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Gender Differences in Tuberculosis Notification in Pakistan

2011; American Society of Tropical Medicine and Hygiene; Volume: 85; Issue: 3 Linguagem: Inglês

10.4269/ajtmh.2011.10-0701

1476-1645

Andrew James Codlin, Saira Khowaja, Zhongxue Chen, Mohammad H. Rahbar, Ejaz Qadeer, Ismat Ara, Joseph B. McCormick, Susan P. Fisher‐Hoch, Aamir Khan,

Viral Infections and Outbreaks Research

Worldwide, the male to female ratio of new smear-positive tuberculosis (TB) cases is approximately two to one. However, in Pakistan, this is not the case. Rates of notified TB cases are 20–30% higher in young females compared with males, and female rates remain high regardless of increasing age. This is in stark contrast to neighboring India, which is characterized by an excess of male TB cases. It is currently unknown why rates of notified TB are so high in females in Pakistan, but it is clear that this epidemiology is a public health issue of importance that impacts transmission dynamics and disease control initiatives.