Tubercle (1975), 56, 163
THE
BRITISH
THORACIC
AND
TUBERCULOSIS
ASSOCIATION
On May 16-17 1975 a joint meeting was held in Uppsala, Sweden, with the Swedish Association for Lung Medicine. AUTHORS’ ABSTRACTS Tuberculosis in the United Kingdom and Sweden V. H. SPRINGETT(Birmingham) Tuberculosis mortality rates have shown substantial falls between 1947-49 and 1972 in Sweden, England & Wales, and Scotland: Sweden had the lowest rates in 1947-49, but in 1972 the rates for England & Wales were the lowest, with the rates for Scotland just below those for Sweden. In all three countries the mortality rate for males is much greater than that for females. In both sexes in all three countries the mortality rates are very low up to age 35 years, and remain low in females to age 65 years with little difference between the rates for Sweden and England & Wales, the rates for females in Scotland being a little higher. Over age 65 years the mortality rates for females increase, but to a much greater extent in Sweden than in England & Wales, with the rates for older females in Scotland in an intermediate position. In males also, the rates from age 35 to age 65 are closely similar in Sweden and England & Wales, though rising steadily with age. The rates for males in Scotland are at a slightly higher level. Over age 65 years the rates increase rapidly with age, but, as in females, to a much greater extent in Sweden than in Great Britain. Notification rates in 1972 are very similar for all persons in Sweden and England 8z Wales, with the rate for Scotland rather greater. However, the notification rate for males is greater in England & Wales than in Sweden, but the position is reversed for females. Notification rates are greater for males than females in each country, and usually increase with age, to a greater extent in males than females. In both sexes the notification rates for Sweden are below those for Scotland and England & Wales up to age 45 years, over which age the rates for Sweden are greater than those for England & Wales. Over age 65 years the highest rate in females occurs in Sweden, in males the rates for Scotland are the highest in all ages over 25 years. These rather complex differences in notification rates are perhaps related to BCG policy - at birth in Sweden from 1940, at about age 13 years from 1954 in Great Britain - and to the incidence of tuberculosis in immigrants, who are mostly young adults. In 1971 32 per cent of all notifications in England & Wales were of persons from outside the British Isles, who formed only 5 per cent of the population. Surveillance of tuberculosis in Sweden 0. HKLERDAL(Uppsala, Sweden) In Sweden, with about 8 million inhabitants, a central tuberculosis index was established in 1969. All newly detected cases of active tuberculosis are reported. The material is computerized. The experiences between the years 1969-1973 were discussed (incidence, prevalence and mortality). The incidence (the number of new cases of active tuberculosis per 100,000 inhabitants) decreased from 33.3 in 1969 to 20.4 in 1973. In younger age groups newly discovered cases of tuberculosis in immigrants were rather significant.
164
I
THE
BRITISH
THORACIC
AND
TUBERCULOSIS
ASSOCIATION
On May 16-17 1975 a joint meeting was held in Uppsala, Sweden, with the Swedish Association for Lung Medicine. AUTHORS’ ABSTRACTS Tuberculosis in the United Kingdom and Sweden V. H. SPRINGETT(Birmingham) Tuberculosis mortality rates have shown substantial falls between 1947-49 and 1972 in Sweden, England & Wales, and Scotland: Sweden had the lowest rates in 1947-49, but in 1972 the rates for England & Wales were the lowest, with the rates for Scotland just below those for Sweden. In all three countries the mortality rate for males is much greater than that for females. In both sexes in all three countries the mortality rates are very low up to age 35 years, and remain low in females to age 65 years with little difference between the rates for Sweden and England & Wales, the rates for females in Scotland being a little higher. Over age 65 years the mortality rates for females increase, but to a much greater extent in Sweden than in England & Wales, with the rates for older females in Scotland in an intermediate position. In males also, the rates from age 35 to age 65 are closely similar in Sweden and England & Wales, though rising steadily with age. The rates for males in Scotland are at a slightly higher level. Over age 65 years the rates increase rapidly with age, but, as in females, to a much greater extent in Sweden than in Great Britain. Notification rates in 1972 are very similar for all persons in Sweden and England 8z Wales, with the rate for Scotland rather greater. However, the notification rate for males is greater in England & Wales than in Sweden, but the position is reversed for females. Notification rates are greater for males than females in each country, and usually increase with age, to a greater extent in males than females. In both sexes the notification rates for Sweden are below those for Scotland and England & Wales up to age 45 years, over which age the rates for Sweden are greater than those for England & Wales. Over age 65 years the highest rate in females occurs in Sweden, in males the rates for Scotland are the highest in all ages over 25 years. These rather complex differences in notification rates are perhaps related to BCG policy - at birth in Sweden from 1940, at about age 13 years from 1954 in Great Britain - and to the incidence of tuberculosis in immigrants, who are mostly young adults. In 1971 32 per cent of all notifications in England & Wales were of persons from outside the British Isles, who formed only 5 per cent of the population. Surveillance of tuberculosis in Sweden 0. HKLERDAL(Uppsala, Sweden) In Sweden, with about 8 million inhabitants, a central tuberculosis index was established in 1969. All newly detected cases of active tuberculosis are reported. The material is computerized. The experiences between the years 1969-1973 were discussed (incidence, prevalence and mortality). The incidence (the number of new cases of active tuberculosis per 100,000 inhabitants) decreased from 33.3 in 1969 to 20.4 in 1973. In younger age groups newly discovered cases of tuberculosis in immigrants were rather significant.
164
I
![Tuberculosis in Brent [proceedings].](/assets/img/hold.png)
