Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015
The World Health Organization recognizes Puerto Rico as an area of low tuberculosis (TB) incidence, where TB elimination is possible by 2035. To describe the current low incidence of reported cases, provide key lessons learned, and detect areas that may affect progress, we systematically reviewed th...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2019-03-01
|
| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/25/3/18-1157_article |
| _version_ | 1811228740103962624 |
|---|---|
| author | Emilio Dirlikov Dana Thomas David Yost Betzaida Tejada-Vera Maria Bermudez Olga Joglar Terence Chorba |
| author_facet | Emilio Dirlikov Dana Thomas David Yost Betzaida Tejada-Vera Maria Bermudez Olga Joglar Terence Chorba |
| author_sort | Emilio Dirlikov |
| collection | DOAJ |
| description | The World Health Organization recognizes Puerto Rico as an area of low tuberculosis (TB) incidence, where TB elimination is possible by 2035. To describe the current low incidence of reported cases, provide key lessons learned, and detect areas that may affect progress, we systematically reviewed the literature about the history of TB surveillance and control in Puerto Rico and supplemented this information with additional references and epidemiologic data. We reviewed 3 periods: 1898–1946 (public health efforts before the advent of TB chemotherapy); 1947–1992 (control and surveillance after the introduction of TB chemotherapy); and 1993–2015 (expanded TB control and surveillance). Although sustained surveillance, continued care, and use of newly developed strategies occurred concomitantly with decreased incidence of reported TB cases and mortality rates, factors that may affect progress remain poorly understood and include potential delayed diagnosis and underreporting, the effects of government debt and Hurricane Maria, and poverty. |
| first_indexed | 2024-04-12T10:01:26Z |
| format | Article |
| id | doaj.art-ecf06e585198447299f7f8c0a0f75862 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-04-12T10:01:26Z |
| publishDate | 2019-03-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-ecf06e585198447299f7f8c0a0f758622022-12-22T03:37:33ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-03-0125353854610.3201/eid2503.181157Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015Emilio DirlikovDana ThomasDavid YostBetzaida Tejada-VeraMaria BermudezOlga JoglarTerence ChorbaThe World Health Organization recognizes Puerto Rico as an area of low tuberculosis (TB) incidence, where TB elimination is possible by 2035. To describe the current low incidence of reported cases, provide key lessons learned, and detect areas that may affect progress, we systematically reviewed the literature about the history of TB surveillance and control in Puerto Rico and supplemented this information with additional references and epidemiologic data. We reviewed 3 periods: 1898–1946 (public health efforts before the advent of TB chemotherapy); 1947–1992 (control and surveillance after the introduction of TB chemotherapy); and 1993–2015 (expanded TB control and surveillance). Although sustained surveillance, continued care, and use of newly developed strategies occurred concomitantly with decreased incidence of reported TB cases and mortality rates, factors that may affect progress remain poorly understood and include potential delayed diagnosis and underreporting, the effects of government debt and Hurricane Maria, and poverty.https://wwwnc.cdc.gov/eid/article/25/3/18-1157_articleTuberculosisTBPuerto RicoeliminationhistoryCaribbean |
| spellingShingle | Emilio Dirlikov Dana Thomas David Yost Betzaida Tejada-Vera Maria Bermudez Olga Joglar Terence Chorba Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 Emerging Infectious Diseases Tuberculosis TB Puerto Rico elimination history Caribbean |
| title | Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 |
| title_full | Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 |
| title_fullStr | Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 |
| title_full_unstemmed | Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 |
| title_short | Tuberculosis Surveillance and Control, Puerto Rico, 1898–2015 |
| title_sort | tuberculosis surveillance and control puerto rico 1898 2015 |
| topic | Tuberculosis TB Puerto Rico elimination history Caribbean |
| url | https://wwwnc.cdc.gov/eid/article/25/3/18-1157_article |
| work_keys_str_mv | AT emiliodirlikov tuberculosissurveillanceandcontrolpuertorico18982015 AT danathomas tuberculosissurveillanceandcontrolpuertorico18982015 AT davidyost tuberculosissurveillanceandcontrolpuertorico18982015 AT betzaidatejadavera tuberculosissurveillanceandcontrolpuertorico18982015 AT mariabermudez tuberculosissurveillanceandcontrolpuertorico18982015 AT olgajoglar tuberculosissurveillanceandcontrolpuertorico18982015 AT terencechorba tuberculosissurveillanceandcontrolpuertorico18982015 |