057 |
INCIDENCE OF TUBERCULOSIS INFECTION IN A SOUTH INDIAN
VILLAGE WITH A SINGLE SPUTUM POSITIVE CASE: AN EPIDEMIOLOGICAL CASE
STUDY |
MS Krishna Murthy, R Channabasavaiah, AV Nagaraj &
P Chandrasekhar: Indian J TB 1991, 38, 123-30. |
During a longitudinal survey, carried out in 119
randomly selected villages of Bangalore district for studying the
time trend of tuberculosis, the average infectivity of a case over
a period of one and a half years was found to be six. In 1986 i.e.,
25 years after the start of I survey, 61 persons belonging to one
village called Nunnur who were found newly infected between I &
II surveys, were interviewed. Further, a general study of the layout
of the houses and public facilities in the village was made. However,
in Nunnur, there was just a single bacteriological case (index case)
identified at the I survey. This index case was resident of household
numbered 80 in the main village. This case study investigates the
background of the observed high infectivity. The incidence rate
of infection in Nunnur was 9.5% in 1½ years which is higher
than the overall average rate of 4% as well as rate for 30 other
single case villages i.e., 3.5%. The investigation reveals that
at least 21 persons., found newly infected at II survey, had varying
levels of contact with the index case. The remaining 40 infected
persons could not be linked, either directly or indirectly, to any
other known bacteriological case including the index case in the
village. All the persons identified as infected at II survey were
distributed throughout the village, beyond the likely zone of infection
of the index case.
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KEY WORDS: SINGLE CASE STUDY, INFECTIVITY, INCIDENCE,
INFECTION, RURAL POPULATION. |