Gender, Age and Origin Distributions Among Tuberculosis Patients in Misurata Chest Hospital


  • Mohamed A. Dow Community Medicine Department, Faculty of Medicine, Sirte University, Sirte, Libya
  • Fathi Amar Tuberculosis Clinic, Misurata Chest Hospital, Misurata, Libya


Tuberculosis in Libya, Tuberculosis and Gender, Tuberculosis and Immigration


More than 80% of the people suffering from TB live in sub-Saharan Africa or in Asia. HIV infection is the greatest risk factor for progression to TB disease in infected persons. Immigration is an important issue in public health and in the burden of TB disease. The aims of the present study are to estimate the prevalence of pulmonary TB (PTB) and HIV-PTB among native and immigrant population in Libya and to identify the association between various socio-economic variables (occupation, origin and age). A total of 743 PTB patients were attending the Tuberculosis department at Misurata chest hospital-Libya. Anonymous patient characteristics were collected from patient’s registry in the period from 2005 to 2007. The PTB prevalence was assessed to the relationship of socio-economic variables (occupational status, origin and age) and HIV-PTB was evaluated. The results showed that the prevalence of PTB tends to be higher in younger age. Furthermore, the majority of PTB immigrants were from sub-Sahara. The unemployed patients were vulnerable to PTB disease. 743 PTB patients in this study were originated from African and Asian countries as follow: 364 (49%) were from Libya, 344 (46.3%) were from 15 Sub-Saharan countries, 30 (4%) were from 4 North African countries and 5 (0.7%) was from tow Asian countries. The results showed that PTB patients tended to be younger and a higher percent of PTB patients were sub-Saharan patients.


World Health Organization. The World health report: changing history. 2004

American Thoracic Society. 2000. Diagnostic standards and classification of tuberculosis in Bissau: incidence in adults and children. Am J Respir Crit Care Med 161:1376-1395

Bishai WR, Graham NM, Harrington S, Pope DS, Hooper N, Astemborski J, Sheely L, Vlahov D, Glass GE, Chaisson RE. 1998. Molecular and geographic patterns of tuberculosis transmission after 15 years of directly observed therapy. JAMA 280:1679-1684.

Horna-Campos OJ, Sánchez-Pérez HJ, Sánchez I, Bedoya A, Martín M. 2007. Public transportation and pulmonary tuberculosis, Lima, Peru. Emerg Infect Dis 13:1491-1493

Manzardo C, Treviño B, Gómez i Prat J, Cabezos J, Monguí E, Clavería I, Luis Del Val J, Zabaleta E, Zarzuela F, Navarro R. 2008. Communicable diseases in the immigrant population attended to in a tropical medicine unit: epidemiological aspects and public health issues. Travel Med Infect Dis. 6:4-11

World Health Organization. World migration 2005. Chapter 5. Saadi R. 2005. Migration Dynamics and Dialogue in the Western Mediterranean. World migration 2005

European Centre for Disease Prevention and Control, 2009. Migrant health: Background note to the ‘ECDC Report on migration and infectious diseases in the EU’. ECDC. 2009

Codecasa LR, Porretta AD, Gori A, Franzetti F, Degli Esposti A, Lizioli A, Carreri V, Di Proietto MC, Perozziello F, Besozzi G. 1999. Tuberculosis among immigrants from developing countries in the province of Milan, 1993-1996. Int J Tuberc Lung Dis. 3:589-95.

Lillebaek T, Andersen AB, Bauer J, Dirksen A, Glismann S, de Haas P, Kok-Jensen A. 2001. Risk of M. tuberculosistransmission in a low-incidence country due to immigration from high-incidence areas. J Clin Microbiol. 39:855-861.

Lobato MN, Hopewell PC. 1998. M. tuberculosis infection after travel to or contact with visitors from countries with a high prevalence of tuberculosis. Am J Respir Crit Care Med; 158:1871-1875

World Health Organization. Global Tuberculosis Control: epidemiology, strategy, financing.

Geneve: World Health Organization; 2009

Neyrolles O, Quintana-Murci L. 2009. Sexual inequality in tuberculosis. PLoS Med. 6:1-6

Weiss MG, Sommerfeld J, Uplekar MW. 2008. Social and cultural dimensions of gender and tuberculosis. Int J Tuberc Lung Dis 12:829-830

Weiss MG, Sommerfeld J, Uplekar MW. 2008. Social and cultural dimensions of gender and tuberculosis. Int J Tuberc Lung Dis 12:829-830

Neyrolles O, Quintana-Murci L. 2009. Sexual inequality in tuberculosis. PLoS Med. 6:1-6

Song AT, Schout D, Novaes HM, Goldbaum M. 2003. Clinical and epidemiological features of AIDS/tuberculosis comorbidity. Rev Hosp Clin Fac Med Sao Paulo 58:207-214.