The EuroTB programme
for the surveillance of tuberculosis in Europe was set up
in 1996 to collect, analyse and disseminate data on tuberculosis
cases notified in the World Health Organization (WHO) European
Region. The objective of the programme is to obtain valid
and comparable information on the epidemiology of tuberculosis
in order to improve tuberculosis control in this region.
Following a feasibility
study performed on cases notified in 1995 [1,2],
a routine system of data collection has been implemented
since 1996. The programme is managed jointly by the European
Centre for the Epidemiological Monitoring of AIDS (CESES)
in Saint-Maurice, France and the Royal Netherlands Tuberculosis
Association (KNCV)
in The Hague, the Netherlands, and is financially supported
by the commission of the European Communities (DG
V).
Countries of the
WHO European Region are invited to participate on a voluntary
basis and requested to appoint a national correspondent.
The principles and methods are those recommended by a working
group set up by the WHO and the International Union against
Tuberculosis and Lung Disease (IUATLD) and approved by European country representatives [3,4]. The European definition of a notifiable case
of tuberculosis [3,4] is used (Box 1).
Information is collected on cases notified in each country
during the calendar year.
In order to take into account the time
required by each country to validate and close the yearly notification,
data are collected 10 to 12 months after the end of the calendar
year. Figures from previous years of report are not updated.
Individual anonymous computerised data
are requested (Box 2) The choice of the software is left to the country
concerned.
When individual data cannot be provided,
countries are requested to complete pre-defined tables including
the distribution of cases by categories of the relevant variables
(Box 3).
Material for data collection and correspondence
are prepared in English and Russian.
National correspondents are responsible
for the quality of the data provided.
Notification rates of incident tuberculosis
cases are calculated per 100 000 population, using United Nations
demographic estimates for the year of notification [5].
Notification rates may not fully reflect true tuberculosis
incidence rates due to underreporting and other problems.
Figures may slightly differ from those
published by WHO [6,7] because WHO figures are collected several
months prior to those collected by EuroTB, and as such, are
often provisional.