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SURVEILLANCE REPORT<br />

Tuberculosis surveillance and monitoring in Europe 2017<br />

Norway<br />

Total population at 10th August 2016 by EUROSTAT: 5 166 493<br />

Tuberculosis case notifications, 2015<br />

Total number of cases 318<br />

Notification rate per 100 000 6.2<br />

New* & relapses 286<br />

New* & relapses notification rate<br />

per 100000<br />

5.5<br />

Pulmonary 224 (70.4%)<br />

of which microscopy-positive 76 (33.9%)<br />

of which laboratory confirmed 186 (83.0%)<br />

Laboratory-confirmed TB cases 247 (77.7%)<br />

Mean age of new native TB cases<br />

37.3 years<br />

Mean age of new foreign TB cases<br />

30.2 years<br />

Foreign origin of all TB cases 282 (88.7%)<br />

New (not previously treated) 286 (89.9%)<br />

* Cases with unknown previous treatment included in new cases.<br />

Drug resistance surveillance & TB-HIV<br />

co-infection, 2015<br />

Completeness of DRS data*<br />

Yes<br />

Completeness of HIV data**<br />

Yes<br />

Case-linked data reporting<br />

Yes<br />

Cases with DST results 246 (99.6%)<br />

Estimated MDR N, (best–low–high) 7–1–12<br />

Pulmonary MDR TB cases notified 4 (2.2%)<br />

of which XDR TB cases 0 (0.0%)<br />

Notified MDR TB 5 (2.0%)<br />

of which XDR TB cases 0 (0.0%)<br />

TB cases tested for HIV 262 (82.4%)<br />

HIV-positive TB cases 8 (3.1%)<br />

of these on antiretroviral therapy – –<br />

* National coverage 100% or culturing 90%, C+/All TB<br />

cases 50%, DST done for C+ 75%, EQA 95%.<br />

** More than 50% of TB cases tested for HIV.<br />

Treatment outcome monitoring<br />

Geographical<br />

coverage<br />

Outcome cohort<br />

National<br />

New culture positive<br />

pulmonary TB cases<br />

notified in 2014*<br />

All MDR TB cases<br />

notified in 2013**<br />

Case-linked data<br />

reporting<br />

Yes<br />

Cases notified 158 6<br />

Success 127 (80.4%) 4 (66.7%)<br />

Died 3 (1.9%) 0 (0.0%)<br />

Failed 1 (0.6%) 1 (16.7%)<br />

Lost to follow-up 2 (1.3%) 0 (0.0%)<br />

Still on treatment 10 (6.3%) 0 (0.0%)<br />

Not evaluated 15 (9.5%) 1 (16.7%)<br />

* Treatment outcome as presented is treatment outcome after 12 months.<br />

** Treatment outcome as presented is treatment outcome after 24 months.<br />

Tuberculosis notification rates by treatment history, 2006–2015<br />

Cases / 100 000<br />

8<br />

7<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

2006<br />

New & relapses<br />

Other retreatment<br />

2008<br />

2010<br />

Unknown<br />

Total<br />

2012<br />

2014<br />

New and relapsed TB cases – notification rates by age group,<br />

2006–2015<br />

Cases / 100 000<br />

15<br />

12<br />

9<br />

6<br />

3<br />

0<br />

2006<br />

0–14<br />

2008<br />

15–44<br />

2010<br />

45–64<br />

2012<br />

2014<br />

>64<br />

Tuberculosis cases by geographical origin, 2006–2015<br />

TB-HIV co-infection, 2006–2015<br />

350<br />

Native<br />

Foreign origin<br />

Unknown<br />

100<br />

HIV testing coverage All TB cases<br />

Proportion of HIV positive TB cases among tested<br />

500<br />

No. of cases<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

Percentage<br />

80<br />

60<br />

40<br />

20<br />

400<br />

300<br />

200<br />

100<br />

No. of cases<br />

0<br />

2006<br />

2008<br />

2010<br />

2012<br />

2014<br />

0<br />

2006<br />

2008<br />

2010<br />

2012<br />

2014<br />

0<br />

MDR TB cases by previous treatment history, 2006–2015<br />

New<br />

Retreatment Unknown<br />

Total number of MDR TB<br />

25<br />

12<br />

Treatment outcome, new culture-confirmed pulmonary TB cases,<br />

2005–2014<br />

100<br />

Success<br />

Died<br />

Still on treatment<br />

Lost to follow up<br />

Failed<br />

Not evaluated<br />

Percentage<br />

20<br />

15<br />

10<br />

5<br />

9<br />

6<br />

3<br />

No. of cases<br />

Percentage<br />

80<br />

60<br />

40<br />

20<br />

0<br />

2006<br />

2008<br />

2010<br />

2012<br />

2014<br />

0<br />

0<br />

2005<br />

2007<br />

2009<br />

2011<br />

2013<br />

135

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