Global Tuberculosis Report -- 2012.pdf

AFGHANISTANPopulation 2011 32 millionHIGH TB BURDENEstimates of TB burden a 2011NUMBER (thousands) RATE (per 100 000 population)Mortality (excludes HIV+TB) 13 (5.3–23) 39 (16–71)Prevalence (includes HIV+TB) 110 (55–190) 351 (169–597)Incidence (includes HIV+TB) 61 (51–73) 189 (156–225)Incidence (HIV+TB) 0.30 (0.18–0.45) 0.93 (0.56–1.4)Case detection, all forms (%) 46 (38–55)TB case notifications 2011NEW CASES (%) RETREATMENT CASES (%)Smear-positive 13 789 (51) Relapse 1 130 (86)Smear-negative 4 166 (16) Treatment after failure 136 (10)Smear-unknown/not done 1 989 (7) Treatment after default 48 (4)Extrapulmonary 6 286 (23) OtherOther 623 (2)Total new 26 853 Total retreatment 1 314Mortality (excludes HIV+TB) (rateper 100 000 population per year)Prevalence(rate per 100 000 population)1008060402001990 1995 2000 2005 201080060040020001990 1995 2000 2005 2010Other (history unknown)Total new and relapse 27 983 Total cases notifi ed 28 167New casesSMEAR-NEGATIVE/SMEAR-POSITIVE UNKNOWN/NOT DONE EXTRAPULMONARYM:F ratio 0.5 1.1Age < 15 669 1 753Incidence (rate per 100 000population per year)30025020015010050Laboratories 2011Smear (per 100 000 population) 1.9Culture (per 5 million population) 0.5Drug susceptibility testing (per 5 million population)Is second-line drug susceptibility testing available?Yes, outside countryIs there a national reference laboratory?YesTreatment success rate 2010 (%)New smear-positiveIs rifampicin used throughout(and/or culture-positive) 90 treatment for new patients? NoNew smear-negative/extrapulmonary 82Retreatment 79TB/HIV 2011 NUMBER (%)TB patients with known HIV status 6 445 (23)HIV-positive TB patients 5 (