W. J. Fenton MD, FRCPC, FACPClinical Professor of Medicine, U of S

Tuberculosis Consultant

Tuberculosis:GlobalCanada

Saskatchewan

TB the Bigger Picture

National Geographic Family Reference Atlas

TB the Bigger Picture

• 1/3 of world’s population infected !!

(2.3 billion people)

• 1.700,000 deaths (2009)

• one person newly infected with TB every second !!

• 1 in 10 (10%) of infected (HIV negative) become sick or infectious at some point in their life

(source WHO Fact Sheet 2011)

TB the Bigger Picture

• Of the 1.7 million death, 380,000 HIV+

• Majority of deaths in 3rd world – more than half in Asia

• TB the leading killer in those with HIV

• 9.4 million new cases in 2009 – 80% in 22 countries

(source WHO Fact Sheet 2011)

TB the Bigger Picture

• Among the 25 countries with the highest estimated TB rates, 13 are in Africa

• 1/3 of all new cases are in India & China

• MDR-TB is in virtually all countries

• 440,000 new cases 2008

• 50% in China, India, Russia

(source WHO Fact Sheet 2011)

TB the Bigger Picture

The world is on track to achieve two TB targets set for 2015

• Millennium Development Goal (halt & reverse global incidence vs 1990)

•Stop TB Partnership goal of halving deaths from TB (vs 1990)

(source WHO Fact Sheet 2011)

TB the Bigger Picture

41 million TB patients have been successfullty treated on DOTS programs & up to 6 million lives saved since 1995

(source WHO Fact Sheet 2011)

TB the Canadian Picture

• source – Tuberculosis in Canada 2007

TB Canada: incidence/mortality

TB Canada: cases numbers/rate

TB Canada: TB incidence by age

TB Canada: TB incidence by age & sex

TB Canada: % cases by ethnic grp

TB Canada: rate by ethnic grp

TB in Canada: diagnostic site

TB Canada: % of cases by HIV status

TB Canada: TB incidence by region 2007

TB Canda: incidence by region

1985 - 1987

TB Cases by Ethnic Group: Sask Vs Canada

Sask Canada

TB the Canadian Picture

Sask TB Deaths

Sask Active TB by Decade

TB incidence by age