TB-HIV in Prisons Georgia
Transcript of TB-HIV in Prisons Georgia
TB-HIV in PrisonsGeorgia
Mikheil Madzgharashvili MD
Tallinn, Estonia
17.10.2012
Basic information
Total population of Georgia – 4,500,000
Number of prisoners – 25,000
Number of prisoners per 100000 – 555
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.
new cases, 3.3
all cases, 4.9
0
1
2
3
4
5
6
%TB in prison
(per 100 prisoner)
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)
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)
14 12 40 27 38 53 42 34 37 46 38 33 41 340
2000
4000
6000
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12000
14000
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
Screened Suspected ss(+) TB
2011-2012 screening statistics
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
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
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
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
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