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  1. Tuberculosis in San Diego County : A border community perspective.

    Article - En anglais

    Objectives

    To describe the epidemiology of active disease caused by Mycobactenum tuberculosis in San Diego County from 1989 to 1993 and to identify the specific subgroups for whom the impact ofthe disease was most pronounced.

    Method

    The authors reviewed all 1860 reports of verified tuberculosis (TB) cases included in the surveillance database maintained by the San Diego County Health Department's TB Control Program.

    Data were analyzed by age, gender, ethnicity, nativity, HIV co-infection, major site of infection, and drug resistance.

    Results

    Between 1989 and 1993, San Diego County witnessed a greater increase (77.7%) in the number of incident TB cases than the state of Califomia as a whole (22.8%) or the United States (9.9%). The local resurgence of TB was reflected in increasing case counts among specific subpopulations-immigrants from countries with high endemic rates of TB (62.5% of the new cases), U.S. - bom members of minority groups, the elderly, and young adult males.

    Conclusions

    Tuberculosis cases in San Diego County have increased each year since 1989, with certain population subgroups exhibiting more dramatic increases in case rates than those reported nationally.

    San Diego County is one of the principal entry points for the western United States and a popular travel destination.

    These factors have led to a dramatic increase in the incidence of TB in the county. (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bactérie, Epidémiologie, Homme, Californie, Etats Unis, Amérique du Nord, Amérique, Risque élevé, Age, Ethnie, Lieu naissance, Appareil respiratoire pathologie, Groupe population

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bacteria, Epidemiology, Human, California, United States, North America, America, High risk, Age, Ethnic group, Birth place, Respiratory disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0439513

    Code Inist : 002B05B02E. Création : 10/04/1997.