A baseline survey of the prevalence of tuberculosis in a community in south India at the commencement of a DOTS programme.

Gopi, P.G.; Subramani, R.; Radhakrishna, S.; Kolappan, C.; Sadacharam, K.; Devi, T.S.; Frieden, T.R.; Narayanan, P.R.

International Journal of Tuberculosis and Lung Disease; 2003, 7; 1154-1162.

Objective : To determine the baseline prevalence of culture-positive and smear-positive tuberculosis and the annual risk of tuberculous infection (ARTI) in a community in south India where DOTS is being implemented.

Methods : Using cluster sampling, 50 rural panchayats (villages) and three urban units in Tiruvallur district were selected randomly. All adults aged > 15 years underwent symptom and radiographic examination, and those with abnormal shadows and/or chest symptoms had sputum smear and culture examination. In another cluster sample of 73 villages and three urban units, all children aged <10 years were tuberculin tested.

Results : The prevalence of culture-positive and smear-positive tuberculosis was respectively 605 and 323/100 000. Both increased appreciably with age, and were substantially higher in males than in females at all ages; the overall male: female ratio was 5.5 for culture-positive and 6.5 for smear-positive tuberculosis. The ARTI in children aged under 10 years was 1.6%, and was unaffected by sex. Over three decades there was an overall decline of 1.8% per annum in the prevalence of culture-positive and 2.1% for smear-positive tuberculosis.

Conclusion : Tuberculosis is a major problem in this rural community in south India, with a prevalence of 605/100 000 for culture-positive tuberculosis and 323/100 000 for smear-positive tuberculosis.

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