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Blogs by Joseph Juliano MD
Tuberculosis Still A World Threat 10/9/2006 11:24:29 PM
. GENEVA - Tuberculosis has come back in a new, more deadly form to pose the disease's greatest threat to Europe since World War II, world health officials announced recently. U.N. and Red Cross health officials say a drug-resistant strain of the disease is lurking just beyond the European Union's borders, in countries where AIDS blossomed, following the collapse of the Soviet Union.
The high levels of multi-drug resistant tuberculosis in Baltic countries, Eastern Europe and Central Asia, and the emergence of a new, extremely drug-resistant strain of TB have led international health officials to create the "Stop TB Partnership in Europe" to fight the epidemic. Tuberculosis, a respiratory illness spread by coughing and sneezing, is the world's deadliest infectious disease that is curable. The World Health Organization estimates that 1.7 million people died from TB in 2004. Of the 20 countries in the world with the highest rates of multi-drug resistant tuberculosis, 14 are in "the European region," according to a recent global survey by the WHO and the U.S. Centers for Disease Control and Prevention. European countries also have the highest rate of extreme drug-resistant tuberculosis known as XDR-TB.
In Europe, 50 people get sick with TB and eight people die of the disease every hour, said Pierpaolo de Colombani, a WHO tuberculosis expert. About 15 percent of all TB cases in Europe are multi-drug resistant. But the incidence of TB varies widely from West to East. For instance, Sweden has four new cases per 100,000 people a year, compared with 177 for Tajikistan. The rate of incidence of TB in the Western European countries that belonged to the EU before it enlarged in 2004 is 13 cases per 100,000 people every year. That number doubles in the 10 new EU members. It doubles again to 53 in Romania and Bulgaria and yet again to 98 in the former-Soviet republics farther East. TB cases in London have been increasing every year for almost 10 years. In some London areas with many immigrants, rates are as high as 100 per 100,000. Europe ranks with Africa as areas where TB is a big problem.
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