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The incidence
of TB in sub-Saharan Africa is rapidly increasing due to the HIV epidemic. It is estimated that 4% of the 7,5 M (million) new TB cases worldwide was attributable to HIV in 1990, and that in 2000, 14% of the 10,2 M new cases will be attributable to HIV. For the period 1990-1999, the WHO (World Health Organization) estimated 30 M deaths from TB: 2,9 M (9,7%) due to TB in association with HIV. The majority of these deaths expected in sub-Saharan Africa and South East Asia. In Western Europe and industrialized countries a similar problem may arise if: a. Contact tracing and surveillance of high risk groups are relaxed, b. AIDS epidemic in allochtones and natives expands further, c. immigrants with high endemic TB prevalence escape radiological check-up and follow-up. |