Tuberculosis (TB) is caused by the bacterium times more likely to become sick with TB. Risk of
Mycobacterium tuberculosis, that most often active TB is also greater in persons suffering
affect the lungs. Tuberculosis is curable and from other conditions that impair the immune
preventable. system.
TB is spread from person to person through the Over half a million children (0-14 years) fell ill
air. When people with lung TB cough, sneeze or with TB, and 80 000 HIV-negative children died
spit, they propel the TB germs into the air. A from the disease in 2013.
person needs to inhale only a few of these Tobacco use greatly increases the risk of TB
germs to become infected. disease and death. More than 20% of TB cases
worldwide are attributable to smoking.
About one-third of the world's population has
latent TB, which means people have been in- Symptoms
fected by TB bacteria but are not (yet) ill with the Common symptoms of active lung TB are cough
disease and cannot transmit the disease. with sputum and blood at times, chest pains,
People infected with TB bacteria have a lifetime weakness, weight loss, fever and night sweats.
Contents Page
1. Leading Article Tuberculosis 1
2. Summary of selected notifiable diseases reported - (14th 20th March 2015) 3
3. Surveillance of vaccine preventable diseases & AFP - (14th 20th March 2015) 4
WER Sri Lanka - Vol. 42 No. 13 21st March 27th 2015
Treatment with TB & accelerate progress towards the bold goal of ending
TB is a treatable and curable disease. Active, drug-sensitive TB by 2035.
TB disease is treated with a standard six-month course of four Sri Lankan Situation
antimicrobial drugs that are provided with information, supervi-
Sri Lanka is among the low TB prevalence countries in the
sion and support to the patient by a health worker or trained
South East Asia region. The estimated prevalence rate of all
volunteer. Without such supervision and support, treatment
forms of TB was 103 per 100,000 population. Sri Lanka has
adherence can be difficult and the disease can spread. The
reached & sustained the target of 85% treatment success rate
vast majority of TB cases can be cured when medicines are
among all new TB cases since 2004.
provided and taken properly.
Table 1-TB burden in Sri Lanka 2013
Between 2000 and 2013, an estimated 37 million lives were
saved through TB diagnosis and treatment.
Multidrug-resistant TB
Standard anti-TB drugs have been used for decades, and re-
sistance to the medicines is widespread. Disease strains that
are resistant to a single anti-TB drug have been documented in
every country surveyed.
In some cases more severe drug resistance can develop. Ex- lishment of two regional TB culture laboratories in Galle &
tensively drug-resistant TB (XDR-TB) is a form of multi-drug Jaffna, strengthening central and peripheral level monitoring
resistant tuberculosis that responds to even fewer available mechanisms and many others. The government provides the
medicines, including the most effective second-line anti-TB major part of funding for the TB programme with additional
Page 2
RDHS Dengue Fever Dysentery Encephalit Enteric Fever Food Leptospirosi Typhus Fever Viral Human Chickenpox Meningitis Leishmani- WRCD
Division is Poisoning s Hepatitis Rabies asis
A B A B A B A B A B A B A B A B A B A B A B A B T* C**
Page 3
Colombo 102 3273 3 54 0 4 2 22 1 20 11 68 0 1 0 14 1 2 20 124 2 9 0 0 75 25
Gampaha 42 1448 1 21 0 2 0 7 0 10 8 125 0 3 5 48 0 0 4 47 1 5 0 0 53 47
Kalutara 16 542 0 27 1 3 0 14 0 13 12 94 0 0 0 9 0 1 4 79 0 10 0 0 77 23
Kandy 5 412 0 34 0 0 0 9 0 1 0 14 0 17 0 49 0 0 0 62 0 4 0 1 13 87
Matale 6 276 1 18 0 0 0 3 0 3 1 17 0 3 0 11 0 0 3 7 0 2 0 3 85 15
NuwaraEliya 2 72 10 78 0 1 0 5 0 0 0 8 1 23 1 31 0 0 0 16 1 18 0 0 92 8
Galle 0 282 0 23 0 0 0 2 0 6 0 54 0 22 0 4 0 0 0 59 0 13 0 0 5 95
Hambantota 6 114 0 9 0 0 0 4 0 4 9 28 0 13 0 15 0 0 1 23 0 4 23 87 67 33
WER Sri Lanka - Vol. 42 No. 13
Kilinochchi 2 32 1 28 0 0 0 3 0 25 0 1 1 6 0 0 0 0 0 8 0 0 0 0 75 25
Mannar 1 67 0 2 0 0 0 4 0 1 0 8 2 14 0 0 0 0 0 0 0 0 0 0 80 20
Vavuniya 3 53 0 8 0 4 3 17 0 2 0 9 0 10 0 1 0 0 0 4 1 3 1 1 100 0
Mullaitivu 1 60 1 9 1 2 1 3 0 1 0 2 0 5 0 1 0 0 0 1 0 2 0 2 80 20
Batticaloa 32 816 6 60 1 3 0 6 0 0 0 2 0 0 0 0 0 0 2 12 1 10 0 0 71 29
Ampara 0 19 0 16 0 0 0 0 0 0 2 5 0 0 0 0 0 0 7 63 0 3 0 0 57 43
Trincomalee 6 260 0 10 0 0 0 14 0 22 0 5 0 2 0 1 0 0 0 20 0 2 0 0 50 50
Puttalam 1 354 1 13 0 2 0 1 0 6 1 17 0 7 0 1 0 0 2 25 0 6 1 1 69 31
Table 1: Selected notifiable diseases reported by Medical Officers of Health
Anuradhapura 3 216 2 20 0 1 0 0 1 34 4 95 0 10 0 6 0 0 5 46 0 10 2 63 63 37
Polonnaruwa 2 105 3 20 1 2 0 5 0 0 2 36 0 1 0 3 0 0 3 40 0 11 1 29 71 29
Badulla 3 274 0 43 0 1 0 3 0 4 1 19 2 29 1 39 0 2 2 35 2 15 1 4 65 35
Monaragala 4 86 1 34 0 1 0 8 0 2 2 75 0 23 1 16 1 1 3 31 1 5 0 8 91 9
Kalmune 3 328 1 37 0 0 0 0 1 13 0 2 0 0 0 0 0 0 1 40 0 2 0 0 85 15
SRILANKA 333 11278 55 932 7 43 22 288 13 241 75 991 20 679 10 430 2 6 94 1079 11 173 31 242 68 32
Source: Weekly Returns of Communicable Diseases (WRCD).
*T=Timeliness refers to returns received on or before 20th March , 2015 Total number of reporting units 337 Number of reporting units data provided for the current week: 233 C**-Completeness
21st March 27th 2015
14th 20th Mar 2015 (12th Week)
WER Sri Lanka - Vol. 42 No. 13 21st March 27th 2015
Table 2: Vaccine-Preventable Diseases & AFP 14th 20th March 2015 (12th Week)
Disease No. of Cases by Province Number of Number of Total Total num- Difference
cases cases number of ber of between the
during during cases to cases to number of
current same date in date in cases to date
W C S N E NW NC U Sab week in week in 2015 2014 in 2014& 2015
2015 2014
AFP* 01 00 01 00 00 00 00 01 00 03 03 18 22 -18.1%
Diphtheria 00 00 00 00 00 00 00 00 00 00 00 00 00 %
Rubella 00 00 00 00 00 00 00 00 00 00 01 04 05 -20%
CRS** 00 00 00 00 00 00 00 00 00 00 00 00 00 %
Tetanus 00 00 00 00 00 00 00 00 00 00 01 03 06 -50%
Neonatal Teta- 00 00 00 00 00 00 00 00 00 00 00 00 00 %
nus
Whooping 00 00 00 00 00 00 00 00 00 00 02 23 15 +53.3%
Cough
Dr. P. PALIHAWADANA
CHIEF EPIDEMIOLOGIST
EPIDEMIOLOGY UNIT
231, DE SARAM PLACE
COLOMBO 10