Background-The geographical distribution of tuberculosis in England and Wales and changes since 1983 were examined using data from the 1988 and 1993 national surveys of tuberculosis notifications.
Methods-Notification rates for England and Wales in 1988 and 1993 were calculated for geographical areas using Office for National Statistics (ONS) mid year population estimates.
Those for the standard regions and the Greater London boroughs were calculated for the main ethnic groups.
Those for the counties and local authorities were calculated for all ethnic groups combined.
These were compared using data from the 1983 national survey as a baseline.
Wide regional variations in notification rates persist with Greater London having the highest rates.
Rates in the ethnic group from the Indian subcontinent (ISC) were high in all regions, whilst those of the white ethnic group varied fourfold.
Twenty seven of the 33 London boroughs showed increased rates in 1993 compared with 1988.
In general, those local authority areas with high rates had high proportions of notifications in individuals of ISC ethnic origin, emphasising the continuing important contribution of ethnic minority groups to local tuberculosis rates.
The number of local authority areas with notification rates four times the national average increased, but the number of areas with low or zero rates increased even more. (...)
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Distribution, Géographie, Angleterre, Grande Bretagne, Royaume Uni, Europe, Homme, Pays de Galles
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Distribution, Geography, England, Great Britain, United Kingdom, Europe, Human, Wales
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0196733
Code Inist : 002B05B02O. Création : 11/09/1998.