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Tuberkuloseudviklingen i Danmark 1972-1996

Poulsen, S; Ronne, T; Kok-Jensen, A; Bauer, J O and Miörner, Håkan LU (1999) In Ugeskrift for Læger 161(23). p.3452-3457
Abstract (Swedish)
Abstract in Danish

Formål: Formålet er at beskrive tuberkulosens (tbc.) epidemiologi i Danmark de sidste 25 år, specielt udviklingen i den danske befolkning.



Metode: Et registerstudie af anmeldte tilfælde af tbc. i Danmark 1972-1996: Fra 1970-1989 i DIKE's register, fra 1990-1996 i EPI-registeret, epidemiologisk afd., Statens Serum Institut.



Resultater: tbc.-incidensen faldt jævnt fra 1972 indtil midten af 1980'erne, hvorefter den igen steg grundet et øget antal tilfælde blandt udlændinge fra høj-incidenslande. Andelen af udlændinge med tbc. steg fra 12% i 1972 til 60% i 1996. I den danske befolkning faldt incidensen af tbc. fra 14 per 100.000 i 1972 indtil midten af 1980'erne, hvor den... (More)
Abstract in Danish

Formål: Formålet er at beskrive tuberkulosens (tbc.) epidemiologi i Danmark de sidste 25 år, specielt udviklingen i den danske befolkning.



Metode: Et registerstudie af anmeldte tilfælde af tbc. i Danmark 1972-1996: Fra 1970-1989 i DIKE's register, fra 1990-1996 i EPI-registeret, epidemiologisk afd., Statens Serum Institut.



Resultater: tbc.-incidensen faldt jævnt fra 1972 indtil midten af 1980'erne, hvorefter den igen steg grundet et øget antal tilfælde blandt udlændinge fra høj-incidenslande. Andelen af udlændinge med tbc. steg fra 12% i 1972 til 60% i 1996. I den danske befolkning faldt incidensen af tbc. fra 14 per 100.000 i 1972 indtil midten af 1980'erne, hvor den stagnerede og siden har været ca. 4 per 100.000, svarende til ca. 200 tilfælde om året. Der er et fortsat fald i incidens blandt ældre danskere, mens incidensen er steget blandt 25-54-årige danske mænd, mest udtalt i Københavns Kommune, hvor der også er stigende incidens blandt kvinder i samme alder. Ca. halvdelen af tilfældene forekommer hos personer i høj-risikogrupper. Sygdommen vedligeholdes på et lavt niveau i den danske befolkning formentlig som følge af øget patients and doctors delay og dermed forbundet øget smittespredning.



Konklusion: Den »gamle tbc.-epidemi« nærmer sig udryddelse i den danske befolkning. Den øgede forekomst af tbc. de seneste år kan tilskrives et øget antal tilfælde hos udlændinge fra høj-incidensområder. Der er tegn på mikroepidemier blandt yngre og midaldrende danskere formentlig i risikogrupper. (Less)
Abstract
The present study is based on notified cases of tuberculosis (TB) in the National tbc. register 1972-1996. A decline in Tb incidence was seen from 1972 and until the mid-1980's. Subsequently the trend has reversed due to an increasing number of TB cases in foreigners. In 1996, 60% of all cases of TB in Denmark were found in foreigners reflecting the rising number of refugees and their families arriving in Denmark from highly endemic areas, mainly Somalia. Among native Danes the TB incidence fell from 14 per 100,000 in 1972 to 4 per 100,000 in the 1980's and stabilized at this very low level. The unchanged incidence in Danes covers a falling incidence in the older and a rising incidence in the younger and middle-aged adult population,... (More)
The present study is based on notified cases of tuberculosis (TB) in the National tbc. register 1972-1996. A decline in Tb incidence was seen from 1972 and until the mid-1980's. Subsequently the trend has reversed due to an increasing number of TB cases in foreigners. In 1996, 60% of all cases of TB in Denmark were found in foreigners reflecting the rising number of refugees and their families arriving in Denmark from highly endemic areas, mainly Somalia. Among native Danes the TB incidence fell from 14 per 100,000 in 1972 to 4 per 100,000 in the 1980's and stabilized at this very low level. The unchanged incidence in Danes covers a falling incidence in the older and a rising incidence in the younger and middle-aged adult population, mainly in the capital. Approximately half of the cases occur in high-risk groups. The TB-epidemic is close to elimination in the indigenous Danish population, but the disease is maintained at a low level probably due to increased patient and doctor delay and resulting microepidemics primarily in high-risk populations. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Ugeskrift for Læger
volume
161
issue
23
pages
3452 - 3457
publisher
Den Almindelige Danske Lægeforening
external identifiers
  • pmid:10388353
  • scopus:0033532454
ISSN
0041-5782
language
Danish
LU publication?
yes
id
d87e58aa-e80f-416a-b9eb-99ad8628b357 (old id 1114974)
alternative location
http://www.ugeskriftet.dk/lf/UFL/ufl99_00/1999_2000/ufl9923/v_p/sta2.htm
date added to LUP
2008-07-07 11:56:44
date last changed
2017-01-01 07:18:09
@article{d87e58aa-e80f-416a-b9eb-99ad8628b357,
  abstract     = {The present study is based on notified cases of tuberculosis (TB) in the National tbc. register 1972-1996. A decline in Tb incidence was seen from 1972 and until the mid-1980's. Subsequently the trend has reversed due to an increasing number of TB cases in foreigners. In 1996, 60% of all cases of TB in Denmark were found in foreigners reflecting the rising number of refugees and their families arriving in Denmark from highly endemic areas, mainly Somalia. Among native Danes the TB incidence fell from 14 per 100,000 in 1972 to 4 per 100,000 in the 1980's and stabilized at this very low level. The unchanged incidence in Danes covers a falling incidence in the older and a rising incidence in the younger and middle-aged adult population, mainly in the capital. Approximately half of the cases occur in high-risk groups. The TB-epidemic is close to elimination in the indigenous Danish population, but the disease is maintained at a low level probably due to increased patient and doctor delay and resulting microepidemics primarily in high-risk populations.},
  author       = {Poulsen, S and Ronne, T and Kok-Jensen, A and Bauer, J O and Miörner, Håkan},
  issn         = {0041-5782},
  language     = {dan},
  number       = {23},
  pages        = {3452--3457},
  publisher    = {Den Almindelige Danske Lægeforening},
  series       = {Ugeskrift for Læger},
  title        = {Tuberkuloseudviklingen i Danmark 1972-1996},
  volume       = {161},
  year         = {1999},
}