Forecasting Incidence Prevalence of Tuberculosis in Azad Jammu & Kashmir: A Five-Year Retrospective Study

Muhammad Tayyab Ilyas, A. Saghir, K. Malik, A. Khanum, Nadeem Ahmed Fazal Dad
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Abstract

Background: Tuberculosis is one of the critical public health issue in Pakistan, according to report of WHO (2018), it holds 5th place among the TB high burden countries and estimated to be on fourth position for MDR prevalence. Currently, Pakistan is sharing 61% of case burden of TB in EMRO region. Methods: Polynomial regression model was used to predict the tuberculosis incidence prevalence in AJ&K for the year 2019. Estimation based on tuberculosis data (2014-2018) analyzed for the incidence prevalence of tuberculosis in AJ&K for 2019. Results: Tuberculosis incidence prevalence for 2018 was obtained 118/100000. The actual data of 2018 reported shows that averagely incidence prevalence of TB remains 124/100000 with minor difference from the predicted value of 2018. The data analysis from 2014 to 2018; predicted that average 130/100000 cases will be reported in 2019. Conclusion: This shows that AJ&K is far from the target (270/100000) recognized by WHO. If one TB case produces 10 cases in community annually, then in coming years, there will be adversity of TB cases in the AJ&K. It is suggested to WHO to revise its target.
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预测阿扎德查谟和克什米尔地区肺结核发病率:一项为期五年的回顾性研究
背景:根据世卫组织(2018年)的报告,结核病是巴基斯坦重要的公共卫生问题之一,在结核病高负担国家中排名第五,在耐多药流行率方面估计排名第四。目前,巴基斯坦分担了EMRO区域61%的结核病病例负担。方法:采用多项式回归模型对2019年AJ&K地区结核病发病率进行预测。基于结核病数据(2014-2018年)的估计分析了2019年AJ&K的结核病发病率和患病率。结果:2018年结核病发病率为118/100000。报告的2018年实际数据显示,结核病的平均发病率仍为124/10万,与2018年的预测值相差不大。2014 - 2018年数据分析;预计2019年平均报告病例数为130/10万。结论:AJ&K与世卫组织确定的目标(270/100000)相差甚远。如果一个结核病病例每年在社区中产生10个病例,那么在未来几年中,将出现AJ&K结核病病例的逆境。建议世卫组织修订其目标。
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