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European Society of Mycobacteriology - Instituto Nacional de Saúde ...

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PP-4<br />

Mycobacterium tuberculosis EPIDEMIOLOGY AND GENETIC<br />

DIVERSITY IN THE TWIN ISLAND REPUBLIC OF TRINIDAD AND TOBAGO<br />

Shirematee Baboolal, 1, 2 Julie Millet, 3 Patrick Eberechi Akpaka, 1 Dottin Ramoutar, 4 Nalin Rastogi 3<br />

1 - Department <strong>of</strong> Para-Clinical Sciences, Faculty <strong>of</strong> Medical Sciences, The University <strong>of</strong> the West Indies, St. Augustine,<br />

Trinidad & Tobago<br />

2 - Caribbean Epi<strong>de</strong>miology Centre, Jamaica Boulevard, Port <strong>of</strong> Spain, Trinidad & Tobago<br />

3 - Unité <strong>de</strong> la Tuberculose et <strong>de</strong>s Mycobactéries, Institut Pasteur <strong>de</strong> Gua<strong>de</strong>loupe, Abymes, Gua<strong>de</strong>loupe<br />

4 - Caura Chest Hospital, Caura, Trinidad & Tobago<br />

This work <strong>de</strong>scribes the first application <strong>of</strong> molecular tools for studying tuberculosis (TB) epi<strong>de</strong>miology, genetic diversity,<br />

and transmission in the twin island Republic <strong>of</strong> Trinidad and Tobago (T&T). The study population (n=132) represented<br />

one year recruitment <strong>of</strong> all culture positive TB cases from T&T, and was characterized by a high male to female sex-ratio<br />

<strong>of</strong> 4 (mean age 42.8 years, range 17 to 78 years), and a HIV/TB coinfection rate <strong>of</strong> nearly 30%. It mainly occurred among<br />

African <strong>de</strong>scendants who represented 37.5% <strong>of</strong> total population but 69.7% <strong>of</strong> all TB cases (p

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