Identifying Hot Spots of Tuberculosis in Nigeria Using an Early Warning Outbreak Recognition System: Retrospective Analysis of Implications for Active Case Finding Interventions.

Chidubem Ogbudebe Dohyo Jeong Bethrand Odume Ogoamaka Chukwuogo Cyril Chukwudi Dim Sani Useni Okey Okuzu Chenchita Malolan Dohyeong Kim Fiemu Nwariaku Nkiru Nwokoye Stephanie Gande Debby Nongo Rupert Eneogu Temitayo Odusote Salewa Oyelaran Obioma Chijioke-Akaniro Nrip Nihalani Chukwuma Anyaike Mustapha Gidado

Published in: JMIR public health and surveillance (2023)

Active TB case finding in EWORS-mapped hot spot areas yielded higher TB cases than the non-hot spot areas in the 14 high-burden states of Nigeria. With the application of EWORS, the precision of diagnosing TB among presumptive cases increased from 0.077 to 0.103, and the number of presumptive cases needed to diagnose a TB case decreased from 14.047 to 10.255 per 10,000 people.

Keyphrases

mycobacterium tuberculosis
pulmonary tuberculosis
physical activity
emergency department
risk factors