Global Tuberculosis Report -- 2012.pdf

PAKISTANPopulation 2011 177 millionHIGH TB BURDEN | HIGH MDR-TB BURDENEstimates of TB burden a 2011NUMBER (thousands) RATE (per 100 000 population)Mortality (excludes HIV+TB) 59 (26–110) 33 (15–60)Prevalence (includes HIV+TB) 620 (280–1 100) 350 (158–618)Incidence (includes HIV+TB) 410 (340–490) 231 (190–276)Incidence (HIV+TB) 1.5 (0.99–2.1) 0.84 (0.56–1.2)Case detection, all forms (%) 64 (54–78)TB case notifications 2011NEW CASES (%) RETREATMENT CASES (%)Smear-positive 105 733 (41) Relapse 5 947 (52)Smear-negative 103 824 (41) Treatment after failure 896 (8)Smear-unknown/not done 0 (0) Treatment after default 1 282 (11)Extrapulmonary 45 537 (18) Other 3 282 (29)Other 0 (0)Total new 255 094 Total retreatment 11 407Mortality (excludes HIV+TB) (rateper 100 000 population per year)Prevalence(rate per 100 000 population)1005001990 1995 2000 2005 2010100080060040020001990 1995 2000 2005 2010Other (history unknown) 3 893Total new and relapse 261 041 Total cases notifi ed 270 394New casesSMEAR-NEGATIVE/SMEAR-POSITIVE UNKNOWN/NOT DONE EXTRAPULMONARYM:F ratio 1.1 1.0 0.8Age < 15 3 895 14 142 7 696Laboratories 2011Smear (per 100 000 population) 0.7Culture (per 5 million population) 0.3Drug susceptibility testing (per 5 million population) 0.3Is second-line drug susceptibility testing available?Yes, in countryIs there a national reference laboratory?YesTreatment success rate 2010 (%)New smear-positiveIs rifampicin used throughout(and/or culture-positive) 91 treatment for new patients? YesNew smear-negative/extrapulmonary 90Retreatment 84Incidence (rate per 100 000population per year)Treatment success rate (%)30020010001990 1995 2000 2005 2011Incidence Incidence (HIV+TB) Notifications1008060402001996 1998 2000 2002 2004 2006 2008 2010TB/HIV 2011 NUMBER (%)TB patients with known HIV status 8 322 (3)HIV-positive TB patients 33 (