1
Tuberculosis:
An Update for Primary
Care Physicians
Todd Pollack, M.D.
Deputy Medical Director, HAIVN
Clinical Instructor in Medicine, Harvard Medical School
Beth Israel Deaconess Medical Center
2
Outline
Epidemiology of tuberculosis
Diagnosis and treatment of latent
tuberculosis infection (LTBI)
Diagnosis of pulmonary tuberculosis,
including new diagnostics
Overview of tuberculosis treatment
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Global Burden of TB, 2010
Estimated
number of cases
Estimated
number of deaths
All forms of TB
8.8 million
(range: 8.5–9.2 million)
1.1 million
(range: 0.9–1.2 million)
HIV
-
associated TB
1.1 million (13%)
(Range: 1.0-1.2 million)
350,000
(range: 320,000
-
390,000)
Global tuberculosis control: WHO report 2011.
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TB cases, by region
Majority of cases in 2010 occurred in Asia (59%)
Global tuberculosis control: WHO report 2011.
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Estimated TB Incidence Rates, 2010
Vietnam ranks
12 / 22
countries with
the highest
burden of TB
Global tuberculosis control: WHO report 2011.