Evidence map›Paper›PMID 42746397›Full record

ArticleIJTLD open2026

Unequal recovery of TB notifications after COVID-19 in Colombia, 2018-2022.

S Valencia-Aguirre, C A Castaneda-Orjuela, L H Gaitán, C F Escobar, B S Cervera, A L García-Basteiro

Abstract read
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Article in IJTLD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

S Valencia-AguirreBarcelona Institute for Global Health (ISGlobal), Hospital Clínic of Barcelona, Universitat de Barcelona, Barcelona, Spain.
C A Castaneda-OrjuelaEpidemiology and Public Health Evaluation Group, Universidad Nacional de Colombia, Bogotá, Colombia.
L H GaitánBogota District Health Secretariat (Secretaria Distrital de Salud de Bogota), Bogota, Colombia.
C F EscobarBarcelona Institute for Global Health (ISGlobal), Hospital Clínic of Barcelona, Universitat de Barcelona, Barcelona, Spain.
B S CerveraParasites and Microbes, Wellcome Sanger Institute, Cambridge, UK.
A L García-BasteiroBarcelona Institute for Global Health (ISGlobal), Hospital Clínic of Barcelona, Universitat de Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic disrupted TB services and case notifications worldwide, but disaggregated analyses are needed to identify inequities in post-pandemic recovery.

methodsWe analysed national TB surveillance data from Colombia (January 2018-November 2022) using interrupted time-series models. Monthly notification rates were estimated overall and by sex, age, health insurance scheme, area of residence, and indigenous status. Models quantified the immediate change in March 2020, post-interruption trend changes, and divergence from counterfactual rates projected from pre-pandemic trends.

resultsNational notification rates fell by 17.1 cases per million in March 2020, a 45.0% reduction relative to expected values. Notifications subsequently increased and by November 2022 exceeded counterfactual projections by 13.2%. Disaggregated analyses showed heterogeneous recovery. Rates were 19.3% above expected among men versus 3.0% among women, and 13.1% among adults aged ≥15 years versus 4.0% among children aged <15 years. Notifications in the subsidised insurance scheme were ∼26% above expected, whereas those in the contributory scheme remained below expected. Urban rates exceeded projections, while rates for indigenous men remained below.

conclusionNational recovery masked persistent subgroup inequities, highlighting the need for disaggregated surveillance to guide equitable TB control after major health system shocks.

Indexed as

case notificationhealth inequitiesinterrupted time seriesLatin Americapublic health surveillancetuberculosis

Identifiers

PMID42746397
PMCPMC13577209

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