December 18, 2010

London Named Tuberculosis Capital Of Western Europe

A new report says that the amount of people infected with tuberculosis has jumped by 50 percent in London in the last decade, making it the tuberculosis capital of Western Europe.

Unlike other countries in the area where tuberculosis is dropping, the disease is on the rise in Britain, particularly in London.

According to an article published Friday in the medical journal Lancet, London had 3,450 cases of Britain's 9,000 cases by 2009.  Those numbers are an underestimate because only about 70 percent of active tuberculosis cases are picked up.

"We are concerned to see cases of TB at their highest levels since the 1970s," said Dr. Ibrahim Abubakar, head of tuberculosis surveillance at Britain's Health Protection Agency, in a statement.

"The key to reducing levels of TB is early diagnosis and appropriate treatment," Abubakar said.

While tuberculosis remains rare in the U.K. at about 15 people per 100,000 people being infected, that is still higher than other places in Western Europe.  In France, about 10 people per 100,000 have tuberculosis.

Tuberculosis was virtually wiped out after the introduction of drugs and vaccinations in the 1960s.  However, it has surged in recent years.

About 85 percent of people with tuberculosis have been in Britain for at least two years, meaning the disease is not being imported, but circulating locally.

"The rise in tuberculosis cases has nothing to do with migration and immigrants," said Alimuddin Zumla of University College London, author of the commentary. "This is a fallacy that needs to be corrected," he said, noting the same risks that plagued Victorian England are to blame for Britain's current outbreak.

Although tuberculosis mostly affects groups like drug users, refugees, and people with HIV, its prevalence in prisons is problematic.  

The spread of tuberculosis in prisons has occasionally infected staff and then spilled over into the general population.

Britain is one of the largest foreign aid donors, with considerable investments in projects fighting tuberculosis in poor countries.

"We need to clean up our own back garden first," Zumla said, calling for new strategies and more money to reverse the British epidemic. "Charity begins at home."


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