Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-8-31
pubmed:abstractText
Incident cases of tuberculosis may result from a recently acquired Mycobacterium tuberculosis infection or from the reactivation of a latent infection acquired in the remote past. The authors used molecular fingerprinting data to estimate the relative contributions of recent and remotely acquired infection to the yearly incidence of tuberculosis in Arkansas, a state with a largely rural population where the incidence of tuberculosis declined from 7.9 cases per 100,000 population to 4.7 cases per 100,000 between 1997 and 2003. The authors used a time-restricted definition of clustering in addition to the standard definition in order to increase the specificity of the clustering measure for recent transmission. The greatest overall declines were seen in non-Hispanic Blacks (from 13.8 cases per 100,000 in 1997 to 6.5 cases per 100,000 in 2003) and persons aged 65 years or more (from 19.9 cases per 100,000 in 1997 to 8.5 cases per 100,000 in 2003). In both groups, the incidence of nonclustered cases declined more dramatically than the incidence of clustered cases. This suggests that the decline in rates resulted primarily from declining rates of disease due to reactivation of past infections. Declines in the overall incidence of tuberculosis in a population may not necessarily result from declines in active transmission.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0002-9262
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
166
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
662-71
pubmed:dateRevised
2007-12-3
pubmed:meshHeading
pubmed-meshheading:17625223-Adult, pubmed-meshheading:17625223-Age Factors, pubmed-meshheading:17625223-Aged, pubmed-meshheading:17625223-Aged, 80 and over, pubmed-meshheading:17625223-Arkansas, pubmed-meshheading:17625223-Chi-Square Distribution, pubmed-meshheading:17625223-Cluster Analysis, pubmed-meshheading:17625223-DNA Fingerprinting, pubmed-meshheading:17625223-Female, pubmed-meshheading:17625223-Genotype, pubmed-meshheading:17625223-Humans, pubmed-meshheading:17625223-Incidence, pubmed-meshheading:17625223-Male, pubmed-meshheading:17625223-Middle Aged, pubmed-meshheading:17625223-Mycobacterium tuberculosis, pubmed-meshheading:17625223-Poisson Distribution, pubmed-meshheading:17625223-Polymorphism, Restriction Fragment Length, pubmed-meshheading:17625223-Population Surveillance, pubmed-meshheading:17625223-Risk Factors, pubmed-meshheading:17625223-Rural Population, pubmed-meshheading:17625223-Tuberculosis
pubmed:year
2007
pubmed:articleTitle
What's driving the decline in tuberculosis in Arkansas? A molecular epidemiologic analysis of tuberculosis trends in a rural, low-incidence population, 1997 2003.
pubmed:affiliation
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, U.S. Gov't, Non-P.H.S., Research Support, N.I.H., Extramural