Plagues, Pestilences and Diseases
UK tuberculosis cases at 30-year high
Health Protection Agency reports 9,040 TB cases last year, with London
and West Midlands worst affected
* Sarah Boseley, health editor
* The Guardian, Thursday 4 November 2010
TB x-ray A doctor examines the x-rays of a TB patient. Photograph:
Spencer Platt/Getty Images
Tuberculosis cases have hit their highest levels in the UK for 30
years, according to official figures published today.
Last year there were 9,040 TB cases in the UK, said the Health
Protection Agency. A total of 8,621 people were infected in 2008. TB
campaigners said the rise in the number of cases was shocking and
called for more work to alert people, including doctors, to the
possibility of infection.
Concern is also growing about the rise in drug-resistant cases
spreading around the world. Cases where the disease does not respond to
the commonly used antibiotics take longer than the usual six months to
treat and require more expensive drugs. The number of drug-resistant
infections has nearly doubled in a decade from 206 in 2000 to 389 in
2009. Cases resistant to more than one antibiotic (multi-drug
resistant) have gone up from 28 in 2000 to 58 in 2009. Multi-drug
resistant TB can require treatment lasting as long as 18 months.
Although it can be cured, TB can also kill. The Office for National
Statistics said it was an underlying cause in 334 deaths in 2008.
"We are concerned to see cases of TB at their highest levels since the
1970s," said Dr Ibrahim Abubakar, head of TB surveillance at the HPA.
"TB is a preventable and treatable condition but, if left untreated,
can be life threatening.
"The key to reducing levels of TB is early diagnosis and appropriate
treatment. Efforts to improve early diagnosis and control the spread of
infection must remain a priority … especially in parts of the country
with the highest rates of TB."
Cases are unevenly spread around the country. There are more cases in
London than anywhere else (3,440 cases last year), followed by the West
Midlands (1,018). These areas have higher numbers of people from ethnic
minorities, who may have come from countries where the disease is
endemic. About a third of the world's population has latent TB, which
can remain undetected and harmless for years.
Other people – including the homeless and people with HIV – are
vulnerable to TB because of their impaired immune system.
The disease spreads through close contact and is therefore more is
contagious in urban areas where people live closer to each other.
Mike Mandelbaum, chief executive of TB Alert, said the surge in the
number of TB cases was shocking. "It's been rising for over 20 years
now and no sign that it is stopping. It is being addressed as a narrow
clinical issue and the public health aspects are not being tackled."
Many people, including some doctors, are not sufficiently aware of the
disease and it can take a long time to get diagnosed. TB Alert is
working to improve public awareness through a website, called The Truth
About TB, aimed at those who are most vulnerable to the disease.
http://www.thetruthabouttb.org/