Épidémiologie de la tuberculose en France en 2005

Abstract: This article presents results on cases of tuberculosis disease notified in France in 2005 by mandatory notification. In 2005, a total of 5,374 cases were notified in France, representing a rate of 8.9 cases per 100,000. The notification rate per 100,000 was below 10 in all French regions, except the Île-de-France and French Guyana (with respective rates of 19.7/105 and 44.0/105). Notification rates were higher in some population groups such as people born abroad (41.5/105), especially those born in sub-Saharan Africa (160/105), and those recently (<2 years) arrived in France (251/105), in homeless people (214/105), and in persons aged 80 years and over (21.7/105). Pulmonary tuberculosis accounted for 73% of notified cases, 79% of which were contagious (positive direct examination of sputum, positive culture). Results from the notification of tuberculosis disease in 2005 indicate a continuing decrease of incidence in France. However, the high incidence in some population groups requires adapting public health actions to the needs of population groups more exposed to tuberculosis. [Copyright &y& Elsevier]