l1orxu

SURVEILLANCE REPORT
Tuberculosis surveillance and monitoring in Europe 2017
Portugal
Total population at 10th August 2016 by EUROSTAT: 10 374 822
Tuberculosis case notifications, 2015
Total number of cases 2 124
Notification rate per 100 000 20.5
New* & relapses 2 087
New* & relapses notification rate
per 100000
20.1
Pulmonary 1 507 (71.0%)
of which microscopy-positive 887 (58.9%)
of which laboratory confirmed 1 121 (74.4%)
Laboratory-confirmed TB cases 1324 (62.3%)
Mean age of new native TB cases
51.3 years
Mean age of new foreign TB cases
40.8 years
Foreign origin of all TB cases 338 (15.9%)
New (not previously treated) 1 985 (93.5%)
* Cases with unknown previous treatment included in new cases.
Drug resistance surveillance & TB-HIV
co-infection, 2015
Completeness of DRS data*
No
Completeness of HIV data**
Yes
Case-linked data reporting
Yes
Cases with DST results 971 (73.3%)
Estimated MDR N, (best–low–high) 22–12–32
Pulmonary MDR TB cases notified 15 (1.8%)
of which XDR TB cases 3 (30.0%)
Notified MDR TB 17 (1.8%)
of which XDR TB cases 3 (30.0%)
TB cases tested for HIV 1 513 (71.2%)
HIV-positive TB cases 219 (14.5%)
of these on antiretroviral therapy – –
* National coverage 100% or culturing 90%, C+/All TB
cases 50%, DST done for C+ 75%, EQA 95%.
** More than 50% of TB cases tested for HIV.
Treatment outcome monitoring
Geographical
coverage
Outcome cohort
National
New culture positive
pulmonary TB cases
notified in 2014*
All MDR TB cases
notified in 2013**
Case-linked data
reporting
Yes
Cases notified 1 184 15
Success 896 (75.7%) 8 (53.3%)
Died 98 (8.3%) 0 (0.0%)
Failed 0 (0.0%) 0 (0.0%)
Lost to follow-up 25 (2.1%) 2 (13.3%)
Still on treatment 134 (11.3%) 4 (26.7%)
Not evaluated 31 (2.6%) 1 (6.7%)
* Treatment outcome as presented is treatment outcome after 12 months.
** Treatment outcome as presented is treatment outcome after 24 months.
Tuberculosis notification rates by treatment history, 2006–2015
Cases / 100 000
35
30
25
20
15
10
5
0
2006
New & relapses
Other retreatment
2008
2010
Unknown
Total
2012
2014
New and relapsed TB cases – notification rates by age group,
2006–2015
Cases / 100 000
45
40
35
30
25
20
15
10
5
0
2006
0–14
2008
15–44
2010
45–64
2012
2014
>64
Tuberculosis cases by geographical origin, 2006–2015
TB-HIV co-infection, 2006–2015
3500
Native
Foreign origin
Unknown
100
HIV testing coverage All TB cases
Proportion of HIV positive TB cases among tested
3500
No. of cases
3000
2500
2000
1500
1000
500
Percentage
80
60
40
20
3000
2500
2000
1500
1000
500
No. of cases
0
2006
2008
2010
2012
2014
0
2006
2008
2010
2012
2014
0
MDR TB cases by previous treatment history, 2006–2015
Percentage
New
Retreatment Unknown
Total number of MDR TB
10
40
35
8
30
6
25
20
4
15
2
10
5
0
2006 2008 2010 2012 2014
0
No. of cases
Treatment outcome, new culture-confirmed pulmonary TB cases,
2005–2014
Percentage
100
80
60
40
20
0
2005
Success
Died
2007
Still on treatment
Lost to follow up
2009
2011
Failed
Not evaluated
2013
137