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  1. 1

    Global tuberculosis control. WHO report 2001.

    World Health Organization [WHO]

    Geneva, Switzerland, World Health Organization [WHO], 2001. [172] p. (WHO/CDS/TB/2001.287)

    This is the fifth annual report on global TB control, based on case notifications and treatment outcome data supplied by national control programmes to WHO. Six consecutive years of data were used to assess worldwide progress in TB control, focusing on 23 high-incidence countries that account for 80% of all new cases (the TB80 group). The main aim was to assess progress towards 2005 targets for case detection (70%) and treatment success (85%), and to begin to evaluate the epidemiological impact of diagnosing and curing larger numbers of patients. Analysis of progress from 1995 to 1999 included a revision of incidence estimates for all countries in these years, together with projections to 2005. During 2000, a standard data collection form was sent to 211 countries via WHO Regional Offices. The form has three sections which request information about: policy and practice in TB control; the number and types of TB cases notified in 1999; and the outcomes of treatment and retreatment (DOTS areas only) for smear-positive or culture-positive (mainly Europe) cases registered in 1998. (excerpt)
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  2. 2

    Local Area Monitoring (LAM).

    Kirsch TD


    Routine surveillance of the incidence of vaccine-preventable diseases has not proved sensitive enough to demonstrate the impact of the Expanded Program on Immunization (EPI) in many countries. In order to document progress since the start of the EPI in 1979, data are needed for several years prior to that. In most developing countries these can be found only in major cities or large hospitals. Therefore a system of sentinel surveillance, the Local Area Monitoring Project (LAM), is being set up in selected institutions in the major cities of the developing world. The primary goal of the LAM project is to provide disease-incidence data of sufficient quality to evaluate more fully the global impact of the EPI on the 6 target diseases--diptheria, pertusis, tetanus, poliomyelitis, measles, and tuberculosis. The goal is to include the major city of each of the 25 largest developing countries, with a total population of 115 million. These 25 countries together account for 85% of all births in the developing world. The program and coverage information is used to assess the impact of individual EPI programs on disease trends. Preliminary analysis of the 12 cities with the best data suggests that the impact of the EPI on the incidence of the target diseases has been greater than previously shown by the routine system. The LAM information is useful for global and regional analysis of program impact, but for the countries themselves its utility may be even greater. It is hoped that the project will help to improve a country's surveillance system by encouraging the use of sentinel reporting as a means of supplementing routine data. The information on the impact of the EPI may further increase political and public support for a program. (Summaries in ENG, FRE)
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