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Objective. Identify Cuban municipalities with high, medium, and low incidence of tuberculosis (TB), compare incidence rates for the periods 1999-2002 and 2003-2006, and analyze distribution of the disease by population density and economic activity. Methods. TB incidence was calculated by municipality, confidence interval (95%), and the percentage of variation for the defined strata according to population density and the predominant economic activity. The municipalities were divided into three categories based on incidence (>= 10 per 100 000; >= 5 per 100 000 to < 10 per 100 000, and < 5 per 100 000), and maps were plotted. Results. The proportion of municipalities with an incidence of < 5 per 100 000 rose from 35.5% to 57.4% between the two periods, while the proportion of municipalities with an incidence of >= 10 per 100 000 fell from 22.5% to 5.9%. National incidence fell by 28.7%-from 8.7 per 100 000 in 1999-2002 to 6.2 in 2003-2006. Municipalities that were not very densely populated and where agricultural activities predominated showed significant reductions in incidence. The rates in densely populated municipalities devoted primarily to industrial and service activities are still high. Conclusions. TB incidence is gradually and sustainably declining in the majority of municipalities. Differentiated strategies are needed to reduce TB incidence rates in municipalities where they continue to be relatively high.
Keywords
Mycobacterium tuberculosis, healthy city, incidence, Cuba, ELIMINATION, COUNTRY, Tuberculosis, population density

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Citation

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Chicago
Diaz, Gonzalez A, Kleich Perez Soler, Lizet Sanches Valdes, Francine Matthys, Edilberto Gonzales Ochoa, and Patrick Van Der Stuyft. 2010. “Tuberculosis Incidence Strata in Cuban Municipalities: 1999-2002 and 2003-2006.” Revista Panamericana De Salud Publica-pan American Journal of Public Health 28 (4): 275–281.
APA
Diaz, G. A., Soler, K. P., Valdes, L. S., Matthys, F., Ochoa, E. G., & Van Der Stuyft, P. (2010). Tuberculosis incidence strata in Cuban municipalities: 1999-2002 and 2003-2006. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, 28(4), 275–281.
Vancouver
1.
Diaz GA, Soler KP, Valdes LS, Matthys F, Ochoa EG, Van Der Stuyft P. Tuberculosis incidence strata in Cuban municipalities: 1999-2002 and 2003-2006. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH. 2010;28(4):275–81.
MLA
Diaz, Gonzalez A, Kleich Perez Soler, Lizet Sanches Valdes, et al. “Tuberculosis Incidence Strata in Cuban Municipalities: 1999-2002 and 2003-2006.” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH 28.4 (2010): 275–281. Print.
@article{1113818,
  abstract     = {Objective. Identify Cuban municipalities with high, medium, and low incidence of tuberculosis (TB), compare incidence rates for the periods 1999-2002 and 2003-2006, and analyze distribution of the disease by population density and economic activity.
Methods. TB incidence was calculated by municipality, confidence interval (95\%), and the percentage of variation for the defined strata according to population density and the predominant economic activity. The municipalities were divided into three categories based on incidence ({\textrangle}= 10 per 100 000; {\textrangle}= 5 per 100 000 to {\textlangle} 10 per 100 000, and {\textlangle} 5 per 100 000), and maps were plotted.
Results. The proportion of municipalities with an incidence of {\textlangle} 5 per 100 000 rose from 35.5\% to 57.4\% between the two periods, while the proportion of municipalities with an incidence of {\textrangle}= 10 per 100 000 fell from 22.5\% to 5.9\%. National incidence fell by 28.7\%-from 8.7 per 100 000 in 1999-2002 to 6.2 in 2003-2006. Municipalities that were not very densely populated and where agricultural activities predominated showed significant reductions in incidence. The rates in densely populated municipalities devoted primarily to industrial and service activities are still high.
Conclusions. TB incidence is gradually and sustainably declining in the majority of municipalities. Differentiated strategies are needed to reduce TB incidence rates in municipalities where they continue to be relatively high.},
  author       = {Diaz, Gonzalez A and Soler, Kleich Perez and Valdes, Lizet Sanches and Matthys, Francine and Ochoa, Edilberto Gonzales and Van Der Stuyft, Patrick},
  issn         = {1020-4989},
  journal      = {REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH},
  keyword      = {Mycobacterium tuberculosis,healthy city,incidence,Cuba,ELIMINATION,COUNTRY,Tuberculosis,population density},
  language     = {spa},
  number       = {4},
  pages        = {275--281},
  title        = {Tuberculosis incidence strata in Cuban municipalities: 1999-2002 and 2003-2006},
  volume       = {28},
  year         = {2010},
}

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