extrapulmonary tb in belarus - stop tbc · urogenital tb . cns tb • henadz hurevich – director...
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Extrapulmonary TB in Belarus
A.Skrahina
RSPC of Pulmonology and Tuberculosis, Minsk, Belarus
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NRL TB units
2nd Level Laboratory
M&E Dep-t
Republican TB Hospital
1st Level Laboratory
3rd Level Laboratory
Oblast TB Dispens.
Regional TB Dispens.
SNRL
ECDC
TB service in Belarus
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TB incidence (per 100 000 population), trends, 2002-2012
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TB forms distribution (%), trends, 2002-2012
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Bacteriological confirmation (%) by all methods, trends, 2002 – 2012
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Proportion of MDR-TB among bacteriologically confirmed new TB cases (%), trends, 2010-2012
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Proportion of MDR-TB among bacteriologically confirmed relapse cases (%), trends, 2010-2012
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Major site of EPTB, trends, 2009-2012
0,7
40,7
7,95,816,3
6,7
19,1
2,62010
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EPTB Pulmonary TB
Male/female distribution (%) among new cases, trends, 2010 – 2012
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Male/female distribution (%) among relapse cases, trends, 2010 – 2012
EPTB Pulmonary TB
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Proportion of HIV co-infected among new cases (%), trends, 2010 – 2012
EPTB Pulmonary TB
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Proportion of HIV co-infected among relapse cases (%), trends, 2010 – 2012
EPTB Pulmonary TB
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Final outcomes (%): HIV-negative new TB cases, trends, 2010 - 2011
Pulmonary TB
EPTB
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Final outcomes (%): HIV-negative relapse cases, trends, 2010 - 2011
Pulmonary TB
EPTB
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Final outcomes (%): HIV-positive new TB cases, trends, 2010 - 2011
Pulmonary TB
EPTB
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Final outcomes (%): HIV-positive relapse cases, trends, 2010 - 2011
Pulmonary TB
EPTB
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• Absence of national EPTB guidelines
• No collaboration between TB specialists and other specialists: – TB is not considered in the differential diagnosis
– Late diagnostics
– Under diagnostics
– Over diagnostics (inability to exclude TB)
– Incidental diagnostics
– Samples from non-TB hospitals are not send to TB lab
• Low level of bacteriologic confirmation: – Unknown drug resistance/susceptibility profile
– Inadequate chemotherapy
Challenges
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Pleural TB
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Liver and spleen TB
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Liver and spleen TB
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Spine TB
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LN TB
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LN TB
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Urogenital TB
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CNS TB
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• Henadz Hurevich – director
• Andrey Astrauko – deputy director, monitoring & evaluation department
• Anna Belko – sr. researcher of monitoring & evaluation department
RSPC of Pulmonology and Tuberculosis, Minsk, Belarus
Acknowledgement
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Thanks