Cargando…
Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi
The coronavirus disease (COVID-19) pandemic might affect tuberculosis (TB) diagnosis and patient care. We analyzed a citywide electronic TB register in Blantyre, Malawi and interviewed TB officers. Malawi did not have an official COVID-19 lockdown but closed schools and borders on March 23, 2020. In...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237899/ https://www.ncbi.nlm.nih.gov/pubmed/34152962 http://dx.doi.org/10.3201/eid2707.210557 |
_version_ | 1783714807626596352 |
---|---|
author | Soko, Rebecca Nzawa Burke, Rachael M. Feasey, Helena R.A. Sibande, Wakumanya Nliwasa, Marriott Henrion, Marc Y.R. Khundi, McEwen Dodd, Peter J. Ku, Chu Chang Kawalazira, Gift Choko, Augustine T. Divala, Titus H. Corbett, Elizabeth L. MacPherson, Peter |
author_facet | Soko, Rebecca Nzawa Burke, Rachael M. Feasey, Helena R.A. Sibande, Wakumanya Nliwasa, Marriott Henrion, Marc Y.R. Khundi, McEwen Dodd, Peter J. Ku, Chu Chang Kawalazira, Gift Choko, Augustine T. Divala, Titus H. Corbett, Elizabeth L. MacPherson, Peter |
author_sort | Soko, Rebecca Nzawa |
collection | PubMed |
description | The coronavirus disease (COVID-19) pandemic might affect tuberculosis (TB) diagnosis and patient care. We analyzed a citywide electronic TB register in Blantyre, Malawi and interviewed TB officers. Malawi did not have an official COVID-19 lockdown but closed schools and borders on March 23, 2020. In an interrupted time series analysis, we noted an immediate 35.9% reduction in TB notifications in April 2020; notifications recovered to near prepandemic numbers by December 2020. However, 333 fewer cumulative TB notifications were received than anticipated. Women and girls were affected more (30.7% fewer cases) than men and boys (20.9% fewer cases). Fear of COVID-19 infection, temporary facility closures, inadequate personal protective equipment, and COVID-19 stigma because of similar symptoms to TB were mentioned as reasons for fewer people being diagnosed with TB. Public health measures could benefit control of both TB and COVID-19, but only if TB diagnostic services remain accessible and are considered safe to attend. |
format | Online Article Text |
id | pubmed-8237899 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-82378992021-07-09 Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi Soko, Rebecca Nzawa Burke, Rachael M. Feasey, Helena R.A. Sibande, Wakumanya Nliwasa, Marriott Henrion, Marc Y.R. Khundi, McEwen Dodd, Peter J. Ku, Chu Chang Kawalazira, Gift Choko, Augustine T. Divala, Titus H. Corbett, Elizabeth L. MacPherson, Peter Emerg Infect Dis Research The coronavirus disease (COVID-19) pandemic might affect tuberculosis (TB) diagnosis and patient care. We analyzed a citywide electronic TB register in Blantyre, Malawi and interviewed TB officers. Malawi did not have an official COVID-19 lockdown but closed schools and borders on March 23, 2020. In an interrupted time series analysis, we noted an immediate 35.9% reduction in TB notifications in April 2020; notifications recovered to near prepandemic numbers by December 2020. However, 333 fewer cumulative TB notifications were received than anticipated. Women and girls were affected more (30.7% fewer cases) than men and boys (20.9% fewer cases). Fear of COVID-19 infection, temporary facility closures, inadequate personal protective equipment, and COVID-19 stigma because of similar symptoms to TB were mentioned as reasons for fewer people being diagnosed with TB. Public health measures could benefit control of both TB and COVID-19, but only if TB diagnostic services remain accessible and are considered safe to attend. Centers for Disease Control and Prevention 2021-07 /pmc/articles/PMC8237899/ /pubmed/34152962 http://dx.doi.org/10.3201/eid2707.210557 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Research Soko, Rebecca Nzawa Burke, Rachael M. Feasey, Helena R.A. Sibande, Wakumanya Nliwasa, Marriott Henrion, Marc Y.R. Khundi, McEwen Dodd, Peter J. Ku, Chu Chang Kawalazira, Gift Choko, Augustine T. Divala, Titus H. Corbett, Elizabeth L. MacPherson, Peter Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title | Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title_full | Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title_fullStr | Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title_full_unstemmed | Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title_short | Effects of Coronavirus Disease Pandemic on Tuberculosis Notifications, Malawi |
title_sort | effects of coronavirus disease pandemic on tuberculosis notifications, malawi |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237899/ https://www.ncbi.nlm.nih.gov/pubmed/34152962 http://dx.doi.org/10.3201/eid2707.210557 |
work_keys_str_mv | AT sokorebeccanzawa effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT burkerachaelm effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT feaseyhelenara effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT sibandewakumanya effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT nliwasamarriott effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT henrionmarcyr effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT khundimcewen effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT doddpeterj effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT kuchuchang effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT kawalaziragift effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT chokoaugustinet effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT divalatitush effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT corbettelizabethl effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi AT macphersonpeter effectsofcoronavirusdiseasepandemicontuberculosisnotificationsmalawi |