Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis
Objective We assessed the impact of political conflict (Boko Haram) on tuberculosis (TB) case notifications in Adamawa State in North-east Nigeria.Design A retrospective analysis of TB case notifications from TB registers (2010–2016) to describe changes in TB notification, sex and age ratios by the d...
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| Format: | Article |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e035263.full |
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| author | Nguyen Lam Vuong Kenji Hirayama Nguyen Tien Huy Luis E Cuevas Emmanuel Pembi Stephen John Shyam Prakash Dumre Baba Usman Ahmadu Amr Ebied Shusaku Mizukami |
| author_facet | Nguyen Lam Vuong Kenji Hirayama Nguyen Tien Huy Luis E Cuevas Emmanuel Pembi Stephen John Shyam Prakash Dumre Baba Usman Ahmadu Amr Ebied Shusaku Mizukami |
| author_sort | Nguyen Lam Vuong |
| collection | DOAJ |
| description | Objective We assessed the impact of political conflict (Boko Haram) on tuberculosis (TB) case notifications in Adamawa State in North-east Nigeria.Design A retrospective analysis of TB case notifications from TB registers (2010–2016) to describe changes in TB notification, sex and age ratios by the degree of conflict by local government area.Setting Adamawa State.Participants 21 076 TB cases notified.Results 21 076 cases (62% male) were notified between 2010 and 2016, of which 19 604 (93%) were new TB cases. Areas affected by conflict in 2014 and 2015 had decreased case notification while neighbouring areas reported increased case notifications. The male to female ratio of TB cases changed in areas in conflict with more female cases being notified. The young and elderly (1–14 and >65 years old) had low notifications in all areas, with a small increase in case notifications during the years of conflict.Conclusion 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. |
| format | Article |
| id | doaj-art-e198e6fcbb53423a9898e510b070434b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e198e6fcbb53423a9898e510b070434b2025-01-09T02:30:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-035263Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysisNguyen Lam Vuong0Kenji Hirayama1Nguyen Tien Huy2Luis E Cuevas3Emmanuel Pembi4Stephen John5Shyam Prakash Dumre6Baba Usman Ahmadu7Amr Ebied8Shusaku Mizukami9Department of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet NamDepartment of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Leading Graduate School Program, and Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan4 Nagasaki University, Nagasaki, JapanClinical Sciences and Research Centre for Drugs and Diagnostics, Liverpool School of Tropical Medicine, Liverpool, UKAdamawa State Ministry of Health, Yola, NigeriaAdamawa State Agency for the Control of HIV/AIDs, Yola, NigeriaDepartment of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Sakamoto, Nagasaki, JapanDepartment of Pediatrics, Federal Medical Centre, Yola, Adamawa State, NigeriaTherapeutic Department, Egyptian National Blood Transfusion Services, Cairo, EgyptDepartment of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Sakamoto, Nagasaki, JapanObjective We assessed the impact of political conflict (Boko Haram) on tuberculosis (TB) case notifications in Adamawa State in North-east Nigeria.Design A retrospective analysis of TB case notifications from TB registers (2010–2016) to describe changes in TB notification, sex and age ratios by the degree of conflict by local government area.Setting Adamawa State.Participants 21 076 TB cases notified.Results 21 076 cases (62% male) were notified between 2010 and 2016, of which 19 604 (93%) were new TB cases. Areas affected by conflict in 2014 and 2015 had decreased case notification while neighbouring areas reported increased case notifications. The male to female ratio of TB cases changed in areas in conflict with more female cases being notified. The young and elderly (1–14 and >65 years old) had low notifications in all areas, with a small increase in case notifications during the years of conflict.Conclusion 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.https://bmjopen.bmj.com/content/10/9/e035263.full |
| spellingShingle | Nguyen Lam Vuong Kenji Hirayama Nguyen Tien Huy Luis E Cuevas Emmanuel Pembi Stephen John Shyam Prakash Dumre Baba Usman Ahmadu Amr Ebied Shusaku Mizukami Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis BMJ Open |
| title | Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis |
| title_full | Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis |
| title_fullStr | Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis |
| title_full_unstemmed | Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis |
| title_short | Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis |
| title_sort | impact of political conflict on tuberculosis notifications in north east nigeria adamawa state a 7 year retrospective analysis |
| url | https://bmjopen.bmj.com/content/10/9/e035263.full |
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