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Volume 19, Number 6—June 2013

Synopsis

Zoonotic Mycobacterium bovis–induced Tuberculosis in Humans

Borna MüllerComments to Author , Salome Dürr, Silvia Alonso, Jan Hattendorf, Cláudio J.M. Laisse, Sven D.C. Parsons, Paul D. van Helden, and Jakob Zinsstag
Author affiliations: Stellenbosch University, Cape Town, South Africa (B. Müller, S.D.C. Parsons, P.D. van Helden); Swiss Tropical and Public Health Institute, Basel, Switzerland (B. Müller, J. Hattendorf, J. Zinsstag); University of Basel, Basel (B. Müller, J. Hattendorf, J. Zinsstag); University of Berne, Berne, Switzerland (S. Dürr); Royal Veterinary College, Hertfordshire, UK (S. Alonso); Veterinary Faculty, Eduardo Mondlane University, Maputo, Mozambique (C. J. M. Laisse)

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Table 4

Available data on zoonotic Mycobacterium bovis-induced TB in humans, stratified by HIV-positive and -negative populations*

ID Region Country HIV status No. cases No. tested % 95% CI RR
1074 Africa Ethiopia + 4 10 40.0 12.2–73.8 1.43
1074 Africa Ethiopia 7 25 28.0 12.1–49.4 NA
1147 Africa Tanzania + 2 29 6.9 0.8–22.8 0.50
1147 Africa Tanzania 5 36 13.9 4.7–29.5 NA
NA Africa Total + 6 39 15.4 5.9–30.5 0.78
NA Africa Total 12 61 19.7 10.6–31.8 NA
57 Americas Argentina + 2 240 0.8 0.1–3.0 0.88
57 Americas Argentina 95 10,000 1.0 0.8–1.2 NA
57 Americas Argentina + 8 1,391 0.6 0.2–1.1 2.66
57 Americas Argentina 12 5,551 0.2 0.1–0.4 NA
39 Americas Mexico + 11 80 13.8 7.1–23.3 1.90
39 Americas Mexico 6 83 7.2 2.7–15.1 NA
46 Americas USA + 21 891 2.4 1.5–3.6* 2.59
46 Americas USA 59 6,472 0.9 0.7–1.2* NA
48 Americas USA + 33 140 23.6 16.8–31.5* 3.24
48 Americas USA 48 659 7.3 5.4–9.5* NA
164 Americas USA + 39 64 60.9 47.9–72.9* 8.32
164 Americas USA 35 478 7.3 5.2–10.0* NA
NA Americas Total + 114 2806 4.1 3.4–4.9* 3.70
NA Americas Total 255 23,243 1.1 1.0–1.2* N/A

*TB, tuberculosis; ID, Record identification number (Technical Appendix 2); Cases, number of zoonotic tuberculosis (TB) cases identified; Tested, number of TB cases tested for the presence of M. bovis infection; %, proportion of zoonotic TB among all TB cases; RR, relative risk ratio; NA, not available.
Significantly higher proportion of M. bovis infection among TB patients with HIV coinfection.

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