Drug Resistance in Tuberculosis and Its Public Health Management ...
Drug Resistance in Tuberculosis and Its Public Health Management ...
Drug Resistance in Tuberculosis and Its Public Health Management ...
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<strong>Drug</strong> <strong>Resistance</strong> <strong>in</strong> <strong>Tuberculosis</strong><strong>and</strong> <strong>Its</strong> <strong>Public</strong> <strong>Health</strong> <strong>Management</strong>Dr. Paul NunnTime trends <strong>in</strong> TB (<strong>in</strong>cidence/100,000 population, log scale)<strong>and</strong> MDR-TB (proportion of all TB)1000100____ TB____ MDR -TB0.3% per yearBotswana1019.4% per year11996 1998 2000 2002 2004 2006 2008100Tomsk Oblast, Russia____ TB ____ MDR-TB2.4% per year____ TB ____ MDR-TB10100-6.7% per yearEstonia1-2.4% per year101999 2001 2003 2005 2007 2009113-5.1% per year1998 2000 2002 2004 2006 2008Countries that had reportedat least one XDR-TB case by end March 2011% XDR <strong>in</strong> MDR 9.4%(95% CI: 7.4-11.6)Argent<strong>in</strong>a Bhutan France Japan Namibia Republic of Korea Thail<strong>and</strong>Armenia Cambodia Georgia Kazakhstan Nepal Republic of Moldova TogoAustralia Canada Germany Kenya Netherl<strong>and</strong>s Romania TunisiaAustria Chile Greece Kyrgyzstan Norway Russian Federation Ukra<strong>in</strong>eAzerbaijan Ch<strong>in</strong>a India Latvia Pakistan Slovenia United Arab EmiratesBangladesh Colombia Indonesia Lesotho Peru South Africa United K<strong>in</strong>gdomBelgium Czech Republic Iran (Islamic Lithuania Philipp<strong>in</strong>es Spa<strong>in</strong> United States of AmericaRep. of)Botswana Ecuador Irel<strong>and</strong> Mexico Pol<strong>and</strong> Swazil<strong>and</strong> UzbekistanBrazil Egypt Israel Mozambique Portugal Sweden Viet NamBurk<strong>in</strong>a Faso Estonia Italy Myanmar Qatar TajikistanThe boundaries <strong>and</strong> names shown <strong>and</strong> the designations used on this map do not imply the expression of any op<strong>in</strong>ion whatsoever on thepart of the World <strong>Health</strong> Organization concern<strong>in</strong>g the legal status of any country, territory, city or area or of its authorities, or concern<strong>in</strong>gthe delimitation of its frontiers or boundaries; Dotted l<strong>in</strong>es on maps represent approximate border l<strong>in</strong>es for whichthere may not yet be full agreement.; © WHO 2011. All rights reserved14Global strategies, plans <strong>and</strong> implementation15The screen versions of these slides have full details of copyright <strong>and</strong> acknowledgements5
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