ESTIMATION OF THE PREVALENCE OF TUBERCULOSIS INFECTION IN THE 1950s IN TOKYO

[Purpose] We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children. [Subject and methods] We analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m. o. -24m. o....

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Published inKekkaku Vol. 83; no. 7; pp. 503 - 506
Main Authors KOIKE, Rika, INOGUCHI, Chiyo, WATASE, Hirotoshi
Format Journal Article
LanguageJapanese
Published Japan JAPANESE SOCIETY FOR TUBERCULOSIS 01.07.2008
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ISSN0022-9776
1884-2410
DOI10.11400/kekkaku1923.83.503

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Abstract [Purpose] We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children. [Subject and methods] We analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m. o. -24m. o. ) without BCG vaccination in 1954 in Koto Ward, Tokyo. [Results] Assuming that the sensitivity and specifi city of the TST were 95% and 98%, respectively, the prevalence of TB was estimated to be 2% (95% C. I., 0.4-4.3%) among 448infants under 12 m. o. (mean age 0.69 y. o, ), and 16% (95%C. I., 11.9-21.5%) among 280 children aged 12 m. o. -24 m. o. (mean age 1.44 y. o. ). [Conclusion] Being different from the current situation of tuberculosis, the risk of infection among infants was high in 1950s in Japan, therefore, it was considered that the prevalence of tuberculosis infection rose rapidly among infants in their early period after birth. Also, the risk of infection in urban areas was higher comparing with the average national rate at that time_
AbstractList [Purpose] We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children. [Subject and methods] We analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m. o. -24m. o. ) without BCG vaccination in 1954 in Koto Ward, Tokyo. [Results] Assuming that the sensitivity and specifi city of the TST were 95% and 98%, respectively, the prevalence of TB was estimated to be 2% (95% C. I., 0.4-4.3%) among 448infants under 12 m. o. (mean age 0.69 y. o, ), and 16% (95%C. I., 11.9-21.5%) among 280 children aged 12 m. o. -24 m. o. (mean age 1.44 y. o. ). [Conclusion] Being different from the current situation of tuberculosis, the risk of infection among infants was high in 1950s in Japan, therefore, it was considered that the prevalence of tuberculosis infection rose rapidly among infants in their early period after birth. Also, the risk of infection in urban areas was higher comparing with the average national rate at that time_
We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children.PURPOSEWe estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children.We analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m.o.-24 m.o.) without BCG vaccination in 1954 in Koto Ward, Tokyo.SUBJECT AND METHODSWe analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m.o.-24 m.o.) without BCG vaccination in 1954 in Koto Ward, Tokyo.Assuming that the sensitivity and specificity of the TST were 95% and 98%, respectively, the prevalence of TB was estimated to be 2% (95% C.I., 0.4-4.3%) among 448 infants under 12 m.o. (mean age 0.69 y.o.), and 16% (95% C.I., 11.9-21.5%) among 280 children aged 12 m.o.-24 m.o. (mean age 1.44 y.o.).RESULTSAssuming that the sensitivity and specificity of the TST were 95% and 98%, respectively, the prevalence of TB was estimated to be 2% (95% C.I., 0.4-4.3%) among 448 infants under 12 m.o. (mean age 0.69 y.o.), and 16% (95% C.I., 11.9-21.5%) among 280 children aged 12 m.o.-24 m.o. (mean age 1.44 y.o.).Being different from the current situation of tuberculosis, the risk of infection among infants was high in 1950s in Japan, therefore, it was considered that the prevalence of tuberculosis infection rose rapidly among infants in their early period after birth. Also, the risk of infection in urban areas was higher comparing with the average national rate at that time.CONCLUSIONBeing different from the current situation of tuberculosis, the risk of infection among infants was high in 1950s in Japan, therefore, it was considered that the prevalence of tuberculosis infection rose rapidly among infants in their early period after birth. Also, the risk of infection in urban areas was higher comparing with the average national rate at that time.
We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in infants and children. We analyzed prevalence of tuberculosis using the results of the TST in 728 children (5 m.o.-24 m.o.) without BCG vaccination in 1954 in Koto Ward, Tokyo. Assuming that the sensitivity and specificity of the TST were 95% and 98%, respectively, the prevalence of TB was estimated to be 2% (95% C.I., 0.4-4.3%) among 448 infants under 12 m.o. (mean age 0.69 y.o.), and 16% (95% C.I., 11.9-21.5%) among 280 children aged 12 m.o.-24 m.o. (mean age 1.44 y.o.). Being different from the current situation of tuberculosis, the risk of infection among infants was high in 1950s in Japan, therefore, it was considered that the prevalence of tuberculosis infection rose rapidly among infants in their early period after birth. Also, the risk of infection in urban areas was higher comparing with the average national rate at that time.
Author WATASE, Hirotoshi
INOGUCHI, Chiyo
KOIKE, Rika
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6) Enoe C, Georgiadis MP, Johnson WO: Estimation of sensitivity and specificity of diagnostic tests and disease prevalence when the true disease state is unknown. Prey Vet Med. 2000; 45: 61-81.
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16) 大森正子: わが国における結核の根絶年の予測. 結核. 1991; 66: 819-828.
References_xml – reference: 2) Gart J. Buck A: Comparison of a screening lest and a reference test in epidemiologic studies. II. A probabilistic m odel for the comparison of diagnostic tests. Am J Epide m iol. 1966; 83 593-602.
– reference: 11) 鳥尾忠男: [結核病学II」疫学・管理編, 第1版. 結核予防会, 東京, 1998.
– reference: 7) 渡部洋; 「ベイズ統計学入門」, 第1版, 福村出版東京, 1999.
– reference: 6) Enoe C, Georgiadis MP, Johnson WO: Estimation of sensitivity and specificity of diagnostic tests and disease prevalence when the true disease state is unknown. Prey Vet Med. 2000; 45: 61-81.
– reference: 14) 青木正和: 結核の感染(III). 結核. 2005; 80: 401-411.
– reference: 16) 大森正子: わが国における結核の根絶年の予測. 結核. 1991; 66: 819-828.
– reference: 10) 森亨: 結核感染をめぐる諸問題(2), 結核・1988; 63: 39-48.
– reference: 12) Styblo K, Dankova D, Drapela J, et al.: Epidemiological and clinical study of tuberculosis in the dis trict of Kolin, Czechoslovakia. Bulletin of the World Health Organiz ation. 1967; 37: 819-874.
– reference: 1) 青木正和: 医師・看護職のための結核病掌, 「結核対策史」, 第1版, 結核予防会, 東京, 2004.
– reference: 9) 岩崎学: 「数値計算法人門」, 第1版, 朝倉書店, 東京, 2004.
– reference: 4) Rogan J, Gladen B: Estimating prevalence from the results of a screening test. Am J Epidemiol. 1978; 107: 71-76.
– reference: 8) Hogg R, Craig A: Introduction to Mathematical Statistics, 6th ed., Prentice Hall, New Jersey, 2005.
– reference: 3) Levy S. Kass A: Three-population model for sequential screening for bacteriuria. Am J Epidemiol. 1970; 91: 148-154.
– reference: 5) Hunink M. Glasziou P. Siegel J, et al.: Decision Making in Health and Medicine: Integrating Evidence and Value s. Cambridge University Press, Cambridge, 2001.
– reference: 13) 青木正和: 医師・看護職のための結核病学. [感染・発病の診断」, 第2版, 結核予防会, 策京, 2004.
– reference: 15) 青木正和: 結核感染をめぐる諸問題(1). 結核. 1988; 63: 33-38.
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Snippet [Purpose] We estimated the prevalence of tuberculosis infection in the 1950s in the urban area of Tokyo using results of the tuberculin skin test (TST) in...
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SubjectTerms Annual risk of infection
Bayes formula
Child, Preschool
Children
Female
History, 20th Century
Humans
Infant
Male
Prevalence
Tokyo - epidemiology
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - history
Title ESTIMATION OF THE PREVALENCE OF TUBERCULOSIS INFECTION IN THE 1950s IN TOKYO
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