Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis.
Emmanuel PembiStephen JohnShyam Prakash DumreBaba Usman AhmaduNguyen Lam VuongAmr EbiedShusaku MizukamiNguyen Tien HuyLuis E CuevasKenji HirayamaPublished in: BMJ open (2020)
TB case notifications decreased in conflict areas and increased in areas without conflict. More males were notified during peace times and more female cases were reported from areas in conflict. Young and elderly populations had decreased case notifications but experienced a slight increase during the conflict years. These changes are likely to reflect population displacement and a dissimilar effect of conflict on the accessibility of services. TB services in conflict areas deserve further study to identify resilient approaches that could reach affected populations.