Tuberculosis notification trends and treatment outcomes in penitentiary and civilian health care sectors in the who european region
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DADU, Andrei, CIOBANU, Ana, HOVHANNESYAN, Arax I., ALIKHANOVA, Natavan, KOROTYCH, Oleksandr, GURBANOVA, Elmira, MEHDIYEV, Rafail, DOLTU, Svetlana, GOZALOV, Ogtay, AHMEDOV, Sevim, MASOUD, Dara. Tuberculosis notification trends and treatment outcomes in penitentiary and civilian health care sectors in the who european region. In: International Journal of Environmental Research and Public Health, 2021, nr. 18(18), pp. 1-18. ISSN -. DOI: https://doi.org/10.3390/ijerph18189566
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International Journal of Environmental Research and Public Health
Numărul 18(18) / 2021 / ISSN - /ISSNe 1661-7827

Tuberculosis notification trends and treatment outcomes in penitentiary and civilian health care sectors in the who european region

DOI: https://doi.org/10.3390/ijerph18189566

Pag. 1-18

Dadu Andrei1, Ciobanu Ana2, Hovhannesyan Arax I.3, Alikhanova Natavan4, Korotych Oleksandr3, Gurbanova Elmira5, Mehdiyev Rafail4, Doltu Svetlana6, Gozalov Ogtay3, Ahmedov Sevim7, Masoud Dara3
 
1 WHO Regional Office for Europe,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
3 World Health Organization, Denmark,
4 Main Medical Department of the Ministry of Justice of Azerbaijan Republic, Baku,
5 WHO Collaborating Centre on Prevention and Control of TB in Prisons, Baku,
6 Council for Preventing and Eliminating Discrimination and Ensuring Equality,
7 United States Agency for International Development, Arlington
 
Disponibil în IBN: 20 septembrie 2021


Rezumat

Setting: Tuberculosis (TB) morbidity in penitentiary sectors is one of the major barriers to ending TB in the World Health Organization (WHO) European Region. Objectives and design: a comparative analysis of TB notification rates during 2014–2018 and of treatment outcomes in the civilian and penitentiary sectors in the WHO European Region, with an assessment of risks of developing TB among people experience incarceration. Results: in the WHO European Region, inci-dent TB rates in inmates were 4–24 times higher than in the civilian population. In 12 eastern Europe and central Asia (EECA) countries, inmates compared to civilians had higher relative risks of developing TB (RR = 25) than in the rest of the region (RR = 11), with the highest rates reported in inmates in Azerbaijan, Kazakhstan, Kyrgyzstan, Republic of Moldova, Russian Federation, and Ukraine. The average annual change in TB notification rates between 2014 and 2018 was −7.0% in the civilian sector and −10.9% in the penitentiary sector. A total of 15 countries achieved treatment success rates of over 85% for new penitentiary sector TB patients, the target for the WHO European Region. In 10 countries, there were no significant differences in treatment outcomes between civilian and penitentiary sectors. Conclusion: 42 out of 53 (79%) WHO European Region countries reported TB data for the selected time periods. Most countries in the region achieved a substantial decline in TB burden in prisons, which indicates the effectiveness of recent interventions in correctional insti-tutions. Nevertheless, people who experience incarceration remain an at-risk population for acquir-ing infection, developing active disease and unfavourable treatment outcomes. Therefore, TB prevention and care practices in inmates need to be improved.

Cuvinte-cheie
notification, Outcomes, prisons, tuberculosis, WHO European Region