Abstract
Objective: This dissertation aims to study the trend of tuberculosis in the State during the second decade since the inception of the Tuberculosis Control Programme in Sarawak as well as to review the performance of the three main components of the programme within that same period that is, 1973 - 1982. Introduction (if necessary): Method: This study was carried out by going through the records that are kept in the headquarters of Sarawak Tuberculosis Control Programme situated at the ATAS Building in Kuching. The records of a total of 382 TB patients seen in Kuching Chest Clinic for the whole of 1982 were studied. Result: This study reveals that during the ten year period between 1973 and 1982, the reported TB cases have been maintained below one per 1,000 population. In 1973 the number of bacillary pulmonary tuberculosis cases reported was 0.97 per 1,000 population whereas in 1982 the rate dropped to 0.82 per 1,000 population. The first decade of this Control Programme showed a sharper decline compared to this. Racial distribution of the cases does not exactly follow the racial distribution in the general population. The highest number of cases are reported among the Dayaks, followed by the Malays and the Chinese in that order. Vaccination coverage among the newborn has been maintained at over 90% during this period. Those who sought treatment regularly among the ten cohorts (1970 - 1980 cohorts) analysed is consistently below 80%. The rate of abandonment is quite high that is, 10.0%. The sputum conversion rate among these same cohorts are well below 80%. The mortality among those cohorts shows an improving trend. The study of presenting symptoms among 382 TB patients seen at Kuching Chest Clinic reveals that the majority of patients (91.8%) present with cough. 83.2% of the cases gave a history of multiple symptoms, including cough. Only 22 or 8.5% of the records reveal a history of only one symptom, namely cough. Of these cases 73.9% have moderately advanced chest x-ray findings and 20.3% have far advanced lesions. Conclusion: The incidence rate of TB has declined over the years. However, more work needs to be done to reduce defaulter rates among those infected by the disease. Most patients present with moderate or advanced TB.
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@mastersthesis{RN2f,
title = {Sarawak Tuberculosis Control Programme: A Ten Year Review (1973-1982)},
author = {Suhaily Mohamad Raily},
year = {1984},
date = {1984-01-01},
urldate = {1984-01-01},
school = {Department of SPM, Faculty of Medicine, University of Malaya},
abstract = {Objective: This dissertation aims to study the trend of tuberculosis in the State during the second decade since the inception of the Tuberculosis Control Programme in Sarawak as well as to review the performance of the three main components of the programme within that same period that is, 1973 - 1982. Introduction (if necessary): Method: This study was carried out by going through the records that are kept in the headquarters of Sarawak Tuberculosis Control Programme situated at the ATAS Building in Kuching. The records of a total of 382 TB patients seen in Kuching Chest Clinic for the whole of 1982 were studied. Result: This study reveals that during the ten year period between 1973 and 1982, the reported TB cases have been maintained below one per 1,000 population. In 1973 the number of bacillary pulmonary tuberculosis cases reported was 0.97 per 1,000 population whereas in 1982 the rate dropped to 0.82 per 1,000 population. The first decade of this Control Programme showed a sharper decline compared to this. Racial distribution of the cases does not exactly follow the racial distribution in the general population. The highest number of cases are reported among the Dayaks, followed by the Malays and the Chinese in that order. Vaccination coverage among the newborn has been maintained at over 90% during this period. Those who sought treatment regularly among the ten cohorts (1970 - 1980 cohorts) analysed is consistently below 80%. The rate of abandonment is quite high that is, 10.0%. The sputum conversion rate among these same cohorts are well below 80%. The mortality among those cohorts shows an improving trend. The study of presenting symptoms among 382 TB patients seen at Kuching Chest Clinic reveals that the majority of patients (91.8%) present with cough. 83.2% of the cases gave a history of multiple symptoms, including cough. Only 22 or 8.5% of the records reveal a history of only one symptom, namely cough. Of these cases 73.9% have moderately advanced chest x-ray findings and 20.3% have far advanced lesions. Conclusion: The incidence rate of TB has declined over the years. However, more work needs to be done to reduce defaulter rates among those infected by the disease. Most patients present with moderate or advanced TB.},
note = {Master of Public Health},
keywords = {},
pubstate = {published},
tppubtype = {mastersthesis}
}
