S J Salyer1, D L Fitter2, R Milo3, C Blanton2, J L Ho4, H Geffrard5, W Morose3, B J Marston2. 1. Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA; Epidemic Intelligence Service Program, Atlanta, Georgia, USA. 2. Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. 3. Programme National de Lutte contre la Tuberculose, Ministère de la Santé Publique et de la Population, Port-au-Prince, Haiti. 4. Bothwell Regional Health Center, Sedalia, Sedalia, Missouri, USA. 5. International Child Care, Port-au-Prince, Haiti.
Abstract
OBJECTIVE: To assess the quality of tuberculosis (TB) surveillance in Haiti, including whether underreporting from facilities to the national level contributes to low national case registration. METHODS: We collected 2010 and 2012 TB case totals, reviewed laboratory registries, and abstracted individual TB case reports from 32 of 263 anti-tuberculosis treatment facilities randomly selected after stratification/weighting toward higher-volume facilities. We compared site results to national databases maintained by a non-governmental organization partner (International Child Care [ICC]) for 2010 and 2012, and the National TB Program (Programme National de Lutte contre la Tuberculose, PNLT) for 2012 only. RESULTS: Case registries were available at 30/32 facilities for 2010 and all 32 for 2012. Totals of 3711 (2010) and 4143 (2012) cases were reported at the facilities. Case totals per site were higher in site registries than in the national databases by 361 (9.7%) (ICC 2010), 28 (0.8%) (ICC 2012), and 31 (0.8%) cases (PNLT 2012). Of abstracted individual cases, respectively 11.8% and 6.8% were not recorded in national databases for 2010 (n = 323) and 2012 (n = 351). CONCLUSIONS: The evaluation demonstrated an improvement in reporting registered TB cases to the PNLT in Haiti between 2010 and 2012. Further improvement in case notification will require enhanced case detection and diagnosis.
OBJECTIVE: To assess the quality of tuberculosis (TB) surveillance in Haiti, including whether underreporting from facilities to the national level contributes to low national case registration. METHODS: We collected 2010 and 2012 TB case totals, reviewed laboratory registries, and abstracted individual TB case reports from 32 of 263 anti-tuberculosis treatment facilities randomly selected after stratification/weighting toward higher-volume facilities. We compared site results to national databases maintained by a non-governmental organization partner (International Child Care [ICC]) for 2010 and 2012, and the National TB Program (Programme National de Lutte contre la Tuberculose, PNLT) for 2012 only. RESULTS: Case registries were available at 30/32 facilities for 2010 and all 32 for 2012. Totals of 3711 (2010) and 4143 (2012) cases were reported at the facilities. Case totals per site were higher in site registries than in the national databases by 361 (9.7%) (ICC 2010), 28 (0.8%) (ICC 2012), and 31 (0.8%) cases (PNLT 2012). Of abstracted individual cases, respectively 11.8% and 6.8% were not recorded in national databases for 2010 (n = 323) and 2012 (n = 351). CONCLUSIONS: The evaluation demonstrated an improvement in reporting registered TB cases to the PNLT in Haiti between 2010 and 2012. Further improvement in case notification will require enhanced case detection and diagnosis.
Authors: J Lucian Davis; Adithya Cattamanchi; Luis E Cuevas; Philip C Hopewell; Karen R Steingart Journal: Lancet Infect Dis Date: 2012-10-23 Impact factor: 25.071
Authors: Macarthur Charles; Milo Richard; Patrice Joseph; Margarette R Bury; Georges Perrin; Frantz Jean Louis; David L Fitter; Barbara J Marston; Varough Deyde; Jacques Boncy; Willy Morose; Jean W Pape; David W Lowrance Journal: Am J Trop Med Hyg Date: 2017-10 Impact factor: 2.345
Authors: Stanley Juin; Nicolas Schaad; Donald Lafontant; Gerard A Joseph; Ezra Barzilay; Jacques Boncy; Robert Barrais; Frantz Jean Louis; Nadia Lapierre Jean Charles; Salomon Corvil; Nickolsno Barthelemy; Amber Dismer; Jean Samuel Pierre; Roodly W Archer; Mayer Antoine; Barbara Marston; Mark Katz; Patrick Dely; Paul Adrien; David L Fitter; David Lowrance; Roopal Patel Journal: Am J Trop Med Hyg Date: 2017-10 Impact factor: 2.345
Authors: Macarthur Charles; Milo Richard; Mary R Reichler; Jean Baptiste Koama; Willy Morose; David L Fitter Journal: PLoS One Date: 2021-03-17 Impact factor: 3.240
Authors: Tao Li; Lijia Yang; Sarah E Smith-Jeffcoat; Alice Wang; Hui Guo; Wei Chen; Xin Du; Hui Zhang Journal: Int J Environ Res Public Health Date: 2021-02-25 Impact factor: 3.390