TB-HIV in Prisons Georgia

12
TB-HIV in Prisons Georgia Mikheil Madzgharashvili MD Tallinn, Estonia 17.10.2012

Transcript of TB-HIV in Prisons Georgia

Page 1: TB-HIV in Prisons Georgia

TB-HIV in PrisonsGeorgia

Mikheil Madzgharashvili MD

Tallinn, Estonia

17.10.2012

Page 2: TB-HIV in Prisons Georgia

Basic information

Total population of Georgia – 4,500,000

Number of prisoners – 25,000

Number of prisoners per 100000 – 555

Page 3: TB-HIV in Prisons Georgia

Overall HIV/TB situation in prisons

2011 cohort analysis:

• New TB case notification rate – 3.3%

• All TB case notification rate – 4.9%

• HIV prevalence among TB inmates – 4%

Currently number of HIV infected prisoners –136, 96 out of which with AIDS; 16 out of 136 TB-HIV co-infection, 11 – with AIDS.

Page 4: TB-HIV in Prisons Georgia

new cases, 3.3

all cases, 4.9

0

1

2

3

4

5

6

%TB in prison

(per 100 prisoner)

Page 5: TB-HIV in Prisons Georgia

41643950

3679

4017 39003671 3773 3845

3488 3426

214 146 140 215384 392 375

613895 800

0

500

1000

1500

2000

2500

3000

3500

4000

4500

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Civil Prison Linear (Civil)

New TB cases in civil and prison sectors(in abs. numbers)

Page 6: TB-HIV in Prisons Georgia

59245685 5542

60725712

5261 5221 5037

4516 4364

441 388 320 357599 650 615

9451280 1172

0

1000

2000

3000

4000

5000

6000

7000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Civil Prison Linear (Civil)

All TB cases in civil and prison sectors(in abs. numbers)

Page 7: TB-HIV in Prisons Georgia

14 12 40 27 38 53 42 34 37 46 38 33 41 340

2000

4000

6000

8000

10000

12000

14000

May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Screened Suspected ss(+) TB

2011-2012 screening statistics

Page 8: TB-HIV in Prisons Georgia

0 0 2 1 3 7 4 2 4 4 5 1 4 40

200

400

600

800

1000

1200

1400

1600

1800

May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Entry Suspected ss(+) TB

Entry screening

Page 9: TB-HIV in Prisons Georgia

4 8 27 17 24 20 15 17 19 22 22 22 24 240

2000

4000

6000

8000

10000

12000

May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Mass Suspected ss(+) TB

Active (mass) screening

Page 10: TB-HIV in Prisons Georgia

9 3 11 9 10 21 18 12 11 16 7 9 11 80

100

200

300

400

500

600

May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Passive Suspected ss(+) TB

Passive screening

Page 11: TB-HIV in Prisons Georgia

1 1 0 0 1 4 5 3 3 4 4 1 2 00

50

100

150

200

250

300

350

400

450

500

May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Contact Suspected ss(+) TB

Contact screening

Page 12: TB-HIV in Prisons Georgia

7.10% 5.60%

10.70% 9.30%6.60%

10.20% 12.00%

20.50% 19.80%

32.00%

39.70%

28.70%

34.40%

42.30%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

DRS 2006 2007 2008 2009 2010 2011

New TB Cases Re-treated TB Cases

DRS prison data

MDR-TB