Estimation of tuberculosis incidence at subnational level using three methods to monitor progress towards ending TB in India, 2015–2020. Issue 7 (28th July 2022)

• Record Type: Journal Article
• Authors: Jeyashree, Kathiresan; Thangaraj, Jeromie; Rade, Kiran; Modi, Bhavesh; Selvaraju, Sriram; Velusamy, Saravanakumar; Akhil, Sasidharan; Vijayageetha, Mathavaswami; Sudha Rani, Dhanapal; Sabarinathan, Ramasamy; Manikandanesan, Sakthivel; Elumalai, Rajalakshmi; Natarajan, Meenakumari; Joseph, Bency; Mahapatra, Amarendra; Shamim, Almas; Shah, Amar; Bhardwaj, Ashok; Purty, Anil; Vadera, Bhavin; Sridhar, Anand; Chowdhury, Aniket; Shafie, Asif; Choudhury, Avijit; Dhrubjyoti, Deka; Solanki, Hardik; Sirmanwar, Krushna; Khaparde, Kshitij; Parmar, Malik; Dahiya, Nisha; Debdutta, Parija; Ahmed, Quazi; Ramachandran, Ranjani; Prasad, Ranjeet; Shinde, Rohini; Baruah, Rupali; Chauhan, Sandeep; Bharaswadkar, Sandip; Achanta, Shanta; Sharath, Burugina Nagaraja; Balakrishnan, Shibu; Chandra, Shivani; Khumukcham, Sophia; Mandal, Sudarsan; Chalil, Sumitha; Shah, Vaibhav; Roddawar, Venkatesh; Rao, Raghuram; Sachdeva, Kuldeep; Murhekar, Manoj;
• Other Names: author non-byline.; Kurada Jayakrishna author non-byline.; Sharma Mayank author non-byline.; Mannan Shamim author non-byline.; Mohapatra Debajyoti author non-byline.; Patel Yogesh author non-byline.; Thekkepat Sapna author non-byline.; Kumaraswamy Karthikeyan author non-byline.; Tharakan Mallika author non-byline.; Majumdar Shramana author non-byline.; Manocha Vrinda author non-byline.; Chauhan Sukriti author non-byline.; Mahajan Swati author non-byline.; Waikar Shekhar author non-byline.; Ambule Puja author non-byline.; Murali Krithika author non-byline.; Bhimarasetty Devi Madhavi author non-byline.; Goswami Tulika author non-byline.; Mahyavanshi Darshan author non-byline.; Bhrahmbhatt Krutarth author non-byline.; Modi Bhautik author non-byline.; Gupta Anmol author non-byline.; Raina Sunil author non-byline.; Gupta Rajiv Kumar author non-byline.; Sinha Ratnesh author non-byline.; Philip Sairu author non-byline.; Sreedevi Aswathy author non-byline.; Toppo Manju author non-byline.; Sankhe Lalit author non-byline.; Medhi Gajen author non-byline.; Patki Swati M author non-byline.; Das Bishnu Ram author non-byline.; Sarangi Lisa author non-byline.; Kalaiselvan Ganapathy author non-byline.; Sharma Sarit author non-byline.; Hakim Afsal author non-byline.; Balan Suresh author non-byline.; Ravikumar Baer Philip author non-byline.; Baidya Subrata author non-byline.; Sinha Abhik author non-byline.; Naidu Boddepalli Nagendra author non-byline.; Nayak Bikash Chandra author non-byline.; Dev Anoop author non-byline.; Boro Pallavi author non-byline.; Paul Debarshi author non-byline.; Sarkar Amrita author non-byline.; Bariya Bhavesh author non-byline.; Mehta Paras author non-byline.; Chhaya Jatin author non-byline.; Chauhan Dixit author non-byline.; Sanghavi Mithun author non-byline.; Thakor Nilesh author non-byline.; Ram Rohit author non-byline.; Banerjee Anupam author non-byline.; Baria Hinal author non-byline.; Sood Abhilash author non-byline.; Parashar Anupam author non-byline.; Kumar Devender author non-byline.; Dolma Yangchen author non-byline.; Bahl Rakesh author non-byline.; Singh Surinder author non-byline.; Kumar Dilip author non-byline.; Khan Mohammad Salim author non-byline.; Jayasree A K author non-byline.; Nujum Zinia author non-byline.; Haveri Sheela P author non-byline.; Bhatnagar Dinesh author non-byline.; Palo Subrata Kumar author non-byline.; Marskole Priyesh author non-byline.; Verma Prashant author non-byline.; Pal Dinesh Kumar author non-byline.; Toppo Neelam author non-byline.; Quraishi Sanjay R author non-byline.; Panigrahi Sunil author non-byline.; Chauhan Rambadan author non-byline.; Gothankar Jayashree author non-byline.; Kadam Swapnali S author non-byline.; Rao Dasi author non-byline.; Singh Vijay author non-byline.; Wanje Sudhir author non-byline.; Uplap Pallavi author non-byline.; Devi Ningombam Joenna author non-byline.; Marak Rikrak Ch author non-byline.; Lyngdoh Markordor author non-byline.; Patki Manoj B author non-byline.; Ray Satyajit Sundar author non-byline.; Vasudevan Kavita author non-byline.; Satija Mahesh author non-byline.; Kaur Jasleen author non-byline.; Choudhary Mahesh author non-byline.; Parmar Mitin author non-byline.; Govindasamy Venkatesh author non-byline.; Kumar Karlapudi Nitesh author non-byline.; Thumari Goutham author non-byline.; Tripura Amar author non-byline.; Mog Chanda author non-byline.; Das Rituparna author non-byline.; Das Shampa author non-byline.; Singh Ritesh author non-byline.; Maity Chandra Shekar author non-byline.; Gehlawat Mamta author non-byline.;
• Is Part Of: BMJ open. Volume 12:Issue 7(2022)
• Publication Date: 2022-07-28
• Subjects: Public health -- Tuberculosis -- Epidemiology; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2021-060197
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: We verified subnational (state/union territory (UT)/district) claims of achievements in reducing tuberculosis (TB) incidence in 2020 compared with 2015, in India. Design: A community-based survey, analysis of programme data and anti-TB drug sales and utilisation data. Setting: National TB Elimination Program and private TB treatment settings in 73 districts that had filed a claim to the Central TB Division of India for progress towards TB-free status. Participants: Each district was divided into survey units (SU) and one village/ward was randomly selected from each SU. All household members in the selected village were interviewed. Sputum from participants with a history of anti-TB therapy (ATT), those currently experiencing chest symptoms or on ATT were tested using Xpert/Rif/TrueNat. The survey continued until 30 Mycobacterium tuberculosis cases were identified in a district. Outcome measures: We calculated a direct estimate of TB incidence based on incident cases identified in the survey. We calculated an under-reporting factor by matching these cases within the TB notification system. The TB notification adjusted for this factor was the estimate by the indirect method. We also calculated TB incidence from drug sale data in the private sector and drug utilisation data in the public sector. We compared the three estimates of TB incidence in 2020 with TB incidence in 2015. Results: The estimated direct incidence ranged from 19 (Purba Medinipur, West Bengal) to 1457 (Jaintia Hills, Meghalaya) per 100 000 population. Indirect estimates of incidence ranged between 19 (Diu, Dadra and Nagar Haveli) and 788 (Dumka, Jharkhand) per 100 000 population. The incidence using drug sale data ranged from 19 per 100 000 population in Diu, Dadra and Nagar Haveli to 651 per 100 000 population in Centenary, Maharashtra. Conclusion: TB incidence in 1 state, 2 UTs and 35 districts had declined by at least 20% since 2015. Two districts in India were declared TB free in 2020.