• Eur Spine J · Jun 2013

    Review

    Epidemiology of tuberculosis in WHO European Region and public health response.

    • Masoud Dara, Andrei Dadu, Kristin Kremer, Richard Zaleskis, and Hans H P Kluge.
    • Communicable Diseases, Health Security and Environment, Tuberculosis and M/XDR-TB Programme, World Health Organization, Regional Office for Europe, Scherfigsvej 8, Copenhagen, Denmark. mdd@euro.who.int
    • Eur Spine J. 2013 Jun 1; 22 Suppl 4: 549-55.

    PurposeTo provide an overview of the tuberculosis (TB) and multi-drug resistant tuberculosis (MDR-TB) in the WHO European Region and evolution of public health response with focus on extra-pulmonary tuberculosis and Pott's disease.MethodsAuthors reviewed regional strategic documents related to TB. The epidemiologic data were reviewed and analyzed.ResultsIn the absence of associated pulmonary TB, Pott's disease is reported as extra-pulmonary TB (up to 47 % of all TB cases in some settings). Due to limitations of the surveillance system, the epidemiology of Pott's disease and its treatment success are unknown. The Stop TB Strategy and Consolidated Action Plan to Prevent and Combat M/XDR-TB provide comprehensive roadmaps to address all types of TB.ConclusionsThere is a need to further analyze country data to document the extent of Pott's disease and develop specific guidelines for timely diagnosis and treatment of Pott's disease.

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