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      Análisis sociodemográfico y espacial de la transmisión de la tuberculosis en la ciudad de Armenia (Colombia) Translated title: Sociodemographic and spatial transmission of tuberculosis in the city of Armenia (Colombia)

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          Abstract

          La tuberculosis es uno de los problemas que demanda atención prioritaria en el municipio de Armenia, capital del departamento del Quindío (Colombia). En este estudio, se encontró que la población afectada, generalmente pertenece al género masculino (razón hombre: mujer 2:1) y en edad económicamente productiva (25-54 años). La mayoría de enfermos son del régimen subsidiado (40%) o no asegurados (26%) y viven en condiciones socioeconómicas críticas. Se encontraron diferencias significativas de carga de enfermedad en las tasas entre comunas: en unas localidades fueron de 10 y en otras de 30 casos por 100.000 habitantes, indicando heterogeneidad de la situación en la ciudad. El análisis geoespacial permite caracterizar y precisar los escenarios donde se deben concentrar las acciones prioritarias del programa de control de la tuberculosis.

          Translated abstract

          Tuberculosis is an important public health problem that demands priority action in the city of Armenia (Colombia). In this study, we found that most cases of TB were males (ratio 2:1) and economically active population (25-54 years). TB patients had subvention health care (40%) or were uncovered by the national health insurance (26%), living in critical socioeconomic condi tions. Significant differences in the TB prevalence rate between town localities were found; in some zones were 10 and 30 cases per 100.000 inhabitants, indicating a heterogeneous situation. Spatial analysis might allow the definition and concentration of early actions in a region for the tuberculosis control.

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          Most cited references42

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          The population dynamics and control of tuberculosis.

          More than 36 million patients have been successfully treated via the World Health Organization's strategy for tuberculosis (TB) control since 1995. Despite predictions of a decline in global incidence, the number of new cases continues to grow, approaching 10 million in 2010. Here we review the changing relationship between the causative agent, Mycobacterium tuberculosis, and its human host and examine a range of factors that could explain the persistence of TB. Although there are ways to reduce susceptibility to infection and disease, and a high-efficacy vaccine would boost TB prevention, early diagnosis and drug treatment to interrupt transmission remain the top priorities for control. Whatever the technology used, success depends critically on the social, institutional, and epidemiological context in which it is applied.
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            Sexual Inequality in Tuberculosis

            Olivier Neyrolles and Lluis Quintana-Murci review the evidence on why tuberulosis notification is twice as high in men as in women in most countries.
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              The Innovative Socio-economic Interventions Against Tuberculosis (ISIAT) project: an operational assessment.

              Tuberculosis (TB) affected households in impoverished shantytowns, Lima, Peru. To evaluate socio-economic interventions for strengthening TB control by improving uptake of TB care and prevention services. Barriers to TB control were characterised by interviews with TB-affected families. To reduce these barriers, a multidisciplinary team offered integrated community and household socio-economic interventions aiming to: 1) enhance uptake of TB care by education, community mobilisation and psychosocial support; and 2) reduce poverty through food and cash transfers, microcredit, microenterprise and vocational training. An interim analysis was performed after the socio-economic interventions had been provided for 2078 people in 311 households of newly diagnosed TB patients for up to 34 months. Poverty (46% earned
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                inf
                Infectio
                Infect.
                Asociación Colombiana de Infectología. (Bogotá )
                0123-9392
                September 2012
                : 16
                : 3
                : 154-160
                Affiliations
                [1 ] Alcaldía de Armenia Colombia
                [2 ] Universidad del Quindío Colombia
                Article
                S0123-93922012000300005
                10.1016/S0123-9392(12)70005-X
                6765b7ae-8d4f-4814-a035-148d4f116699

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=0123-9392&lng=en
                Categories
                INFECTIOUS DISEASES

                Infectious disease & Microbiology
                Tuberculosis,Transmission,Treatment refusal,Directly observed therapy,Homeless people,Transmisión,Abandono de tratamiento,Tratamiento acortado supervisado,Habitante de la calle

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