Skip to main content

Main menu

  • Home
  • Current issue
  • Early View
  • Archive
  • For authors
    • Instructions for authors
    • Submit a manuscript
    • ERS Author FAQs
    • COVID-19 submission information
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Early View
  • Archive
  • For authors
    • Instructions for authors
    • Submit a manuscript
    • ERS Author FAQs
    • COVID-19 submission information
  • Alerts
  • Subscriptions

Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study

Sophie Norton, Shopna K. Bag, Jin-Gun Cho, Neil Heron, Hassan Assareh, Laila Pavaresh, Stephen Corbett, Ben J. Marais
ERJ Open Research 2019 5: 00211-2018; DOI: 10.1183/23120541.00211-2018
Sophie Norton
1Western Sydney Local Health District, Public Health Unit, Parramatta, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: sophie.norton@health.nsw.gov.au
Shopna K. Bag
1Western Sydney Local Health District, Public Health Unit, Parramatta, Australia
2The University of Sydney, Camperdown, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jin-Gun Cho
2The University of Sydney, Camperdown, Australia
3Parramatta Chest Clinic, Parramatta, Australia
4Westmead Hospital, Wentworthville, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jin-Gun Cho
Neil Heron
3Parramatta Chest Clinic, Parramatta, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hassan Assareh
5Epidemiology and Health Analytic, Western Sydney Local Health District, Parramatta, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Laila Pavaresh
1Western Sydney Local Health District, Public Health Unit, Parramatta, Australia
4Westmead Hospital, Wentworthville, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stephen Corbett
1Western Sydney Local Health District, Public Health Unit, Parramatta, Australia
2The University of Sydney, Camperdown, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ben J. Marais
2The University of Sydney, Camperdown, Australia
6The Children's Hospital at Westmead, Westmead, Australia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Abstract

Traditional tuberculosis (TB) epidemiology reports rarely provide a detailed analysis of TB incidence in particular geographic locations and among diverse population groups. Western Sydney Local Health District (WSLHD) has one of the highest TB incidence rates in Australia, and we explored whether more detailed epidemiological analysis could provide a better overview of the local disease dynamics.

Using multiple relevant data sources, we performed a retrospective descriptive study of TB cases diagnosed within the WSLHD from 2006 to 2015 with a specific focus on geographic hotspots and the population structure within these hotspots.

Over the study period nearly 90% of Western Sydney TB cases were born in a high TB incidence country. The TB disease burden was geographically concentrated in particular areas, with variable ethnic profiles in these different hotspots. The most common countries of birth were India (33.0%), the Philippines (11.4%) and China (8.8%). Among the local government areas in Western Sydney, Auburn had the highest average TB incidence (29.4 per 100 000) with exceptionally high population-specific TB incidence rates among people born in Nepal (average 223 per 100 000 population), Afghanistan (average 154 per 100 000 population) and India (average 143 per 100 000 population).

Similar to other highly cosmopolitan cities around the world, the TB burden in Sydney showed strong geographic concentration. Detailed analysis of TB patient and population profiles in Western Sydney should guide better contextualised and culturally appropriate public health strategies.

Abstract

High migration from tuberculosis (TB)-endemic settings to Western Sydney is driving over-representation among TB cases of specific cultural groups within geographic “hotspots”, requiring contextualised and culturally appropriate public health strategies http://bit.ly/2LqusU9

Footnotes

  • This article has supplementary material available from openres.ersjournals.com

  • Author contributions: S. Norton, N. Heron, S.K. Bag, L. Pavaresh and J-G. Cho drafted the proposal with input from all authors. S. Norton investigated relevant data sources with input from S.K. Bag and N. Heron. S. Norton obtained data and carried out data analysis. H. Assareh produced the LGA map with data input provided by S. Norton. S. Norton drafted the initial manuscript under the guidance of B.J. Marais with input from J-G. Cho and S.K. Bag. All authors helped to refine the manuscript and approved the final version.

  • Conflict of interest: S. Norton has nothing to disclose.

  • Conflict of interest: S.K. Bag has nothing to disclose.

  • Conflict of interest: J-G. Cho has nothing to disclose.

  • Conflict of interest: N. Heron has nothing to disclose.

  • Conflict of interest: H. Assareh has nothing to disclose.

  • Conflict of interest: L. Parvaresh has nothing to disclose.

  • Conflict of interest: S. Corbett has nothing to disclose.

  • Conflict of interest: B.J. Marais has nothing to disclose.

  • Received November 9, 2018.
  • Accepted June 18, 2019.
  • Copyright ©ERS 2019
http://creativecommons.org/licenses/by-nc/4.0/

This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

View Full Text
PreviousNext
Back to top
Vol 5 Issue 3 Table of Contents
ERJ Open Research: 5 (3)
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study
Sophie Norton, Shopna K. Bag, Jin-Gun Cho, Neil Heron, Hassan Assareh, Laila Pavaresh, Stephen Corbett, Ben J. Marais
ERJ Open Research Jul 2019, 5 (3) 00211-2018; DOI: 10.1183/23120541.00211-2018

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Detailed characterisation of the tuberculosis epidemic in Western Sydney: a descriptive epidemiological study
Sophie Norton, Shopna K. Bag, Jin-Gun Cho, Neil Heron, Hassan Assareh, Laila Pavaresh, Stephen Corbett, Ben J. Marais
ERJ Open Research Jul 2019, 5 (3) 00211-2018; DOI: 10.1183/23120541.00211-2018
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
Full Text (PDF)

Jump To

  • Article
    • Abstract
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Supplementary material
    • Acknowledgements
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • Respiratory infections and tuberculosis
  • Epidemiology, occupational and environmental lung disease
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

Original articles

  • A pooled analysis of IGNITE trials
  • Cardiac biomarkers and long-term outcomes of COPD exacerbation
  • Underestimation of COVID-19 mortality
Show more Original articles

Tuberculosis

  • Outcomes with a shorter multidrug-resistant TB regimen
  • Collaborative TB/HIV activities in the European Region
  • ASAP-GxNet programme
Show more Tuberculosis

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About ERJ Open Research

  • Editorial board
  • Journal information
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Submit a manuscript
  • ERS author centre

For readers

  • Alerts
  • Subjects
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Online ISSN: 2312-0541

Copyright © 2021 by the European Respiratory Society