Editorials

HIV associated tuberculosis

BMJ 1997; 314 doi: http://dx.doi.org/10.1136/bmj.314.7098.1847 (Published 28 June 1997) Cite this as: BMJ 1997;314:1847

A barometer for wider tuberculosis control and prevention

  1. Richard Coker, Consultant physiciana,
  2. Rob Miller, Senior lecturerb
  1. a Departments of Genitourinary Medicine, HIV, and Respiratory Medicine, St Mary's Hospital NHS Trust, London W2 1NY
  2. b Division of Pathology and Infectious Diseases, University College London Medical School, London WC1E 6AU

    People who are infected with HIV are at an increased risk of contracting tuberculosis. The WHO estimates that just over 20 million people are currently infected with HIV and of these 6 million are co-infected with Mycobacterium tuberculosis. Worldwide there has been a resurgence of tuberculosis, mainly in developing countries but also in the United States and Europe. Between 1987 and 1993 tuberculosis rates increased by 35.5% in London (with the increase most notable in inner London) compared with 15% in England and Wales as a whole.1 2 However, it is unclear to what extent the prevalence of HIV associated tuberculosis has increased in the capital, largely because notification of tuberculosis in the HIV infected population is unreliable and probably underestimates the problem.3 Nosocomial spread has occurred in …

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