One-third of the world's population is infected with TB. TB is debilitating and contagious. Every year, more than 9 million people develop active TB and 1.7 million people die from the disease. In Bulgaria incidence was 25.1/100 000 in 1990. Due to various reasons, related to socio-economic changes in the country in the following years a doubling of the cases of tuberculosis up to 49.9/100 000 was observed in 1998. Recently there has been a tendency to arrest and slowly reduce incidence - up to 37.1/100 000 in 2007. One of the most affected groups at risk for the development and spread of tuberculosis in Bulgaria are the people from the Roma community. According to the National Statistical Institute (2001) 9% of the population identified themselves as Roma. In Bulgaria there is no registration and analysis of health indicators by ethnic groups, therefore the assessment of the health of these communities is difficult. TB in Roma communities is higher than the national average prevalence. The goal of this study was to establish the prevalence and determinants characterising this distribution process. Preventive measures should be targeted at early development and improvement of living and working conditions to overcome social exclusion. Targeted epidemiological studies of morbidity among people in the Roma community, identification of risk factors and the development of preventive strategies are needed to combat tuberculosis.
- ethnic groups
- prevention and control
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