baŞarili bİr tÜberkÜloz kontrolÜ, hastalik İnsİdansinda neden belİrgİn bİr dÜŞÜŞe yol...

BAARILI BR TBERKLOZ KONTROL, HASTALIK NSDANSINDA NEDEN BELRGN BR DE YOL AMIYOR?eref zkara, Seren Arpaz, Sevtap Keskin, Nejat Sezgin

Atatrk Gs Hastalklar ve GCEA Hastanesi Nazilli Verem Sava Dispanseri

AmaDispanserimiz uzun yllardr, olgu bulma ve tedavi asndan baarl bir alma yrtmektedir. Bunun yannda blgemizde BCG as ve koruyucu tedavi uygulanmaktadr. Bu uygulamann tberkloz insidansna etkisini incelemek amaland.

GiriGelimi lkelerde TB insidansndaki d, kemoterapi ncesi, ylda%4-5 1950-1980 arasnda, ylda %12-13 Olgu bulma ve kemoterapi ile ylda yaklak %8

K. Styblo. Epidemiology of Tuberculosis, 1991

Neden Nazilli VSD Blgesi?27.2.1997 ile 5.6.1997 arasnda toplam 11 blge toplants yapld.

lk toplant 27.02.1997de zmirde yapldDr. Seren Arpazn verdii bilgilerNazilliden istenen bilgi mektubu

30 Nisan 1997 tarihli bilgi mektubuEczaneden bildirimler, Kaymakamlk onay ileEczanelerle toplant (%50 katlm)Eczanelerle 2. toplant (%100 katlm)TB reetelerinin bildirimiBildirim yapmayan hekimlerin SMdne bildirilmesiDevlet hastanesinden bildirim iinBahekimlikle grmelerHastanede 2 yl poliklinik hizmeti (VSD almasna ek)GH uzman ile bildirim protokol (bahekimlik ile)VSDden istenen istirahat raporlarnn hastanede yazlmasSSK hastanesinden bildirim iinProtokol (SB-veSGB) uygulamas iin grmelerSSK reetesinin VSDde yazlmasSSK raporlarnn VSD taslana gre yazlmas

30 Nisan 1997 tarihli bilgi mektubuGs hastalklarnn ayr bir bran olduu, verem sava dispanserlerinin sadece fakir tbc. hastalarnn bakld bir yer olmad, dispanserimizin bata tbc. olmak zere tm gs hastalar iin en iyi hizmeti veren gvenilir, gizlilik esasna dayal alan bir kurum olduu anlay blgemizde yerleti. darecilerle ilikiler gven, sevgi ve sayg ynnde geliti. ... Sanyorum Nazilli iinde duruma hakim olduk.Eczanelerden 8 bildirim.Devlet Hastanesinden 10 bildirim.zmir GHHden dzenli bildirim.niversitelerin bildirimi yok!

Gzetimli tedavide nclkNazilli VSD, lkemizde DGT uygulamasna nclk etmitir. Balang Nisan 2000lk sunum: Toraks Dernei 2001 Kongresi2001 ve 2002de yaplan 11 blge toplantsnn byk ksmnda sunum. Btn ulusal kongrelerde ve baz yerel toplantlarda sunumlar.

1996-2006 arasnda kaytl TB hastalar:yllk ortalama 98,5 (83-121) Bulgular

Nazilli VSD, 11 yln hastalar1996-2006 AC-TB : %74,8 AD-TB: %25,1Yayma (+) / tm olgular: %42,1Yayma (+) / AC-TB: %56,2

Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans

Ky tarama d insidans

Yllar

Olgu hz (n/100.000)

Nazilli VSD Blgesinde 11 ylda saptanan TB hastalarnn olgu hzlar

Chart4

5285.3

10518.7

117311.7

120310.6

88310

89510.8

137416.2

186717.1

186220.9

119711.9

143715.1

&A

Page &P

Temasl muayene says

Temasl muayene/TB hasta says

Yllar

Temasl muayene says

Temasl muayene/hasta says

Nazilli VSD Blgesinde 11 ylda yaplan temasl muayeneleri

Chart5

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

2813.3

7076.5

1321.5

2072.1

2392.5

&A

Page &P

Koruyucu tedavi says

Koruyucu ted/hasta says

Yllar


Koruyucu ted / hasta says

Chart7

43.47921

29.87624

497822

48.774.325.7

44.376.123.9

48.269.930.1

54.177.622.4

37.680.719.3

41.678.721.3

33.768.331.7

37.964.235.8

&A

Page &P

Y(+)

AC-TB

AD-TB

Y (+) ve AC TB oranlar (yzde)

AD-TB oran (yzde)

Chart1

43.47921

29.87624

497822

48.774.325.7

44.376.123.9

48.269.930.1

54.177.622.4

37.680.719.3

41.678.721.3

33.768.331.7

37.964.235.8

Y(+)

AC-TB

AD-TB

Hastalarn oran (yzde)

Nazilli VSD (ky d) hasta oranlar

Chart6

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB

Yllar

Hasta oranlar (yzde)


Chart8

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB


Nazilli VSD TB hastalar, organ tutulumu ve mikroskopi oranlar

Sheet1

ortalama19961997199819992000200120022003200420052006

Nazilli VSD blge nfusu286,576286,306286,036285,767285,498285,228284,959284,790284,520284,251283,981

98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456

Temasl muayene says528105111731203883895137418671862119714371347012,4/hasta

250.2Koruyucu tedavi says20515528824016613228170713220723927522,5/hasta

19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5

Ky tarama d insidans34.542.33539.530.829.127.729.529.934.833.5

19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22925.631.821.723.543.137.134.626.3354.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100100100100100100100100100

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22945.631.821.723.543.137.134.626.3

79767894.376.169.977.680.778.768.364.2

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB79767874.376.169.977.680.778.768.364.2

AD-TB21242225.723.930.122.419.321.331.735.8

19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195

Temasl muayene says52810511173120388389513741867186211971437

Temasl muayene/TB hasta says5.38.711.710.61010.816.217.120.911.915.1

19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195

Koruyucu tedavi says205155288240166132281707132207239

Koruyucu ted/hasta says2.11.32.92.11.91.63.36.51.52.12.5

19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006


ky d toplam hasta9912110011388837379839895

ky d yayma (+) says4336495539404136363436

ky d akcier TB says

ky d akcier d TB says2129222921251616173034



ky d hastalarn yzdesi

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB79767874.376.169.977.680.778.768.364.2

AD-TB21242225.723.930.122.419.321.331.735.8

ky d hastalarn yzdesi

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22925.631.821.723.543.137.134.626.3

AD-TB21242225.723.930.122.419.321.331.735.8

Sheet1

0

0

0

0

0

0

0

0

0

0

0

TB insidans

Nazilli VSD TB insidansnn yllar iinde deiimi

Sheet2

34.5

42.3

35

39.5

30.8

29.1

27.7

29.5

29.9

34.8

33.5


Sheet3

035.60

046.20

0290

045.60

031.80

021.70

023.50

043.10

037.10

034.60

026.30

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran

Nazilli VSD TB olgularnn organ tutulumu ve bakteriyolojisi

00

00

00

00

00

00

00

00

00

00

00

TB insidans


Yllar

Olgu hz (n/100.000)


Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Chart4

5285.3

10518.7

117311.7

120310.6

88310

89510.8

137416.2

186717.1

186220.9

119711.9

143715.1

&A

Page &P

Temasl muayene says


Yllar

Temasl muayene says



Chart5

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

2813.3

7076.5

1321.5

2072.1

2392.5

&A

Page &P



Yllar



Chart7

43.47921

29.87624

497822

48.774.325.7

44.376.123.9

48.269.930.1

54.177.622.4

37.680.719.3

41.678.721.3

33.768.331.7

37.964.235.8

&A

Page &P

Y(+)

AC-TB

AD-TB


AD-TB oran (yzde)

Chart6

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB

Yllar



Chart8

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB


Nazilli VSD TB hastalar, organ tutulumu ve mikroskopi oranlar

Chart9

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB

Hastalarn oranlar (yzde)

Nazilli VSD (ky d) TB hastalar, organ tutulumu ve mikroskopi

Chart10

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

56.226.921.9

45.434.320.3

43.436.120.5

34.734.730.6

37.964.235.8

Y(+)

AC-TB

AD-TB


Nazilli VSD (ky d) TB hastalar, organ tutulumu ve mikroskopi oranlar

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456



19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22925.631.821.723.543.137.134.626.3354.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100100100100100100100100100

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22945.631.821.723.543.137.134.626.3

79767894.376.169.977.680.778.768.364.2

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB79767874.376.169.977.680.778.768.364.2

AD-TB21242225.723.930.122.419.321.331.735.8

19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006


ky d toplam hasta9912110011388837379839895

ky d yayma (+) says4336495539404136363436

ky d akcier TB says

ky d akcier d TB says2129222921251616173034



tm hastalar

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22925.631.821.723.543.137.134.626.3

AD-TB21242225.723.930.122.419.321.331.735.8

ky d hastalar

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.256.245.443.434.737.9

AC-TB35.646.22925.631.821.726.934.336.134.764.2

AD-TB21242225.723.930.121.920.320.530.635.8

Sheet1

34.5

42.3

35

39.5

30.8

29.1

29.8

38.3

31.3

35.5

33.5

TB insidans


Sheet2

34.5

42.3

35

39.5

30.8

29.1

27.7

29.5

29.9

34.8

33.5


Sheet3

43.435.621

29.846.224

492922

48.725.625.7

44.331.823.9

48.221.730.1

54.123.522.4

37.643.119.3

41.637.121.3

33.734.631.7

37.926.335.8

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran


34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Tedavi SonularTedavi baar oran %90nn zerindedir. Tedavide kr yapmann nemini rendikten sonra da kr oran %90n altna dmedi. Onbir ylda hasta tedaviyi terk etmi, bunlardan birisi 18 ayda tedaviyi tamamlamtr.

%85

Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Chart4

5285.3

10518.7

117311.7

120310.6

88310

89510.8

137416.2

186717.1

186220.9

119711.9

143715.1

&A

Page &P

Temasl muayene says


Yllar

Temasl muayene says



Chart5

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

2813.3

7076.5

1321.5

2072.1

2392.5

&A

Page &P



Yllar



Chart7

43.47921

29.87624

497822

48.774.325.7

44.376.123.9

48.269.930.1

54.177.622.4

37.680.719.3

41.678.721.3

33.768.331.7

37.964.235.8

&A

Page &P

Y(+)

AC-TB

AD-TB


AD-TB oran (yzde)

Chart1

9999

121121

100100

113113

8888

8383

8573

10979

8983

10198

9595

Toplam TB

Salgn olan kyde TB

Hasta says

Nazilli VSD'de kaytl TB hasta saylar

Chart2

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

1512.1

1381.7

1321.6

2072.1

2392.5

&A

Page &P

ky d koruyucu tedavi say

ky d koruyu ted/hasta


Koruyucu tedavi says / hasta says

Nazilli VSD (ky d) koruyucu tedavi

Chart6

2052052.12.1

1551551.31.3

2882882.92.9

2402402.12.1

1661661.91.9

1321321.61.6

2811513.32.1

7071386.51.7

1321321.51.6

2072072.12.1

2392392.52.5

&A

Page &P





Koruyucu tedavi saylar

Koruyucu tedavi / hasta says

Nazilli VSD koruyucu tedavi

Chart8

891226

910603

881506

921403

930205

941401

911602

990100

951211

961201

Ted. Baars

Baarsz

lm

Terk

nakil

Hastalarn oran (yzde)

Nazilli VSD, 10 yln tedavi sonular

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5811

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456%56,2 (AC'e oran


250.2Koruyucu tedavi says20515528824016613228170713220723927522,54 / hasta

19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22945.631.821.723.543.137.134.626.3

79767894.376.169.977.680.778.768.364.2

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB79767874.376.169.977.680.778.768.364.2

AD-TB21242225.723.930.122.419.321.331.735.8

19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195

Salgn olan ky dnda TB9912110011388837379839895

19961997199819992000200120022003200420052006


ky d koruyucu tedavi say205155288240166132151138132207239

Koruyucu ted/hasta says2.11.32.92.11.91.63.36.51.52.12.52.54

ky d koruyu ted/hasta2.11.32.92.11.91.62.11.71.62.12.51.99

1996199719981999200020012002200320042005

Kr83867891889383988797

Ted. Baars89918892939491999596

Baarsz1011011011

lm2654246122

Terk2000000010

nakil6363512011

119128769154

1996199719981999200020012002200320042005

Kr83867891889383988797

Tedavi baars89918892939491999596

Olumsuz sonu119128769154

1996199719981999200020012002200320042005

Ted. Baars89918892939491999596

Baarsz1011011011

lm2654246122

Terk2000000010

nakil6363512011

119128769154

Sheet1

34.5

42.3

35

39.5

30.8

29.1

29.8

38.3

31.3

35.5

33.5

TB insidans


Sheet2

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Sheet3

TMKY DII Yllk ortalama 250 (132-707) 183 (132-288) Koruyucu ted / hasta 2,54 (1,3-6,5) 1,99 (1,3-2,9)

Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Chart4

5285.3

10518.7

117311.7

120310.6

88310

89510.8

137416.2

186717.1

186220.9

119711.9

143715.1

&A

Page &P

Temasl muayene says


Yllar

Temasl muayene says



Chart5

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

2813.3

7076.5

1321.5

2072.1

2392.5

&A

Page &P



Yllar



Chart7

43.47921

29.87624

497822

48.774.325.7

44.376.123.9

48.269.930.1

54.177.622.4

37.680.719.3

41.678.721.3

33.768.331.7

37.964.235.8

&A

Page &P

Y(+)

AC-TB

AD-TB


AD-TB oran (yzde)

Chart1

9999

121121

100100

113113

8888

8383

8573

10979

8983

10198

9595

Toplam TB

Salgn olan kyde TB

Hasta says

Nazilli VSD'de kaytl TB hasta saylar

Chart2

2052.1

1551.3

2882.9

2402.1

1661.9

1321.6

1512.1

1381.7

1321.6

2072.1

2392.5

&A

Page &P




Koruyucu tedavi says / hasta says

Nazilli VSD (ky d) koruyucu tedavi

Chart6

2052052.12.1

1551551.31.3

2882882.92.9

2402402.12.1

1661661.91.9

1321321.61.6

2811513.32.1

7071386.51.7

1321321.51.6

2072072.12.1

2392392.52.5

&A

Page &P





Koruyucu tedavi saylar

Koruyucu tedavi / hasta says

Nazilli VSD koruyucu tedavi

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5811

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456%56,2 (AC'e oran



19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB35.646.22945.631.821.723.543.137.134.626.3

79767894.376.169.977.680.778.768.364.2

19961997199819992000200120022003200420052006

Y(+)43.429.84948.744.348.254.137.641.633.737.9

AC-TB79767874.376.169.977.680.778.768.364.2

AD-TB21242225.723.930.122.419.321.331.735.8

19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195


19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195





ky d koruyu ted/hasta2.11.32.92.11.91.62.11.71.62.12.51.99

19961997199819992000200120022003200420052006


ky d koruyu ted/hasta2.11.32.92.11.91.62.11.71.62.12.5

19961997199819992000200120022003200420052006




ky d koruyu ted/hasta2.11.32.92.11.91.62.11.71.62.12.5

Sheet1

34.5

42.3

35

39.5

30.8

29.1

29.8

38.3

31.3

35.5

33.5

TB insidans


Sheet2

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Sheet3

Temasl muayenesiYllk ortalama: 1.225 (528-1.867)Temasl muay / hasta says: 12,4 (5,3-20,9)

Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)


Chart4

5285.3

10518.7

117311.7

120310.6

88310

89510.8

137416.2

186717.1

186220.9

119711.9

143715.1

&A

Page &P

Temasl muayene says


Yllar

Temasl muayene says



Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456



19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

19961997199819992000200120022003200420052006

Toplam TB991211001138883851098910195



19961997199819992000200120022003200420052006



Sheet1

0

0

0

0

0

0

0

0

0

0

0

TB insidans


Sheet2

34.5

42.3

35

39.5

30.8

29.1

27.7

29.5

29.9

34.8

33.5


Sheet3

000

000

000

000

000

000

000

000

000

000

000

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran


00

00

00

00

00

00

00

00

00

00

00

TB insidans


Yllar

Olgu hz (n/100.000)


Chart3

34.534.5

42.342.3

3535

39.539.5

30.830.8

29.129.1

29.827.7

38.329.5

31.329.9

35.534.8

33.533.5

TB insidans


Yllar

Olgu hz (n/100.000)

Nazilli VSD BlgesiTm hastalarda TB olgu hzlar

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456


250.2Koruyucu tedavi says2051552882401661322817071322072392752

19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

Sheet1

0

0

0

0

0

0

0

0

0

0

0

TB insidans


Sheet2

0

0

0

0

0

0

0

0

0

0

0


Sheet3

000

000

000

000

000

000

000

000

000

000

000

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran


00

00

00

00

00

00

00

00

00

00

00

TB insidans


Yllar

Olgu hz (n/100.000)


Yllk d %0,4 (p=0,32)

Chart3

34.5

42.3

35

39.5

30.8

29.1

29.8

38.3

31.3

35.5

33.5

Tm TB olgu hzlar

Yllar

Olgu hz (n/100.000)

Nazilli VSD BlgesiTm hastalarda TB olgu hzlar

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456



19961997199819992000200120022003200420052006

Tm TB olgu hzlar34.542.33539.530.829.129.838.331.335.533.5


19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

Sheet1

0

0

0

0

0

0

0

0

0

0

0

Tm TB olgu hzlar


Sheet2

0

0

0

0

0

0

0

0

0

0

0


Sheet3

000

000

000

000

000

000

000

000

000

000

000

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran


00

00

00

00

00

00

00

00

00

00

00

Tm TB olgu hzlar


Yllar

Olgu hz (n/100.000)


Yllk d %0,7 (p=0,15)

Chart3

34.5

42.3

35

39.5

30.8

29.1

27.7

29.5

29.9

34.8

33.5

Ky tarama d olgu hz

Yllar

Olgu hz (n/100.000)

Nazilli VSD BlgesiKy d hastalarda TB olgu hzlar

Sheet1

ortalama19961997199819992000200120022003200420052006


98.5Toplam TB9912110011388838510989101951083

TB olgu hz34.542.33539.530.829.129.838.331.335.533.5

Akcier d TB says2129222921251921193234272

Yayma (+) says4336495539404641373436456



19961997199819992000200120022003200420052006

TB insidans34.542.33539.530.829.129.838.331.335.533.5

Ky tarama d olgu hz34.542.33539.530.829.127.729.529.934.833.5

19961997199819992000200120022003200420052006


ortalama19961997199819992000200120022003200420052006

42.8Y(+)43.429.84948.744.348.254.137.641.633.737.9468.3

34AC-TB35.646.22945.631.821.723.543.137.134.626.3374.5

25.2AD-TB21242225.723.930.122.419.321.331.735.8277.2

100100100120100100100100100100100

Sheet1

0

0

0

0

0

0

0

0

0

0

0

TB insidans


Sheet2

0

0

0

0

0

0

0

0

0

0

0


Sheet3

000

000

000

000

000

000

000

000

000

000

000

Y(+)

AC-TB

AD-TB

Yllar

Hastalarn oran


00

00

00

00

00

00

00

00

00

00

00

TB insidans


Yllar

Olgu hz (n/100.000)


Olgu hzndaki d: NazilliTm olgular 1996-2006Yllk %0,4 (p=0,32)

Ky hastalar dndaYllk %0,7 (p=0,15)

TartmaBu almann yapld dispanser ve blgesiNfusu nispeten sabit kalmtr.Bildirimler dzenli yaplmaktadr. Bakteriyolojik tetkik rutin uygulanmaktadr.Tedavi baar oran yksektir.Temasl muayenesi dzenli yaplmaktadr.Koruyucu tedavi yaplma oran yksektir.Hastalara destek vardr.

TartmaBu almann yapld dispanser blgesi: Sosyal ve ekonomik olarak belirli bir gelimilik dzeyindedir.

TartmaOlgu hznn dnn az oluunun nedeni:Bildirim ve kaytllk artBu unsurun bu blge iin nemli olmadn dnyoruz. Fakat,Dispanserin DGT uygulamas ve sonrasndaki tannmlnn art, VSD tercihini artrm olabilir.

TartmaOlgu hznn dnn az oluunun nedeni:2. Baka blge hastasnn kayda alnmasBu olasl da dnmyoruz.

TartmaOlgu hznn dmesinin az oluunun nedeni:3. Mikroepidemilera. Bir kyde (1.000 nfuslu) mikroepidemi 2002-2005, 4 ylda 52 hastaortalama olgu hz 1.300/100.000b. Baka mikroepidemiler (?)

SonuGelimi lkeler iin Styblonun yapt deerlendirmenin, bizim koullarmza da uyup uymad sorusu tartmaldr. Bu nedenle, konuya ilikin blgemizde yneylem aratrmalarna ihtiya vardr.

Chart1

23.2

16.9

17.3

17.1

18.4

12

15

17.9

&A

Page &P

Olgu hz

Olgu hz (n/100.000)

Nide VSD kaytlar ile ilde olgu hz

Chart4

41.4

37.3

37.7

38.2

44.8

51.9

&A

Page &P

olgu hz

Olgu hz (n/100.000)

stanbul li VSD kaytlar ile Yeni TB olgu hzlar

Sheet1

nide

19981999200020012002200320042005

Olgu hz23.216.917.317.118.4121517.9

istanbul

200020012002200320042005

olgu hz41.437.337.738.244.851.9

yeni olgu411138053949410849465886

nfus

Chart2

14.9

13.4

13.9

13.4

15.8

15.9

14.5

&A

Page &P

olgu hz

Olgu hz (n/100.000)

Ankara linde Yeni TB olgu hz

Sheet2

ankara

1999200020012002200320042005

olgu hz14.913.413.913.415.815.914.5

Chart3

36

33.7

32.6

32

28.3

25.6

25.3

23.5

25.5

24.6

26

&A

Page &P

Olgu hz

Olgu hz (n/100.000)

Trkiye'de VSD kaytlar ile Yeni TB olgu hz

Sheet3

trkiye

Olgu hz

199536-8.1

199633.7-4.3

199732.6-6.3

199832-3.5

199928.3-10.6

200025.6-5.2

200125.30

200223.5-10.1

200325.53.2

200424.61.1

2005265.2

Chart1

23.2

16.9

17.3

17.1

18.4

12

15

17.9

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Chart4

41.4

37.3

37.7

38.2

44.8

51.9

&A

Page &P

olgu hz

Olgu hz (n/100.000)


Sheet1

Olgu hz

199823.2

199916.9

200017.3

200117.1

200218.4nide

20031219981999200020012002200320042005

200415Olgu hz23.216.917.317.118.4121517.9

200517.9199823.2

199916.9

200017.3

200117.1

200218.4

200312

200415

200517.9

istanbul

200020012002200320042005

olgu hz41.437.337.738.244.851.9

yeni olgu411138053949410849465886

nfus

Chart2

14.9

14.6

15.2

14.6

17

17

16

&A

Page &P

olgu hz

Olgu hz (n/100.000)

Ankara ilinde TB olgu hz

Sheet2

ankara

1999200020012002200320042005

olgu hz14.914.615.214.6171716

Chart3

36

34.4

32.3

31.1

27.8

26.4

26.4

23.7

24.5

24.7

26

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Sheet3

Olgu hz

199536-8.1

199634.4-4.3

199732.3-6.3

199831.1-3.5

199927.8-10.6

200026.4-5.2

200126.40

200223.7-10.1

200324.53.2

200424.71.1

2005265.2

Chart1

23.2

16.9

17.3

17.1

18.4

12

15

17.9

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Chart4

41.4

37.3

37.7

38.2

44.8

51.9

&A

Page &P

olgu hz

Olgu hz (n/100.000)


Sheet1

Olgu hz

199823.2

199916.9

200017.3

200117.1

200218.4nide

20031219981999200020012002200320042005

200415Olgu hz23.216.917.317.118.4121517.9

200517.9199823.2

199916.9

200017.3

200117.1

200218.4

200312

200415

200517.9

istanbul

200020012002200320042005

olgu hz41.437.337.738.244.851.9

yeni olgu411138053949410849465886

nfus

Chart2

14.9

13.4

13.9

13.4

15.8

15.9

14.5

&A

Page &P

olgu hz

Olgu hz (n/100.000)

Ankara li VSD kaytlar ile Yeni TB olgu hz

Sheet2

ankara

1999200020012002200320042005

olgu hz14.913.413.913.415.815.914.5

Chart3

36

34.4

32.3

31.1

27.8

26.4

26.4

23.7

24.5

24.7

26

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Sheet3

Olgu hz

199536-8.1

199634.4-4.3

199732.3-6.3

199831.1-3.5

199927.8-10.6

200026.4-5.2

200126.40

200223.7-10.1

200324.53.2

200424.71.1

2005265.2

Chart1

47

46

44

47

41

37

34

36

35

32

30

&A

Page &P

Olgu hz

Olgu hz (n/100.000)

zmir linde VSD kaytlar ile TB olgu hz

Sheet1

19951996199719981999200020012002200320042005

Trkiye37324039342725262627

zmir4746444741373436353230

izmir

19951996199719981999200020012002200320042005

Olgu hz4746444741373436353230

Sheet2

Sheet3

MBD00031D06.xls

Sayfa1

STANBUL VSD ALIMALARI

YILLARPOL.SAYRAD.MUABAK.MUAYEN HASESK DNENTOPLAM HASPPDBCG

2000413022334845216074111718482910386570914

200132407330177423217380559944046630275682

200241349739299523583394942143704621483624

200348733444696525955410845745655559792311

2004536285494980313054946555550160157101467

200550757944647428781588670865916800689606

&C&A

&CSayfa &P

Chart1

23.2

16.9

17.3

17.1

18.4

12

15

17.9

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Chart4

41.4

37.3

37.7

38.2

44.8

51.9

&A

Page &P

olgu hz

Olgu hz (n/100.000)


Sheet1

Olgu hz

199823.2

199916.9

200017.3

200117.1

200218.4nide

20031219981999200020012002200320042005

200415Olgu hz23.216.917.317.118.4121517.9

200517.9199823.2

199916.9

200017.3

200117.1

200218.4

200312

200415

200517.9

istanbul

200020012002200320042005

olgu hz41.437.337.738.244.851.9

yeni olgu411138053949410849465886

nfus

Chart2

14.9

13.4

13.9

13.4

15.8

15.9

14.5

&A

Page &P

olgu hz

Olgu hz (n/100.000)

Ankara li VSD kaytlar ile Yeni TB olgu hz

Sheet2

ankara

1999200020012002200320042005

olgu hz14.913.413.913.415.815.914.5

Chart3

36

34.4

32.3

31.1

27.8

26.4

26.4

23.7

24.5

24.7

26

&A

Page &P

Olgu hz

Olgu hz (n/100.000)


Sheet3

Olgu hz

199536-8.1

199634.4-4.3

199732.3-6.3

199831.1-3.5

199927.8-10.6

200026.4-5.2

200126.40

200223.7-10.1

200324.53.2

200424.71.1

2005265.2

Grafik2

91.4312.42.4

90.32.70.62.53.9

91.83.20.21.83

90.240.71.53.7

92.12.50.323.1

92.230.32.12.4

T. Baars

Terk

Baarszlk

lm

Nakil

YILLAR

%

YeniARB+tedavi sonucu

KRT. BaarsTerkBaarszlklmNakil

199970.191.23.91.11.42.5

200078.192.23.30.71.81.8

200186.791.14.10.41.43

200277.190.63.81.413.1

200380.890.43.60.31.74

200471.889.84.30.32.82.8

YeniARB+tedavi sonucu

000

000

000

000

000

000

KR

T. Baars

Terk

YILLAR

%

Tm yeniler ted.sonucu

T. BaarsTerkBaarszlklmNakil

199991.43.012.42.4

200090.32.70.62.53.9

200191.83.20.21.83

200290.240.71.53.7

200392.12.50.323.1

200492.230.32.12.4

Tm yeniler ted.sonucu

00000

00000

00000

00000

00000

00000

T. Baars

Terk

Baarszlk

lm

Nakil

YILLAR

%

tm hastalar ted.sonucu

Chart1

23.2

16.9

17.3

17.1

18.4

12

15

17.9

&A

Page &P

Olgu hz

Olgu hz (n/100.000)

Nide linde VSD kaytlar ile olgu hz

Sheet1

Olgu hz

199823.2

199916.9

200017.3

200117.1

200218.4

20031219981999200020012002200320042005

200415Olgu hz23.216.917.317.118.4121517.9

200517.9199823.2

199916.9

200017.3

200117.1

200218.4

200312

200415

200517.9

Sheet2

Sheet3

Estimated incidenceweighted notification rates from selected countries in each region, scaled to the estimated incidence.Gijs Elzinga, 2006

TB insidans deiimi 2004Gijs Elzinga, 2006

HollandaGijs Elzinga, 2006

The data from the NetherlandsMortality1903 - 1913 3.5%/yr1920 - 1940 5.7%/yr

ARIworld war II 12-13 %/yrGijs Elzinga, 2006

Chart1

19011901

1902194

1903187

1904190

1905184

1906179

1907178

1908173

1909162

1910161

1911155

1912157

1913144

1914142

1915140

1916144

1917167

1918182

1919203

1920174

1921147

1922127

1923114

1924106

1925106

192699

192796

192895

192984

193086

193175

193273

193365

193460

193555

193653

193750

193848

193945

194041

194144

194259

194361

194470

194574

194686

194747

194837

184.728

176.924

15919

147.545084790316.4302557458

135.007036478912.4509201816

118.42887225489.2178140841

97.59625038277.6049026272

81.61371110356.7493691881

69.3258914685.5315683819

75.75136198225.2085382404

65.18780254534.3742301513

59.98291255093.6975768011

51.59255492512.9040120736

47.30009909222.7350103043

42.95466194732.5439335607

39.2931207442.1372472323

33.15072201641.9099864889

30.7723323161.8178440059

30.04719809681.5108432493

24.96149476041.4040342211

25.00573607581.5559475701

21.81531894821.3048561119

19.83388771751.2039247019

18.84990430221.5930570154

18.52359418321.552424899

17.55352686581.4192213211

15.70674418981.3490455132

16.39815364141.4633329931

15.15264266891.0193993146

14.2893388430.7311161211

13.7503045431.2447947074

12.62019033111.2655941578

11.80894433861.1496688599

12.01386260391.2527636459

10.36042139581.2477368122

9.74228551511.1227687673

9.45494171461.1532111129

9.15328134760.9547640408

8.2728641111.1425086875

8.15593434881.074229608

9.01124489191.0261674047

8.89549916111.0942071861

9.19250090680.9132068103

8.96042722250.799443321

9.68329350950.938585446

10.42706885451.1286695047

11.80454156110.9125542896

10.49654560560.8947024667

10.83006860760.8842189507

9.54577281570.7130422494

8.56639112830.7793435627

9.73984771570.7868020305

8.85022692890.5799293999

8.98225597870.5879749735

8.69900781020.4781039268

8.158061610.4693510086

8.26668320.4920644762

7.0957539180.4293023114

Morbidity

Mortality

(p/100.000)

Tuberculosis morbidity and mortality (all forms, per 100.000), The Netherlands, 1900-2005

Sheet1

Tuberculosis patients (absolute number and rate per 100.000), The Netherlands

YearPopulationMorbidityMortality (PTB)Mortality (all)Bron

Nr/100000Nr/100000vermelden

1875-1879224.0

1880-1884201.0

1995-1889193.0

1890-1894190.0

1895-1899174.0

1900169.0

1901(+/- 5.000.000)137.010,119194.0

1902133.09,928187.0

1903132.010,164190.0

1904129.010,080184.0

19057,621136.09,966179.0

19067,617134.010,018178.0

19077,494130.09,863173.0

19087,002120.09,359162.0

19097,250123.09,456161.0

19105,904,4077,017118.89,167155.0

19115,992,0296,816113.89,386157.0

19126,082,9966,454106.18,731144.0

19136,183,6136,301101.9142.0

19146,287,2186,462102.8140.0

19156,386,5846,750105.7144.0

19166,480,2457,849121.1167.0

19176,572,6308,771133.4182.0

19186,646,42810,309155.1203.0

19196,714,3408,595128.0174.0

19206,809,6497,190105.610,027147.0

19216,921,9006,27790.78,772127.0

19227,029,5755,75781.9114.0

19237,138,4405,35275.0106.0

19247,252,3305,44175.07,774106.0

19257,362,2885,16170.17,26399.0

19267,468,8815,34571.67,18496.0

19277,571,2215,32970.47,18295.0

19287,674,4214,69961.26,43484.0

19297,776,3634,95763.76,68486.0

19307,880,1294,32054.85,88175.0

19317,998,5684,15952.05,81173.0

19328,122,4823,67145.25,22765.0

19338,236,8913,52142.74,93160.0

19348,350,0003,26439.14,54555.0

19358,450,0003,16337.44,41853.0

19368,515,7133,06736.04,25950.0

19378,598,2582,88733.64,11948.0

19388,684,0822,75431.73,94645.0

19398,781,2732,48428.33,60141.0

19408,850,0002,73230.93,87944.0

19418,965,4845,29959.0

19429,041,9845,54961.0

19439,174,7326,37270.0

19446,82074.0

19457,95986.0

19464,41647.0

19473,59037.0

194817,947184.72,77028.0

194917,461176.92,43624.0

195016,108159.01,92219.0

195110,085,05314,880147.51,65716.4

195210,240,20713,825135.01,27512.5

195310,479,70812,411118.49669.2

195410,493,23110,24197.67987.6

195510,623,2158,67081.67176.7

195610,756,4437,45769.35955.5

19579,887,6117,49075.85155.2

195811,041,9437,19865.24834.4

195911,196,5226,71660.04143.7

196011,329,1545,84551.63292.9

196111,553,8875,46547.33162.7

196211,635,5244,99843.02962.5

196311,790,8684,63339.32522.1

196412,041,9703,99233.22301.9

196512,212,2693,75830.82221.8

196612,377,1943,71930.01871.5

196712,535,3073,12925.01761.4

196812,661,0953,16625.01971.6

196912,798,3462,79221.81671.3

197012,957,6212,57019.81561.2

197113,119,4302,47318.82091.6

197213,269,5632,45818.52061.6

197313,387,6232,35017.61901.4

197413,491,0202,11915.71821.3

197513,599,0922,23016.41991.5

197613,733,5782,08115.21401.0

197713,814,4951,97414.31010.7

197813,897,8741,91113.81731.2

197913,985,5261,76512.61771.3

198014,091,0141,66411.81621.1

198114,208,5861,70712.01781.3

198214,265,8291,47810.41781.2

198314,339,5511,3979.71611.1

198414,394,5891,3619.51661.2

198514,453,8331,3239.21381.0

198614,529,4301,2028.31661.1

198714,615,1251,1928.21571.1

198814,714,9481,3269.01511.0

198914,805,2401,3178.91621.1

199014,892,5741,3699.21360.9

199115,010,4451,3459.01200.8

199215,129,1501,4659.71420.9

199315,239,1821,58910.41721.1

199415,341,5531,81111.81400.9

199515,424,1221,61910.51380.9

199615,493,9001,67810.81370.9

199715,567,1001,4869.51110.7

199815,654,2001,3418.61220.8

199915,760,0001,5359.71240.8

200015,864,0001,4048.9920.6

200115,987,0751,4369.0940.6

200216,105,2851,4018.7770.5

200316,192,5721,3218.2760.5

200416,258,0321,3448.3800.5

200516,305,5261,1577.1700.4

1875-1899 PTB only

1934,1935,1940 Population unknown

1945 No data available (calculated 95)

1951-1963 Population = mid year

KNCV/NTR/NK/05-09-2005/nk

Sheet1

Morbidity

Mortality

(p/100.000)

Tuberculosis morbidity and mortality (all forms, per 100.000), The Netherlands, 1900-2005

Sheet2

Ziekte

Sterfte

(N)

Tuberculose ziekte en sterfte (absolute aantallen), Nederland, 1900-2000

Sheet3

CBS - mid year

jaar0-45-910-1415-1920-2425-2930-3435-3940-4445-5050-5455-5960-6465-6970-79Total

1951120245796058983097680805780233779227470080268504065170159940652534145516438025330884138181510,085,053

19521167738104850284696580004380444678158272351868436465631561167153872547170538943431869239650710,240,207

19531126683112952796955179810380070677076474667867669066127162205855307248531840066432893440968910,479,708

19541112331115926189573680577879528176523176790666725666656363042556575449348341199933636141986610,493,231

19551110185118594591847981764978987176695977316267532466990063680357928050232342372734213243147610,623,215

19561114153117662697341982985178554277188476602369698867308163992359063851121443572534896444241210,756,443

1957118576113675410577208432357828237761687605937147326736786441145995145222014480553560524533969,887,611

195811292931116790111821886497978554877782775742073786466862165159560939753506145854436503946574711,041,943

195911442911109087115474289262979500677573975501176166966147265860761923454821546699537607447775111,196,522

196011548791106262118340891435180667477120875629976658166951766205562570256123047553438671648873811,329,154

1961117554011137701153784101804882487776812176476275706870119966892463001257728548797340319150933311,553,887

1962118263711175281139682105680583482076808576931975608871091066716063379158121149391140881951475811,635,524

1963119598111262941117627111806585758777454677287675326673343566135564023458956350506741736552760711,790,868

1964120693011389411107613115404388678778915377334975176875617565394764605559799051674942400154203211,945,533

1965121491211524401107109118394791187080804677370275732576280066315864964960441152927243108555549612,105,222

1966121463511666631112855117839396880782610277505176604275785568534465301460755153970243839756919012,259,601

19671207575118090711197821141592105399984015477455977262775421770390565390661177654772044772758346412,393,910

19681198292119344011277941119365111370685936277799577500375062472574464808561805755569845803759658412,517,786

19691191406120511511407901110306115142888907579247077567374924974828264086362385756349546871160871912,659,439

Sheet4

Tuberculose (ziekte en sterfte) in Nederland tussen 1900 en 2000 (per 100.000 inwoners)

JaarZiekteSterfte

p/100.000p/100.000

1900

1901194.0

1902187.0

1903190.0

1904184.0

1905179.0

1906178.0

1907173.0

1908162.0

1909161.0

1910155.0

1911157.0

1912144.0

1913142.0

1914140.0

1915144.0

1916167.0

1917182.0

1918203.0

1919174.0

1920147.0

1921127.0

1922114.0

1923106.0

1924106.0

192599.0

192696.0

192795.0

192884.0

192986.0

193075.0

193173.0

193265.0

193360.0

193455.0

193553.0

193650.0

193748.0

193845.0

193941.0

194044.0

194159.0

194261.0

194370.0

194474.0

194586.0

194647.0

194737.0

1948184.728.0

1949176.924.0

1950159.019.0

1951147.516.4

1952135.012.5

1953118.49.2

195497.67.6

195581.66.7

195669.35.5

195775.85.2

195865.24.4

195960.03.7

196051.62.9

196147.32.7

196243.02.5

196339.32.1

196433.21.9

196530.81.8

196630.01.5

196725.01.4

196825.01.6

196921.81.3

197019.81.2

197118.81.6

197218.51.6

197317.61.4

197415.71.3

197516.41.5

197615.21.0

197714.30.7

197813.81.2

197912.61.3

198011.81.1

198112.01.3

198210.41.2

19839.71.1

19849.51.2

19859.21.0

19868.31.1

19878.21.1

19889.01.0

19898.91.1

19909.20.9

19919.00.8

19929.70.9

199310.41.1

199411.80.9

199510.50.9

199610.80.9

19979.50.7

19988.60.7

19998.50.7

2000

KNCV/NTR/NK/05071999

Tuberculosis patients (absolute number and rate per 100.000), The Netherlands

YearPopulationMorbidityMortality (PTB)Mortality (all)

Nr/100000Nr/100000

1875-1879224.0

1880-1884201.0

1995-1889193.0

1890-1894190.0

1895-1899174.0

1900169.0

1901(+/- 5.000.000)137.010,119194.0

1902133.09,928187.0

1903132.010,164190.0

1904129.010,080184.0

19057,621136.09,966179.0

19067,617134.010,018178.0

19077,494130.09,863173.0

19087,002120.09,359162.0

19097,250123.09,456161.0

19105,904,4077,017118.89,167155.0

19115,992,0296,816113.89,386157.0

19126,082,9966,454106.18,731144.0

19136,183,6136,301101.9142.0

19146,287,2186,462102.8140.0

19156,386,5846,750105.7144.0

19166,480,2457,849121.1167.0

19176,572,6308,771133.4182.0

19186,646,42810,309155.1203.0

19196,714,3408,595128.0174.0

19206,809,6497,190105.610,027147.0

19216,921,9006,27790.78,772127.0

19227,029,5755,75781.9114.0

19237,138,4405,35275.0106.0

19247,252,3305,44175.07,774106.0

19257,362,2885,16170.17,26399.0

19267,468,8815,34571.67,18496.0

19277,571,2215,32970.47,18295.0

19287,674,4214,69961.26,43484.0

19297,776,3634,95763.76,68486.0

19307,880,1294,32054.85,88175.0

19317,998,5684,15952.05,81173.0

19328,122,4823,67145.25,22765.0

19338,236,8913,52142.74,93160.0

19348,350,0003,26439.14,54555.0

19358,450,0003,16337.44,41853.0

19368,515,7133,06736.04,25950.0

19378,598,2582,88733.64,11948.0

19388,684,0822,75431.73,94645.0

19398,781,2732,48428.33,60141.0

19408,850,0002,73230.93,87944.0

19418,965,4845,29959.0

19429,041,9845,54961.0

19439,174,7326,37270.0

19446,82074.0

19457,95986.0

19464,41647.0

19473,59037.0

194817,947184.72,77028.0

194917,461176.92,43624.0

195016,108159.01,92219.0

195110,085,05314,880147.51,65716.4

195210,240,20713,825135.01,27512.5

195310,479,70812,411118.49669.2

195410,493,23110,24197.67987.6

195510,623,2158,67081.67176.7

195610,756,4437,45769.35955.5

19579,887,6117,49075.85155.2

195811,041,9437,19865.24834.4

195911,196,5226,71660.04143.7

196011,329,1545,84551.63292.9

196111,553,8875,46547.33162.7

196211,635,5244,99843.02962.5

196311,790,8684,63339.32522.1

196412,041,9703,99233.22301.9

196512,212,2693,75830.82221.8

196612,377,1943,71930.01871.5

196712,535,3073,12925.01761.4

196812,661,0953,16625.01971.6

1969Nedincniet-Nedincalle

197012,957,6212,57019.8

197113,119,4302,47318.8

197213,269,5632,45818.5

197313,387,6232,35017.6

197413,491,0202,11915.7

197513,599,0922,23016.4

197613,733,5782,08115.2

197713,814,4951,97414.3

197813,897,8741,91113.8

197913,985,5261,76512.6

198014,091,0141177487.01,66411.8

198114,208,5861211496.01,70712.0

198214,265,8291067411.01,47810.4

198314,339,5511016381.01,3979.7

198414,394,5891052309.01,3619.5

198514,453,833949374.01,3239.2

198614,529,430872330.01,2028.3

198714,615,125808384.01,1928.2

198814,714,948952374.01,3269.0

198914,805,240854463.01,3178.9

199014,892,574810559.01,3699.2

199115,010,445710635.01,3459.0

199215,129,150720745.01,4659.7

199315,239,182709880.01,58910.4

199415,341,553845966.01,81111.8

199515,424,122708911.01,61910.5

199615,493,900808870.01,67810.8

199715,567,100647839.01,4869.5

199815,654,200536805.01,3418.6

1999601934.01,5359.7

2000516888.01,4048.9

2001545891.01,436

1875-1899 PTB only

1934,1935,1940 Population unknown

1945 No data available (calculated 95)

1951-1963 Population = mid year

KNCV/NTR/NK/20-12-1999

F//TB-NED_1900-2000.xls

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

Alle patinten

Nederlanders

niet-Nederlanders

(N)

Tuberculosepatinten naar Nederlandse en niet-Nederlandse nationaliteit(absolute aantallen), Nederland, 1970-2001

TB insidansnda yllk yzde d Styblo 1984, 1991Gijs Elzinga, 2006

VietnamGijs Elzinga, 2006

20051996dan beri Vietnam hedef blgededir. 7080901005060708090100110120DOTS detection rate (%)Treatment success (%)Target zoneGijs Elzinga, 2006

100,000 nfusta kaytl hasta hz, 1995-2004Gijs Elzinga, 2006

Chart1

52.840434234178.4360309927

67.6411079592103.3210283319

67.5321435072105.2327295398

72.9445052744116.2402300523

70.2523808491116.0479761637

68.2277613868115.2348398559

68.3977508014115.3397080239

70.2606506094118.605896689

67.5147923847112.8197300776

70120

New smear (+)

All forms

year

/100.000 pop

Sheet1

Sheet1

52.840434234178.4360309927

67.6411079592103.3210283319

67.5321435072105.2327295398

72.9445052744116.2402300523

70.2523808491116.0479761637

68.2277613868115.2348398559

68.3977508014115.3397080239

70.2606506094118.605896689

67.5147923847112.8197300776

70120

New smear (+)

All forms

year

/100.000 pop

Sheet2

Sheet3

Teekkr

Very little changeUp a bitDown a bitIgnoring FSU & AfricaMacro picture

Look at differenceWhats going on?Wait longer?Intervention not effective?Too macro level?The countries thenTime lineMortality since 1900Morbidity since 1950WW I and IIIncidence change Without chemotherapyWith chemotherapyStyble gives estimatesExplanation dataOther developed countries2 values

baŞarili bİr tÜberkÜloz kontrolÜ, hastalik İnsİdansinda neden belİrgİn bİr dÜŞÜŞe yol...

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