M Bryła1, E Dziankowska-Zaborszczyk2, I Maniecka-Bryła2. 1. Social Medicine, Department of Social and Preventive Medicine, Medical University of Lodz, Łódź, Poland. 2. Epidemiology and Biostatistics Units, Department of Social and Preventive Medicine, Medical University of Lodz, Łódź, Poland.
Abstract
SETTING: Central European countries such as Poland have higher tuberculosis (TB) morbidity and mortality than Western European Union countries. OBJECTIVE: To evaluate changes in mortality due to TB during the period 1999-2012 in Poland and years of life lost due to the disease. DESIGN: Information obtained from 5 219 205 death certificates in Poland during the period 1999-2012 was used for the study. Crude (CDRs) and standardised (SDRs) death rates due to TB were analysed. Standard expected years of life lost per living person (SEYLLp) was also calculated. RESULTS: In Poland, TB and related complications contributed 0.23% of total deaths from 1999 to 2012. The SEYLLp was 3.46 per 10 000 population in 1999 and 1.88 in 2012. It was respectively 5.75 and 3.12 for males, and 1.31 and 0.72 for females. The SEYLLp index decreased over the period (annual per cent change [APC] -4.27%, P < 0.05); the decrease was greater in females than in males (APC -4.75%, P < 0.05 vs. APC -4.15%, P < 0.05). CONCLUSION: Despite an improvement in the epidemiological situation, TB remains the most common single cause of death due to an infectious agent in Poland.
SETTING: Central European countries such as Poland have higher tuberculosis (TB) morbidity and mortality than Western European Union countries. OBJECTIVE: To evaluate changes in mortality due to TB during the period 1999-2012 in Poland and years of life lost due to the disease. DESIGN: Information obtained from 5 219 205 death certificates in Poland during the period 1999-2012 was used for the study. Crude (CDRs) and standardised (SDRs) death rates due to TB were analysed. Standard expected years of life lost per living person (SEYLLp) was also calculated. RESULTS: In Poland, TB and related complications contributed 0.23% of total deaths from 1999 to 2012. The SEYLLp was 3.46 per 10 000 population in 1999 and 1.88 in 2012. It was respectively 5.75 and 3.12 for males, and 1.31 and 0.72 for females. The SEYLLp index decreased over the period (annual per cent change [APC] -4.27%, P < 0.05); the decrease was greater in females than in males (APC -4.75%, P < 0.05 vs. APC -4.15%, P < 0.05). CONCLUSION: Despite an improvement in the epidemiological situation, TB remains the most common single cause of death due to an infectious agent in Poland.