Please use this identifier to cite or link to this item: https://doi.org/10.1038/s41598-017-00081-3
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dc.titleSpatial dynamics of TB within a highly urbanised Asian metropolis using point patterns
dc.contributor.authorDas, S
dc.contributor.authorCook, A.R
dc.contributor.authorWah, W
dc.contributor.authorWin, K.M.K
dc.contributor.authorChee, C.B.E
dc.contributor.authorWang, Y.T
dc.contributor.authorHsu, L.Y
dc.date.accessioned2020-09-04T03:44:17Z
dc.date.available2020-09-04T03:44:17Z
dc.date.issued2017
dc.identifier.citationDas, S, Cook, A.R, Wah, W, Win, K.M.K, Chee, C.B.E, Wang, Y.T, Hsu, L.Y (2017). Spatial dynamics of TB within a highly urbanised Asian metropolis using point patterns. Scientific Reports 7 (1) : 36. ScholarBank@NUS Repository. https://doi.org/10.1038/s41598-017-00081-3
dc.identifier.issn2045-2322
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/174439
dc.description.abstractSingapore is a high-income country in a region with a high prevalence of tuberculosis. The Singapore Tuberculosis (TB) Elimination Program (STEP) was set up in 1997, and the better surveillance and clinical management practices initiated under STEP led to a decade-long decline in the incidence levels. However, incidence rates started to rise again since 2008. The reasons for this rise are unclear. This study involved a spatial analysis of the epidemiology of TB among Singapore residents. More than 30 000 cases reported during 1995–2011 and their residential addresses were analysed for spatial risk and spatial clustering, using spatial point pattern methodology. The principal factor responsible for the increasing resident TB incidence in Singapore is the changing age profile of the population. In particular the burgeoning population aged above 65 years accounts for the increase in reported cases. Singapore’s population has one of the world’s lowest fertility and mortality rates, and the elderly population is projected to grow substantially over the next few decades. Tuberculosis rates may therefore continue to rise even with static or improving case management and surveillance. © The Author(s) 2017.
dc.publisherNature Publishing Group
dc.sourceUnpaywall 20200831
dc.subjectage
dc.subjectdemography
dc.subjecthuman
dc.subjectincidence
dc.subjectlung tuberculosis
dc.subjectSingapore
dc.subjecturban population
dc.subjectAge Factors
dc.subjectDemography
dc.subjectHumans
dc.subjectIncidence
dc.subjectSingapore
dc.subjectTuberculosis, Pulmonary
dc.subjectUrban Population
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1038/s41598-017-00081-3
dc.description.sourcetitleScientific Reports
dc.description.volume7
dc.description.issue1
dc.description.page36
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