TB EN EL PERU ¿Turismo vivencial?

Oswaldo Jave Médico neumólogo

Coordinador nacional

Programa de TB

MINSA rigeljave2008@yahoo.es

TB MAP

http://en.sanofi-aventis.com/sustainability/patient/access-medicines/tuberculosis/situation/situation.asp

Tasa de morbilidad anual

por distrito (x 100,000 h). PERU 2008

TB MULTI-RESISTENTE EN LA COSTA NORTE

TB MULTI-RESISTENTE EN ICA

HUANCAVELICA

ICA

AYACUCHO

HUANCAVELICA

LIMA

AYACUCHO

AREQUIPA

Tasa de Morbilidad (TM)/1 de casos en tratamiento TB

MDR por distritos. En población General. ICA , 2009/2

Unidad Técnica de TB MDR (UTTBMDR)Estrategia Sanitaria Nacional de Prevención y Control de Tuberculosis

(ESNPCT). PERU/MINSA/

/1 TM por 100 000 Hab./2 La información presentada esta

actualizada al 12/07/2010

Estadístico Ronal Jamanca Shuán.

ICA 2009ICA 20091.Tasa de Morbilidad : 9.82.Población 2009 ICA (fuente: MINSA) : 722 890

N

Marcona

17.5

Nazca

3.8

El Ingenio

28.8

Llipata

63.8

Vista Alegre

13.2

Santiago

42.7Ocuacaje

54.8

El Carmen

47.8

Tate

25.0

Tupac Amaru

7.7

Pisco

14.2

San Clemente

5.5

Tambo de Mora

19.8

Independencia

8.0

Vista Alegre

13.1

Ica

11.2

Subjantalla

9.3

San Jose de Moli

33.5

La Tinguiña

26.3

Los Aquijes

11.8

Parcona

19.8

San Andres

6.6

Pueblo Nuevo

9.5

Chincha

Alta

6.7

San Pedro

de

Huacarpana

66.6

Grocio

Prado4.8

Casos00 - 7.77.7 - 13.113.1 - 19.819.8 - 66.6

Casos00 - 7.77.7 - 13.113.1 - 19.819.8 - 66.6

HUANCAVELICA

ICA

AYACUCHO

HUANCAVELICA

LIMA

AYACUCHO

AREQUIPA

Tasa de Morbilidad (TM)/1 de casos en tratamiento TB

MDR por distritos. En población General. ICA , 2009/2

Unidad Técnica de TB MDR (UTTBMDR)Estrategia Sanitaria Nacional de Prevención y Control de Tuberculosis

(ESNPCT). PERU/MINSA/

/1 TM por 100 000 Hab./2 La información presentada esta

actualizada al 12/07/2010

Estadístico Ronal Jamanca Shuán.

ICA 2009ICA 20091.Tasa de Morbilidad : 9.82.Población 2009 ICA (fuente: MINSA) : 722 890

N

Marcona

17.5

Nazca

3.8

El Ingenio

28.8

Llipata

63.8

Vista Alegre

13.2

Santiago

42.7Ocuacaje

54.8

El Carmen

47.8

Tate

25.0

Tupac Amaru

7.7

Pisco

14.2

San Clemente

5.5

Tambo de Mora

19.8

Independencia

8.0

Vista Alegre

13.1

Ica

11.2

Subjantalla

9.3

San Jose de Moli

33.5

La Tinguiña

26.3

Los Aquijes

11.8

Parcona

19.8

San Andres

6.6

Pueblo Nuevo

9.5

Chincha

Alta

6.7

San Pedro

de

Huacarpana

66.6

Grocio

Prado4.8

Casos00 - 7.77.7 - 13.113.1 - 19.819.8 - 66.6

Casos00 - 7.77.7 - 13.113.1 - 19.819.8 - 66.6

Rincón cuzqueño. Oscar Allain.

TB EN EL CUSCO 2008

Huacachina III Autor: Venancio Shinki

TB MULTI-RESISTENTE EN EL SUR. 2009

LIMA ESTE

CALLAO

LIMA NORTE

LIMA SUR

Cercado de Lima

La Victoria

Lince

Pueblo Libre

Jesús MaríaSan Miguel

Miraflores

San BorjaSan Isidro

Breña

Surquillo

San Luis

Magdalena

OCEANO PACIFICO

99.97

174.7

47.68

47.1956.98

75.82

76.44

105.1

65.93

33.91

27.85

23.34

14.56

+ 101 51 - 100 - 50

TASA DISA V:

T. MORBIL.: 146.2

T. INCID. TBT: 120.8

T. INCID. TBP-FP: 70.3

LIMA ESTE

CALLAO

LIMA NORTE

LIMA SUR

Cercado de Lima

La Victoria

Lince

Pueblo Libre

Jesús MaríaSan Miguel

Miraflores

San BorjaSan Isidro

Breña

Surquillo

San Luis

Magdalena

OCEANO PACIFICO

99.97

174.7

47.68

47.1956.98

75.82

76.44

105.1

65.93

33.91

27.85

23.34

14.56

+ 101 51 - 100 - 50

TASA

+ 101 51 - 100 - 50

TASA DISA V:

T. MORBIL.: 146.2

T. INCID. TBT: 120.8

T. INCID. TBP-FP: 70.3

Tasa de Incidencia de Tuberculosis Pulmonar-

Frotis Positivo, según distritos.

DISA V Lima Ciudad, 2004.

Distribución de 146 casos de TB XDR de acuerdo a distrito en Lima y Callao, Perú:

2005 – Julio 2008

Fuente: Base NETLAB de INS.

PERCEPCION DEL PERU EN EL EXTRANJERO

13

CNN: Tuberculosis en Perú Dic. 2008

http://edition.cnn.com/video/?/video/international/2008/11/27/vital.signs.deadly.disease.bk.a.cnn

Web:

Controlling Tuberculosis in California: the Influence of Migration and the

Global TB Epidemic

Jennifer Flood, M.D., M.P.H. Chief, Surveillance and Epidemiology, Department of

Health Services

Tuberculosis Control Branch May 12, 2006

Tuberculosis Cases by Country of Origin: California, 2005

Country

Mexico Philippines Vietnam China India Korea, South Guatemala El Salvador Cambodia Laos Thailand Peru F. Soviet (Ukraine, Armenia, Soviet U)

No.

721439248 16012567 53 39 38 38 28 25 21

%

32.3 19.7 11.1 7.1 5.6 3.0 2.3 1.8 1.7 1.7 1.3 1.1 0.9

PERUANOS CON TB EN ESPAÑA

CASOS DE TB RESISTENTE EN ESPAÑA, SEGÚN LUGAR DE

ORIGEN

http://www.aspb.es/uitb/docs/Taller%20UITB%202005/Nuria%20Martin-Casabona.pdf

Peruanos con TB en Italia

PERUANOS EN USA

LUNG DISEASE Health Agency Spotlights Tuberculosis Problem... Reuters Health reported on July 23 that thousands of immigrants arrive in the United

States sick with tuberculosis or at risk for the contagious and deadly disease, which points to the need to improve efforts to find them, researchers said on Tuesday.

The Centers for Disease Control and Prevention in Atlanta found the highest rates of tuberculosis among immigrants and refugees born in Sub-Saharan African countries including Somalia and Ethiopia; from Southeast Asia including Cambodia and Vietnam; and from parts of Latin America such as Peru.

DRUG RESISTANT CASES Most troublesome are cases that are resistant to commonly used

antibacterial drug treatments. Around one out of five TB cases among U.S. immigrants from Vietnam, Peru, the Philippines and China were found to be drug-resistant, the study found.

The American Lung Association Weekly Breather, July 21st - July 25th, 2008

"By default, we grant health

passes to illegal aliens. Yet many

illegal aliens harbor fatal diseases

that American medicine fought and

vanquished long ago, such as

drug-resistant tuberculosis,

malaria, leprosy, plague, polio,

dengue, and Chagas disease."

“What is unseen is their [illegal aliens’]

free medical care that has degraded and

closed some of America’s finest

emergency medical facilities, and

caused hospital bankruptcies: 84

California hospitals are closing their

doors.”

—Madeleine Peiner Cosman, Ph.D., Esq.

―Illegal Aliens and American Medicine,‖

Journal of American Physicians and

Surgeons, Spring 2005 Migración y racismo

Immigration Can Kill You “Immigration and refugee policies in Canada are no longer just a joke. They are life-threatening to Canadians and to the rest of the

world.” Diane Francis, Jan 4 2000 - National Post

• In Montreal, a Peruvian ―refugee” and welfare recipient, Victor Miguel Sebastian-Rosales is similarly infected with Multi-Drug Resistant TB. He has defied two direct court orders, and resisted the efforts of 16 doctors, 18 nurses, 14 police officers, assorted ambulance attendants, interpreters, social workers, community workers, immigration inspectors and a lawyer who have tried to convince the man to take his medication. Still, Mr. Rosales refused, even after infecting his girlfriend’s 5-year-old daughter. On one occasion he spit in the face of ambulance driver despite knowing the nature of his condition. In desperation, the public health department applied to have the man incarcerated. Showing no regard for public health and safety, the judge has given Mr. Rosales yet another chance, warning that this behavior could reflect poorly on his citizenship bid.

http://www.canadafirst.net/immi-kill/immi_kill_flyer.html

There are also chapters on

drug-resistant tuberculosis in

Haiti, Peru and, ... the main

causes of the resurgence of

tuberculosis: HIV infection;

migration, ...

Casos transnacionales de TB drogo-resistente diagnosticado en personas que han vivido recientemente en Perú

Harvard Medical School, Open Society Institute. The global impact of drog-resistant tuberculosis. 1999

Casos transnacionales de TB drogo-resistente en Alemania y Holanda

Harvard Medical School, Open Society Institute. The global impact of drog-resistant tuberculosis. 1999