1. Tuberculosis case reports, UK, 2000-2012
1
Tuberculosis in the UK: 2013 report
Figure 1.1: Tuberculosis case reports and rates, UK,
2000-2012
10,000
15
14
9,000
13
8,000
12
Number of cases
10
6,000
9
8
5,000
7
4,000
6
5
3,000
Rate (per 100, 000)
11
7,000
4
2,000
3
2
1,000
1
0
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Number of cases
Rate per 100,000
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.2: Tuberculosis case reports and rates by country,
UK, 2012
10,000
18.0
Number of cases
9,000
Rate per 100,000
16.0
8,000
14.0
Number of cases
12.0
6,000
10.0
5,000
8.0
4,000
6.0
Rate (per 100, 000)
7,000
3,000
4.0
2,000
2.0
1,000
0
0.0
England
Northern Ireland
Wales
Scotland
Total
Country
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.3. Three-year average tuberculosis
case rates by local area*, UK, 2010-2012
*England – Local authorities, Wales and Scotland – Health
Boards, NI – data not available
London
© Crown copyright and database rights 2013 Ordnance Survey 100016969
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections
(ESMI), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.4: Tuberculosis case reports and rates by region*,
England, 2012
4,000
3,500
50
41.9
Number of cases
45
Rate (per100,000) and 95% CI
40
3,000
Number of cases
2,500
30
2,000
25
19.4
20
1,500
1,000
11.3
11.5
9.3
15
10.8
7.8
5.8
500
0
Region
* HPA region
CI – 95% confidence intervals
Source: Enhanced Tuberculosis Surveillance (ETS), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
Tuberculosis in the UK: 2013 report
10
5
0
5
6.4
Rate (per 100, 000)
35
Figure 1.8: Non UK-born tuberculosis case reports by
time since entry to the UK to tuberculosis diagnosis,
UK, 2012
600
Number of cases
500
400
300
200
100
0
0
5
10
15
20
25
30
35
Years since entry to diagnosis
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
40
45
50+
Table 1.1: Most frequent countries of birth for non UK-born
tuberculosis cases, UK, 2012
Country of birth
Number of Percentage
cases
of cases*
Median time since
entry UK (IQR)**
India
1,858
30.7
4 (2 - 13)
Pakistan
1,091
18.0
7 (2 - 21)
Somalia
380
6.3
8 (3 - 12)
Bangladesh
276
4.6
7 (2 - 23)
Nepal
216
3.6
2 (1 - 5)
Nigeria
184
3.0
5 (1 - 10)
Philippines
136
2.3
5 (2 - 9)
Zimbabwe
132
2.2
9 (7 - 11)
Kenya
98
1.6
13 (6 - 40)
Sri Lanka
98
1.6
7 (2 - 15)
Eritrea
87
1.4
4 (2 - 5)
Romania
78
1.3
2 (0 - 4)
Afghanistan
75
1.2
5 (2 - 10)
Poland
71
1.2
5 (2 - 7)
Others (each <1%)
1,265
21.1
5 (1 - 13)
Total*
6,045
100
6 (2 -13)
* Where country of birth was known; **Years
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.10: Tuberculosis case reports and rates by age
group and place of birth, UK, 2012
1,200
140
1,100
Number of cases
900
100
800
700
80
600
60
500
Rate (per 100,000)
120
1,000
400
40
300
200
20
100
0
0
Age group (years)
UK-born
Non UK-born
Rate in UK-born
Rate in non UK-born
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.12: Tuberculosis case reports and rates by place
of birth, UK, 2000-2012
7,000
120
98
88
Number of cases
5,000
100
91
93
86
85
89
86
82
76
84
80
77
80
4,000
60
3,000
40
Rate (per 100,000)
6,000
2,000
1,000
20
4
4
4
4
4
4
4
4
4
4
4
4
4
0
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
UK-born
Non UK-born
Rate UK-born
Rate Non UK-born
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI), Office for National Statistics (ONS)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
Figure 1.13: Proportion of tuberculosis case reports
by site of disease (pulmonary/extra-pulmonary), UK,
2000-2012
100
90
80
Percentage of cases (%)
70
60
50
40
30
20
10
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Year
Pulmonary
Extra-pulmonary
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report
2010
2011
2012
Table 1.2: Tuberculosis case reports by site of disease,
UK, 2012
Site of disease*
Number of cases
4,563
Percentage**
52.1
Extra-thoracic lymph nodes
1,872
21.4
Intra-thoracic lymph nodes
946
10.8
Other extra-pulmonary
619
7.1
Pleural
651
7.4
Gastrointestinal
471
5.4
Bone – spine
Cryptic ±
394
4.5
46
0.5
±
197
2.3
Bone – other
218
2.5
CNS – meningitis
187
2.1
Genitourinary
137
1.6
CNS – other
80
0.9
Laryngeal
16
0.2
Unknown extra-pulmonary
15
0.2
Pulmonary
Miliary
*With or without disease at another site
±For
**Percentage of cases with known sites of disease (8751)
Scotland cases, this includes both cryptic and miliary site
CNS - Central Nervous System
Total percentage exceeds 100% due to infections at more than one site
Source: Enhanced Tuberculosis Surveillance (ETS), Enhanced Surveillance of Mycobacterial Infections (ESMI)
Data as at July 2013
Prepared by: TB Section, Centre for Infectious Disease Surveillance and Control, Public Health England
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Tuberculosis in the UK: 2013 report