation of tuberculosis had been further exacerbated since the war started in 2015. The objective of this study is to investigate the incidence of tuberculosis in Yem...

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Bibliographic Details
Published in:Epidemiology & Infection 2022-07, Vol.150, p.e146, Article e146
Main Authors: Al-Shehari, Wadee Abdullah, Yin, Yi-An, Wang, Xinyang, Wang, Ying, Sun, Haobo, Fu, Yingmei, Zhang, Fengmin
Format: Article
Language:English
Subjects:
Adolescent
Arthritis
Brucellosis
Child
COVID-19
COVID-19 - epidemiology
Diabetes mellitus
Female
Females
Hepatitis
HIV
HIV Infections
Human immunodeficiency virus
Humans
Male
Older people
Original Paper
Prevalence
Public health
Rheumatoid arthritis
Trends
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis - epidemiology
Yemen - epidemiology
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Summary:Tuberculosis is a major public health issue in Yemen, a country located at the southwestern tip of the Arabian Peninsula, while the situation of tuberculosis had been further exacerbated since the war started in 2015. The objective of this study is to investigate the incidence of tuberculosis in Yemen before the outbreak of COVID-19, from 2006 to 2018. During the 13-year period, 92 482 patients were enrolled in the TB programme records from the 22 governorates. Almost equal number of cases were diagnosed between males and females (a male to female ratio, 1.03:1). A notable rising incidence was observed in all age groups starting from 2011. The sharpest increase occurred in children under age 15, rising by 8.0-fold from 0.5 in the period 2006–2010 to 4.1 in the period 2011–2018. Paediatric TB accounted for 9.6% of all reported cases. In terms of the patient residence, incidence has more than doubled in Sana'a city, Sana'a Gov., Hajjah and Saadah. Concomitant diseases with tuberculosis included diabetes mellitus (14.0%), brucellosis (6.1%), hepatitis (6.0%), rheumatoid arthritis (4.3%), renal disorders (2.5%) and HIV infection (2.5%). Development of interventions to reduce tuberculosis incidence in children and concomitant communicable diseases is urgently needed.
ISSN:0950-2688
1469-4409
1469-4409
DOI:10.1017/S0950268822001261