Strategic Planning for Tuberculosis Control in the Republic of Fiji.

ABSTRACT: The tuberculosis (TB) health burden in Fiji has been declining in recent years, although challenges remain in improving control of the diabetes co-epidemic and achieving adequate case detection across the widely dispersed archipelago. We applied a mathematical model of TB transmission to the TB epidemic in Fiji that captured the historical reality over several decades, including age stratification, diabetes, varying disease manifestations, and incorrect diagnoses. Next, we simulated six intervention scenarios that are under consideration by the Fiji National Tuberculosis Program. Our findings show that the interventions were able to achieve only modest improvements in disease burden, with awareness raising being the most effective intervention to reduce TB incidence, and treatment support

SUBMITTER: Ragonnet R 

PROVIDER: S-EPMC6631049 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature