IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/19988871059-1063_7.html
   My bibliography  Save this article

The fall after the rise: Tuberculosis in the United States, 1991 through 1994

Author

Listed:
  • McKenna, M.T.
  • McCray, E.
  • Jones, J.L.
  • Onorato, I.M.
  • Castro, K.G.

Abstract

Objectives. Factors associated with decreases in tuberculosis cases observed in the United States in 1993 and 1994 were analyzed. Methods. Changes in case counts reported to the national surveillance system were evaluated by dividing the number of incident cases of TB reported in 1993 and 1994 by the number of cases reported in 1991 and 1992 and stratifying these ratios by demographic factors, AIDS incidence, and changes in program performance. Results. Case counts decreased from 52 956 in 1991 and 1992 to 49 605 in 1993 and 1994 (case count ratio = 0.94, 95% confidence interval [CI] = 0.93, 0.95). The decrease, confined to US-born patients, was generally associated with AIDS incidence and improvements in completion of therapy, conversion of sputum, and increases in the number of contacts identified per case. Conclusions. Recent TB epidemiology patterns suggest that improvements in treatment and control activities have contributed to the reversal in the resurgence of this disease in US-born persons. Continued success in preventing the occurrence of active TB will require sustained efforts to ensure appropriate treatment of cases.

Suggested Citation

  • McKenna, M.T. & McCray, E. & Jones, J.L. & Onorato, I.M. & Castro, K.G., 1998. "The fall after the rise: Tuberculosis in the United States, 1991 through 1994," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1059-1063.
    • Handle: RePEc:aph:ajpbhl:1998:88:7:1059-1063_7
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1998:88:7:1059-1063_7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.