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Volume 4, Number 1—March 1998
Synopsis

Zoonotic Tuberculosis due to Mycobacterium bovis in Developing Countries

O. Cosivi*, J.M. Grange, C.J. Daborn, M.C. Raviglione*, T. Fujikura, D. Cousins, R.A. Robinson, H.F.A.K. Huchzermeyer, I. de Kantor, and F.-X. Meslin*
Author affiliations: *World Health Organization, Geneva, Switzerland; †Imperial College School of Medicine, National Heart and Lung Institute, London, United Kingdom; ‡Edinburgh University, Edinburgh, Scotland; ¶The University of Zambia, Lusaka, Zambia; §Department of Agriculture, South Perth, Australia; **College of Veterinary Medicine, Veterinary Teaching Hospital, St. Paul, Minnesota, USA; ††Onderstepoort Veterinary Institute, Onderstepoort, South Africa; and ‡‡Pan American Health Organization/ World Health Organization, Buenos Aires, Argentina

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Table 1

Estimated human tuberculosis and HIV-attributable tuberculosis cases in 1990, 1995, and 2000, by region (19)

1990
 1995
 2000
Region TB cases Ratea HIV-
attributed TB cases Rate HIV-
attributed TB cases Rate HIV-
attributed
Southeast Asia 3,106,000 237 66,000 3,499,000 241 251,000 3,952,000 247 571,000
Western Pacificb 1,839,000 136 19,000 2,045,000 140 31,000 2,255,000 144 68,000
Africa 992,000 191 194,000 1,467,000 242 380,000 2,079,000 293 604,000
Eastern Mediterranean 641,000 165 9,000 745,000 168 16,000 870,000 168 38,000
Americasc 569,000 127 20,000 606,000 123 45,000 645,000 120 97,000
Eastern Europed 194,000 47 1,000 202,000 47 2,000 210,000 48 6,000
Industrialized countriese 196,000 23 6,000 204,000 23 13,000 211,000 24 26,000
Total TB cases 7,537,000 143 315,000 8,768,000 152 738,000 10,222,000 163 1,410,000
Attributed to HIV 4.2% 8.4% 13.8%
Increase since 1990 16.3% 35.6%

aRate: incidence of new cases per 100,000 population.
bWestern Pacific Region of WHO except Japan, Australia, and New Zealand.
cAmerican Region of WHO, except USA and Canada.
dEastern European countries and independent states of the former USSR.
eWestern Europe, USA, Canada, Japan, Australia, and New Zealand.

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