Massenet D, Fall D, Diop M, Tall S A, Huttinger E, Riveau G
Biomedical Research, Centre Espoir pour la santé, Saint-Louis, Sénégal.
Rev Epidemiol Sante Publique. 2013 Oct;61(5):421-8. doi: 10.1016/j.respe.2013.04.006. Epub 2013 Sep 17.
We studied the incidence of tuberculosis in the health district of Saint-Louis, Senegal over a period of 4years (2008-2011). One thousand three hundred and eighty-six cases were identified, producing an annual standardized incidence ratio of 129 cases per 100,000 inhabitants.
Men in the 15-24-year old age group were more likely to be affected, and diagnosis was more common in the second half of the year. Treatment compliance was excellent (96%), and the cure rate of patients with a TB-positive microscopic examination was 95%. The overall treatment failure rate was 1% and the 6-month morality was 2%. Seropositivity, measured in volunteer patients (48%) was 3%.
A spatial and temporal map of tuberculosis in the city of Saint-Louis, Senegal has been established. A cluster appears to be very likely in Guet Ndar, a particularly dense population zone in a fishing area. There is also a possible secondary cluster at Pikine.
