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August 22, 2013

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London struggling to shed its ‘TB capital’ status

Rates of tuberculosis in Britain are among the highest in western Europe and London is struggling to shed its status as “TB capital” of the region, according to data released yesterday.

If trends of infection continue, within two years Britain is likely to have more new cases of TB each year than the United States, according to a report from Public Health England.

More than 8,750 TB cases were reported in Britain in 2012, or around 14 per 100,000 population, slightly fewer than in 2011 but still enough to put it among the worst-hit countries in its region.

“TB remains a critical public health problem, particularly in parts of London and among people from vulnerable communities, said Paul Cosford, PHE’s director for health protection.

He said controlling the contagious and often drug-resistant lung disease was now one of the key priorities for PHE, which is developing a stronger national approach to be implemented in a few months’ time.

“We are determined to see a sustained reduction in TB and will work tirelessly to support local partners in those areas where the burden is greatest,” he said in a statement.

Often misconstrued as a disease of the past or one restricted only to marginalized communities, TB in fact inflicts annual direct health costs of more than 500 million euros (US$669 million) on European governments, and another 5.3 billion euros in productivity losses.

The infection usually affects the lungs  and spreads when a sufferer coughs or sneezes.

London had the main burden of TB infections in Britain in 2012 with 3,426 cases — almost 40 percent of the national total. “Despite considerable efforts ... TB incidence in the UK remains high compared to most other Western European countries,” the report said.

Almost three-quarters of cases were migrants from South Asia and sub-Saharan Africa, where TB is common.




 

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