Age and Ageing, Vol 29, 319-323, Copyright © 2000 by British Geriatrics Society
F Phelan and C Teale
Objectives: the absolute number of notifications for
tuberculosis in older people appears to have increased in Scotland. To
determine if these trends are present elsewhere in the UK, we have reviewed
notifications in Leeds with particular reference to non-pulmonary disease,
Asian subcontinent groups and older people.Methods: we
reviewed all notifications in Leeds (total population in 1991, 681 000;
population aged
ARTICLES
Tuberculosis in older people - is it on the increase? Trends in notifications in Leeds from 1976 to 1996
Department of Medicine, Seacroft Hospital, York Road, Leeds LS14 6UH, UK; Corresponding author
65 years in 1991, 101 000)
during the 21 years 1976-96.Results: total
tuberculosis notifications for all age groups fell from 34 per
105 in 1976 to 11 per 105 in
1987 and then plateaued. The incidence in those aged 65 years and over
(about 34 per 105) has not shown a large change, but
the number of notifications in this group as a percentage of all
notifications increased from about 16% in 1977 (when this group constituted
15% of the population) to 34% in 1989 (when this group constituted 16% of
the population) and has remained at this level since. Numbers of cases of
non-respiratory tuberculosis and tuberculosis in the older Asian population
remained low throughout the 21 years.Conclusion:
tuberculosis notification rates are much higher in older people, but the
absolute numbers do not appear to be increasing.Keywords:
Asian, non-pulmonary, older people, tuberculosis
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