Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study
Traditional tuberculosis (TB) epidemiology reports rarely provide a detailed analysis of TB incidence in particular geographic locations and among diverse population groups. Western Sydney Local Health District (WSLHD) has one of the highest TB incidence rates in Australia, and we explored whether m...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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European Respiratory Society
2019-09-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/5/3/00211-2018.full |
| _version_ | 1828529619209289728 |
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| author | Sophie Norton Shopna K. Bag Jin-Gun Cho Neil Heron Hassan Assareh Laila Pavaresh Stephen Corbett Ben J. Marais |
| author_facet | Sophie Norton Shopna K. Bag Jin-Gun Cho Neil Heron Hassan Assareh Laila Pavaresh Stephen Corbett Ben J. Marais |
| author_sort | Sophie Norton |
| collection | DOAJ |
| description | Traditional tuberculosis (TB) epidemiology reports rarely provide a detailed analysis of TB incidence in particular geographic locations and among diverse population groups. Western Sydney Local Health District (WSLHD) has one of the highest TB incidence rates in Australia, and we explored whether more detailed epidemiological analysis could provide a better overview of the local disease dynamics. Using multiple relevant data sources, we performed a retrospective descriptive study of TB cases diagnosed within the WSLHD from 2006 to 2015 with a specific focus on geographic hotspots and the population structure within these hotspots. Over the study period nearly 90% of Western Sydney TB cases were born in a high TB incidence country. The TB disease burden was geographically concentrated in particular areas, with variable ethnic profiles in these different hotspots. The most common countries of birth were India (33.0%), the Philippines (11.4%) and China (8.8%). Among the local government areas in Western Sydney, Auburn had the highest average TB incidence (29.4 per 100 000) with exceptionally high population-specific TB incidence rates among people born in Nepal (average 223 per 100 000 population), Afghanistan (average 154 per 100 000 population) and India (average 143 per 100 000 population). Similar to other highly cosmopolitan cities around the world, the TB burden in Sydney showed strong geographic concentration. Detailed analysis of TB patient and population profiles in Western Sydney should guide better contextualised and culturally appropriate public health strategies. |
| first_indexed | 2024-12-11T22:10:29Z |
| format | Article |
| id | doaj.art-e78699dc9de4460ba7d93676ae1abef4 |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-12-11T22:10:29Z |
| publishDate | 2019-09-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-e78699dc9de4460ba7d93676ae1abef42022-12-22T00:48:47ZengEuropean Respiratory SocietyERJ Open Research2312-05412019-09-015310.1183/23120541.00211-201800211-2018Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological studySophie Norton0Shopna K. Bag1Jin-Gun Cho2Neil Heron3Hassan Assareh4Laila Pavaresh5Stephen Corbett6Ben J. Marais7 Western Sydney Local Health District, Public Health Unit, Parramatta, Australia Western Sydney Local Health District, Public Health Unit, Parramatta, Australia The University of Sydney, Camperdown, Australia Parramatta Chest Clinic, Parramatta, Australia Epidemiology and Health Analytic, Western Sydney Local Health District, Parramatta, Australia Western Sydney Local Health District, Public Health Unit, Parramatta, Australia Western Sydney Local Health District, Public Health Unit, Parramatta, Australia The University of Sydney, Camperdown, Australia Traditional tuberculosis (TB) epidemiology reports rarely provide a detailed analysis of TB incidence in particular geographic locations and among diverse population groups. Western Sydney Local Health District (WSLHD) has one of the highest TB incidence rates in Australia, and we explored whether more detailed epidemiological analysis could provide a better overview of the local disease dynamics. Using multiple relevant data sources, we performed a retrospective descriptive study of TB cases diagnosed within the WSLHD from 2006 to 2015 with a specific focus on geographic hotspots and the population structure within these hotspots. Over the study period nearly 90% of Western Sydney TB cases were born in a high TB incidence country. The TB disease burden was geographically concentrated in particular areas, with variable ethnic profiles in these different hotspots. The most common countries of birth were India (33.0%), the Philippines (11.4%) and China (8.8%). Among the local government areas in Western Sydney, Auburn had the highest average TB incidence (29.4 per 100 000) with exceptionally high population-specific TB incidence rates among people born in Nepal (average 223 per 100 000 population), Afghanistan (average 154 per 100 000 population) and India (average 143 per 100 000 population). Similar to other highly cosmopolitan cities around the world, the TB burden in Sydney showed strong geographic concentration. Detailed analysis of TB patient and population profiles in Western Sydney should guide better contextualised and culturally appropriate public health strategies.http://openres.ersjournals.com/content/5/3/00211-2018.full |
| spellingShingle | Sophie Norton Shopna K. Bag Jin-Gun Cho Neil Heron Hassan Assareh Laila Pavaresh Stephen Corbett Ben J. Marais Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study ERJ Open Research |
| title | Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study |
| title_full | Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study |
| title_fullStr | Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study |
| title_full_unstemmed | Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study |
| title_short | Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study |
| title_sort | detailed characterisation of the tuberculosis epidemic in western sydney a descriptive epidemiological study |
| url | http://openres.ersjournals.com/content/5/3/00211-2018.full |
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