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TB statistics for England – TB cases, treatment, resistance

Statistics for TB case notifications in England

The TB statistics for England show that for the past three years, there has been a year on year decline in the number of TB cases in England, down to 6,520 in 2014, a rate of 12.0 per 100,000.

TB cases notified and rates in England in 2010 – 2014
Year Number of TB cases Rate per 100,000 Annual change in TB case numbers (%) Annual change in rate (%)
2010 7,677 14.6 -5.4 -5.8
2011 8,276 15.6 7.8 6.8
2012 8,086 15.1 -2.3 -3.2
2013 7,257 13.5 -10.3 -10.6
2014 6,520 12.0 -10.2 -11.1

Proportion of drug sensitive TB cases who had completed a full course of treatment by 12 months

The proportion of cases who completed treatment within 12 months was 84.8% compared with 83.6% in 2012.

Proportion of drug sensitive TB cases who had completed a full course of treatment
Year Total (n) Completed (n) Completed (%) Died (n) Died (%) Lost to follow-up (n) Lost to follow-up (%) Still on treatment (n) Still on treatment (%) Stopped (n) Stopped (%) Not evaluated (n) Not evaluated (%)
2009 7,224 5,911 81.8 327 4.5 308 4.3 444 6.1 77 1.1 157 2.2
2010 6,816 5,633 82.6 312 4.6 290 4.3 399 5.9 60 0.9 122 1.8
2011 7,334 6,000 81.8 310 4.2 371 5.1 481 6.6 64 0.9 108 1.5
2012 7,186 6,007 83.6 305 4.2 287 4.0 416 5.8 72 1.0 99 1.4
2013 6,422 5,445 84.8 260 4.0 239 3.7 327 5.1 56 0.9 95 1.5

Not evaluated includes missing, unknown and transferred out.

Number and proportion of TB-HIV co-infected case notifications by age group

92% of TB cases notified in 2014 were offered and received HIV testing. This was however much lower for those aged 0 to 14 (66%) and 65 years and older (82%). The proportion of TB cases with HIV co-infection was highest in those aged 45 to 64 years (5%) and lowest in those aged 65 and older (0.6). There are more  TB and HIV co-infection statistics and more about TB and HIV co-infection generally.

Number and proportion of TB-HIV co-infected case notifications by age group
Year 15 – 44 (n) 15 – 44 (%) 45 – 64 (n) 45 – 64 (%) 65 + (n) 65 + (%) Total
2010 273 74.6 88 24.0 5 1.4 366
2011 251 71.9 91 26.1 7 2.0 349
2012 204 66.7 91 29.7 11 3.6 306
2013 194 73.2 67 25.3 4 1.5 265
2014 136 62.4 76 34.9 6 2.8 218

Number and proportion of culture confirmed TB cases with any first line drug resistance

The TB statistics for England also show that the proportion of cases with initial resistance to isoniazid without MRD-TB has remained fairly stable over the past few years at between 6% and 7%. Resistance to any first line TB drug is between 7% and 8%.

Number and proportion of TB cases with first line drug resistance
Year Resistant to any first line TB drug (n) Resistant to any first line TB drug (%) Isoniazid resistant (n) Isoniazid resistant (%) Rifampicin resistant (n) Rifampicin resistant (%) Ethambutol resistant (%) Ethambutol resistant (%) Pyrazinamide resistant (%) Pyrazinamide resistant (%)
2010 320 7.0 291 6.4 75 1.7 34 0.8 40 0.9
2011 414 8.3 377 7.6 88 1.8 55 1.1 47 1.0
2012 359 7.4 331 6.8 88 1.8 48 1.0 44 0.9
2013 332 7.7 304 7.0 79 1.8 40 0.9 38 0.9
2014 286 7.4 267 6.9 56 1.4 42 1.1 31 0.8

TB and Social Factors in England

TB statistics for England & social factors

TB statistics for England & social factors

Major source for TB statistics for England

Tuberculosis in England 2015 report version 1.1, Public Health England, London, 2015 Tuberculosis in England 2015 Public Health England