Max Rady College of Medicine

Exploring Tuberculosis Treatment, Management, and Prevention in Manitoba's Administrative Health Data

Lix LM, Plourde PJ, Larcombe L, Kinew KA, Basham CA, Derksen S, Srisakuldee W, Schultz J, McCulloch S. Winnipeg, MB: Manitoba Centre for Health Policy, 2018.

This report, produced in collaboration with First Nations partners, linked the Manitoba Tuberculosis (TB) Registry to other administrative health databases to investigate the health, healthcare use, and outcomes of people with active TB disease. In addition, we examined the health and outcomes of people receiving treatment for a latent (i.e., sleeping) TB infection; these people were identified from Manitoba’s prescription drug data. We looked at all active TB cases and treated latent TB cases in Manitoba spanning 15 years (1999-2014). People with active TB had high rates of health service use around the time of diagnosis. Persons with latent TB demonstrated treatment completion rates that may not be high enough to prevent TB from spreading, suggesting a need for better treatments that make it easier for patients to complete their treatment. The data tell us that there is still room for improvement in many areas to help identify persons with active and latent TB across Manitoba as early as possible. As well, funding for new technology and research is essential to help with monitoring new TB cases, so that healthcare providers can act quickly to curb the spread of TB. Manitoba has the highest rate of TB of all Canadian provinces. With adequate funding and the support of partners in TB monitoring and care, the goal of TB elimination in Manitoba is realistic.

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