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SURVEILLANCE REPORT
Tuberculosis surveillance and monitoring in Europe 2017
Table VI: MDR TB notification among previously treated bacteriologically-confirmed pulmonary TB cases with available
DST results, European Region, 2011–2015
Country
N %
2011 2012 2013 2014 2015 Mean
annual
Rate
per
100 000
N %
Rate
per
100 000
N %
Rate
per
100 000
N %
Rate
per
100 000
N %
Rate
per
100 000
EU/EEA
Austria 7 (43.8) 0.1 13 (43.3) 0.2 9 (37.5) 0.1 7 (36.8) 0.1 2 (16.7) 0.0 -27.3%
Belgium b 4 (13.8) 0.0 6 (12.8) 0.1 1 (2.4) 0.0 1 (2.1) 0.0 2 (5.9) 0.0 -16.4%
Bulgaria 37 (25.5) 0.5 33 (23.4) 0.5 14 (12.7) 0.2 19 (19.2) 0.3 19 (20.7) 0.3 -14.9%
Croatia 1 (2.5) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 2 (6.9) 0.0 0 (0.0) 0.0 -100.0%
Cyprus 0 (0.0) 0.0 0 (0.0) 0.0 1 (100.0) 0.1 0 (0.0) 0.0 – – – –
Czech Republic 1 (6.3) 0.0 2 (9.1) 0.0 0 (0.0) 0.0 2 (13.3) 0.0 3 (11.5) 0.0 31.4%
Denmark b 0 (0.0) 0.0 0 (0.0) 0.0 1 (5.0) 0.0 0 (0.0) 0.0 1 (4.5) 0.0 –
Estonia 30 (58.8) 2.3 23 (53.5) 1.7 25 (52.1) 1.9 19 (63.3) 1.4 18 (51.4) 1.4 -11.7%
Finland 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 1 (25.0) 0.0 0 (0.0) 0.0 –
France c 9 (8.2) 0.0 – – – – – – 30 (10.4) 0.0 – – – –
Germany 17 (13.9) 0.0 14 (9.9) 0.0 26 (15.8) 0.0 23 (17.0) 0.0 31 (21.2) 0.0 15.9%
Greece 2 (18.2) 0.0 0 (0.0) 0.0 2 (11.8) 0.0 0 (0.0) 0.0 5 (18.5) 0.0 26.5%
Hungary – – – 2 (6.5) 0.0 4 (19.0) 0.0 2 (8.7) 0.0 2 (5.0) 0.0 –
Iceland – – – – – – – – – 0 (0.0) 0.0 – – – –
Ireland b 1 (7.7) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 -100.0%
Italy 24 (5.4) 0.0 12 (8.8) 0.0 7 (4.2) 0.0 16 (7.2) 0.0 14 (12.5) 0.0 -13.1%
Latvia 23 (28.8) 1.1 32 (33.0) 1.6 27 (25.7) 1.3 32 (29.9) 1.6 26 (29.9) 1.3 4.2%
Liechtenstein – – – – – – – – – – – – – – – –
Lithuania 179 (48.9) 5.9 153 (44.3) 5.1 135 (44.1) 4.5 138 (48.9) 4.7 134 (46.5) 4.6 -6.0%
Luxembourg 0 (0.0) 0.0 0 (0.0) 0.0 – – – – – – – – – –
Malta – – – 0 (0.0) 0.0 – – – 0 (0.0) 0.0 – – – –
Netherlands 4 (16.0) 0.0 1 (5.0) 0.0 6 (30.0) 0.0 1 (11.1) 0.0 3 (13.6) 0.0 -7.3%
Norway b 0 (0.0) 0.0 1 (7.7) 0.0 1 (6.3) 0.0 4 (23.5) 0.1 0 (0.0) 0.0 –
Poland 18 (3.2) 0.0 11 (2.1) 0.0 21 (4.3) 0.1 18 (4.3) 0.0 13 (3.0) 0.0 -7.8%
Portugal 8 (7.4) 0.1 6 (5.2) 0.1 5 (6.1) 0.0 5 (6.0) 0.0 3 (5.2) 0.0 -21.4%
Romania 424 (18.9) 2.1 527 (20.8) 2.6 410 (17.6) 2.0 400 (17.9) 2.0 397 (17.4) 2.0 -1.2%
Slovakia 1 (3.4) 0.0 1 (3.8) 0.0 1 (2.9) 0.0 2 (7.7) 0.0 1 (6.3) 0.0 -0.1%
Slovenia 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 –
Spain 16 (16.7) 0.0 11 (15.9) 0.0 7 (6.8) 0.0 9 (8.2) 0.0 – – – –
Sweden 5 (23.8) 0.1 2 (13.3) 0.0 2 (12.5) 0.0 2 (10.5) 0.0 2 (11.8) 0.0 -21.2%
United Kingdom b 12 (6.9) 0.0 12 (6.3) 0.0 8 (3.9) 0.0 6 (3.6) 0.0 5 (3.4) 0.0 -20.2%
Subtotal EU/EEA 823 (17.3) 0.2 862 (18.5) 0.2 713 (16.3) 0.2 739 (16.7) 0.1 681 (17.2) 0.1 -4.9%
Non-EU/EEA
Albania 3 (27.3) 0.1 0 (0.0) 0.0 0 (0.0) 0.0 1 (12.5) 0.0 4 (66.7) 0.1 7.4%
Andorra 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 –
Armenia 13 (14.4) 0.4 35 (38.5) 1.2 23 (34.3) 0.8 43 (86.0) 1.4 47 (87.0) 1.6 37.3%
Azerbaijan 35 (23.2) 0.4 468 (30.0) 5.0 778 (48.8) 8.2 682 (35.0) 7.1 711 (29.7) 7.3 109.4%
Belarus 622 (65.6) 6.6 811 (68.6) 8.5 598 (54.5) 6.3 584 (69.1) 6.1 597 (68.4) 6.3 -1.0%
Bosnia and Herzegovina 4 (9.8) 0.1 3 (4.5) 0.1 1 (1.6) 0.0 1 (50.0) 0.0 0 (0.0) 0.0 -100.0%
former Yugoslav Republic
of Macedonia, the
1 (4.0) 0.0 4 (15.4) 0.2 1 (6.3) 0.0 0 (0.0) 0.0 1 (6.7) 0.0 -0.2%
Georgia 214 (31.7) 5.1 169 (31.2) 4.1 201 (38.1) 4.9 197 (39.2) 4.9 186 (38.8) 4.7 -2.3%
Israel 1 (11.1) 0.0 2 (33.3) 0.0 1 (100.0) 0.0 2 (50.0) 0.0 1 (16.7) 0.0 -1.6%
Kazakhstan 2 456 (51.3) 14.8 5 744 (55.0) 34.1 4 035 (57.8) 23.6 1 152 (39.9) 6.6 1 411 (40.0) 8.0 -14.3%
Kyrgyzstan – – – 453 (54.5) 8.0 547 (55.1) 9.5 – – – 450 (56.3) 7.6 –
Moldova 642 (63.8) 15.7 581 (62.3) 14.3 561 (62.1) 13.8 453 (65.9) 11.1 501 (71.9) 12.3 -6.0%
Monaco – – – – – – – – – 0 (0.0) 0.0 0 (0.0) 0.0 –
Montenegro 0 (0.0) 0.0 0 (0.0) 0.0 0 (0.0) 0.0 2 (40.0) 0.3 0 (0.0) 0.0 –
Russia 7 189 (52.8) 5.0 7 075 (57.4) 4.9 6 795 (56.3) 4.7 7 951 (57.1) 5.5 8 529 (59.1) 5.9 4.3%
San Marino – – – – – – – – – – – – – – – –
Serbia 6 (6.0) 0.1 3 (3.6) 0.0 4 (4.7) 0.0 4 (7.5) 0.0 1 (2.8) 0.0 -35.8%
Serbia excluding UN
Administered Province of – – – – – – – – – 4 (7.5) 0.1 1 (2.8) 0.0 –
Kosovo d
UN Administered
Province of Kosovo d – – – – – – – – – – – – – – – –
Switzerland 4 (10.0) 0.1 4 (12.9) 0.0 8 (23.5) 0.1 4 (14.3) 0.0 4 (21.1) 0.0 -1.1%
Tajikistan 308 (74.2) 4.0 278 (56.0) 3.5 16 (34.8) 0.2 213 (52.2) 2.6 97 (48.7) 1.1 -26.7%
Turkey 146 (24.3) 0.2 140 (21.8) 0.2 105 (17.8) 0.1 130 (21.1) 0.2 102 (17.9) 0.1 -10.1%
Turkmenistan – – – – – – – – – 32 (72.7) 0.6 – – – –
Ukraine 2 283 (51.7) 5.0 1 908 (32.2) 4.2 3 365 (40.7) 7.5 3 562 (41.5) 7.9 1 960 (46.6) 4.4 -3.4%
Uzbekistan 89 (72.4) 0.3 479 (46.7) 1.7 1 495 (56.1) 5.1 720 (79.8) 2.4 185 (56.2) 0.6 18.3%
Subtotal non-EU/EEA 14 016 (51.8) 3.6 18 157 (50.1) 4.7 18 534 (51.5) 4.8 15733 (49.9) 4.0 14 787 (51.5) 3.8 0.7%
Total European Region 14 839 (46.6) 1.7 19 019 (46.5) 2.3 19 247 (47.7) 2.3 16 472 (45.8) 1.8 15468 (47.4) 2.0 3.8%
Subtotal 18 HPC 14 690 (49.4) 3.8 18 909 (48.3) 4.9 19 130 (49.4) 4.9 16 327 (47.8) 4.2 15 370 (49.1) 3.9 0.6%
‘European Region’ comprises the 53 countries of the WHO European Region and Liechtenstein.
WHO European Region 18 TB high-priority countries presented in italics.
a
Bacteriologically-confirmed cases: cases with positive identification for Mycobacterium tuberculosis complex confirmed by culture and/or line probe assay.
b
Distribution by previous diagnosis.
c
Provisional data for 2015 including overseas territories.
d
In accordance with the UN Security Council Resolution No. 1244 (1999).
%
change
in rate,
2011–
2015 a
85