ArticleBMC public health2023
Tuberculosis in older adults: case studies from four countries with rapidly ageing populations in the western pacific region.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 26 citations in OpenAlex.
- Tuberculosis epidemiology and programmatic progress in the WHO Western Pacific Region, 2010-2024: an analysis of surveillance data.Tropical medicine and health · 2026Article
- Programmatic approaches to screening for tuberculosis disease: a situational analysis of seven countries in the Western Pacific Region.Tropical medicine and health · 2025Article
- The impact of population ageing on tuberculosis incidence, mortality, and case fatality in South Korea: a nationwide retrospective study.ERJ open research · 2025Article
- A Clinical Prediction Model for Atypical Tuberculosis Manifestations Among Older Adults.Medicina (Kaunas, Lithuania) · 2025Article
- Burden of pulmonary tuberculosis among Ethiopians seeking jobs in the Middle East: a retrospective study.BMC public health · 2025Article
- The Impact of Social Factors on the Duration of Hospitalization for Tuberculosis.Journal of clinical medicine · 2025Article
- Integrating Early Tuberculosis States Into Contact Management in Peru.JAMA network open · 2025Article
- Assessment of Risk Factors for Death in Older Adult Patients With TB in Japan.CHEST pulmonary · 2025Article
- The impact of population aging on tuberculosis prevention and control in Shanghai: a prediction based on age-period-cohort models.Aging clinical and experimental research · 2025Article
- The Western Pacific Regional Framework to End TB: overview and critical reflection.IJTLD open · 2025Review
- Genomic characteristics of prospectively sequencediScience · 2024Article
- Timing and predictors of death during treatment in patients with multidrug/rifampin-resistant tuberculosis in South Korea.The Korean journal of internal medicine · 2024Article
- Changing epidemic of tuberculosis amidst the COVID-19 pandemic in the Western Pacific Region: analysis of tuberculosis case notifications and treatment outcomes from 2015 to 2022.The Lancet regional health. Western Pacific · 2024Article
- High all-cause mortality and increasing proportion of older adults with tuberculosis in Texas, 2008-2020.Epidemiology and infection · 2024Article
- Article
- Reduced bacillary load in elderly patients with active extrapulmonary and pulmonary tuberculosis in Peru: analysis of confirmatory culture after acid-fast bacilli test.Frontiers in microbiology · 2024Article
- Ending Tuberculosis in Older People: New Strategies for an Age-old Disease.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Correction: Tuberculosis in older adults: case studies from four countries with rapidly ageing populations in the western pacific region.BMC public health · 2023Article
- Tuberculosis and COVID-19 in the elderly: factors driving a higher burden of disease.Frontiers in immunology · 2023Review
- Tuberculosis in elderly Australians: a 10-year retrospective review.Western Pacific surveillance and response journal : WPSARArticle
Corrections and comments
- Erratum issued
Authors and funding
21 authors at 10 institutions in 8 countries.
Funding
Abstract
backgroundThe Western Pacific Region has one of the fastest-growing populations of older adults (≥ 65 years) globally, among whom tuberculosis (TB) poses a particular concern. This study reports country case studies from China, Japan, the Republic of Korea, and Singapore reflecting on their experiences in managing TB among older adults.
findingsAcross all four countries, TB case notification and incidence rates were highest among older adults, but clinical and public health guidance focused on this population was limited. Individual country reports illustrated a range of practices and challenges. Passive case finding remains the norm, with limited active case finding (ACF) programs implemented in China, Japan, and the Republic of Korea. Different approaches have been trialled to assist older adults in securing an early diagnosis, as well as adhering to their TB treatment. All countries emphasised the need for person-centred approaches that include the creative application of new technology and tailored incentive programs, as well as reconceptualisation of how we provide treatment support. The use of traditional medicines was found to be culturally entrenched among older adults, with a need for careful consideration of their complementary use. TB infection testing and the provision of TB preventive treatment (TPT) were underutilised with highly variable practice.
conclusionOlder adults require specific consideration in TB response policies, given the burgeoning aging population and their high TB risk. Policymakers, TB programs and funders must invest in and develop locally contextualised practice guidelines to inform evidence-based TB prevention and care practices for older adults.
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