Surveillance Center, RIT, JATA Monthly Report of Tuberculosis Surveillance, Japan January, 216 The reporting and recording of tuberculosis () and Latent Infection (LI) are managed at public health centers (PHCs) by the nationwide computerized surveillance system in Japan. A monthly report is compiled from the database automatically and regularly on 4 th Friday of the next month, and an annual report is also produced much like the monthly report, but with sufficient time for data correction. Tables and figures shown in the monthly reports are as follows. Figures Figure 1. of newly notified cases by month, Japan, 216 Figure 2. cases by sex and age, Japan, summation (-) 216 Figure 3. Notification rate of cases by sex and age, Japan, summation (-) 216 Figure 4. Notification rate of by prefecture, Japan, summation (-) 216 Figure 5. Notification rate of by major city, Japan, summation (-) 216 Figure 6. of LI, Japan, 216 Figure 7. of LI by sex and age group, Japan, summation (-) 216 Tables Table 1. cases and rates by sex and age, Japan, 216 Table 2. sputum smear positive pulmonary cases and rates by sex and age, Japan, 216 Table 3. cases and rates by prefecture, Japan, 216 Table 4. cases and rates by major city, Japan, 216 Table 5. LI cases and rates by sex and age, Japan, 216 Table 6. LI cases and rates by prefecture, Japan, 216 Table 7. LI cases and rates by major city, Japan, 216 1
Figure 1. of newly notified cases by month, Japan, 213-216 All forms Sputum smear (+) pulmonary 2, 7 1,75 6 213 214 215 216 1,5 1,25 5 1, 1 2 3 4 5 6 7 8 9 1 11 12 Month 4 1 2 3 4 5 6 7 8 9 1 11 12 Month 2
Figure 2. patients by sex and age, Japan, summation (-) 216 2 18 16 14 12 All forms 8 7 6 5 total Male Female Sputum smear (+) pulmonary 1 4 8 6 4 2 3 2 1 ~4 5~9 1~14 15~19 2~24 25~29 3~34 35~39 4~44 45~49 5~54 55~59 6~64 65~69 7~74 75~79 8~84 85~89 9~ ~4 5~9 1~14 15~19 2~24 25~29 3~34 35~39 4~44 45~49 5~54 55~59 6~64 65~69 7~74 75~79 8~84 85~89 9~ Age (yrs) Age (yrs) Figure 3.Notification rate of cases by sex and age, Japan, summation (-) 216 per 1, All forms per 1, Sputum smear (+) pulmonary 225 9 2 8 175 15 125 7 6 5 Male Female 1 4 75 3 5 2 25 1 ~4 5~9 1~14 15~19 2~24 25~29 3~34 35~39 4~44 45~49 5~54 55~59 6~64 65~69 7~74 75~79 8~84 85~89 9~ ~4 5~9 1~14 15~19 2~24 25~29 3~34 35~39 4~44 45~49 5~54 55~59 6~64 65~69 7~74 75~79 8~84 85~89 9~ Age (yrs) Age (yrs) 3
Figure 4. Notification rates of by prefecture, Japan, summation (-) 216 per 1, 25 2 15 1 5 Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Figure 5. Notification rates of major city, Japan, summation (-) 216 per 1, 4 3 2 1 Sapporo C. Sendai C. Saitama C. Chiba C. Yokohama C. Kawasaki C. Sagamihara C. Niigata C. Shizuoka C. Hamamatsu C. Nagoya C. Kyoto C. Osaka C. Sakai C. Kobe C. Okayama C. Hiroshima C. Kitakyushu C. Fukuoka C. Kumamoto C. 23-ku area of Tokyo 4
Figure 6. of LI, Japan, 213-216 8 Figure 7. of LI by sex and age group, Japan, summation (-) 216 5 7 4 6 5 213 214 215 216 3 2 Male Female 4 1 3 1 2 3 4 5 6 7 8 9 1 11 12 ~4 5~9 1~14 15~19 2~24 25~29 3~34 35~39 4~44 45~49 5~54 55~59 6~64 65~69 7~74 75~79 8~84 85~89 9~ Month Age (yrs) 5
Table 1. cases and rates by sex and age, Japan, 216 Notification rate (per 1,) Male Female Male Female Male Female 1,177 712 465 1,177 712 465 11.1 13.8 8.5 ~4 1 1 1 1.2.4. 5~9 1 1 1 1.2..5 1~14... 15~19 7 2 5 7 2 5 1.4.8 2. 2~24 43 29 14 43 29 14 8.3 1.9 5.6 25~29 45 27 18 45 27 18 8.1 9.5 6.6 3~34 38 19 19 38 19 19 6.1 6. 6.2 35~39 31 22 9 31 22 9 4.3 6. 2.5 4~44 31 2 11 31 2 11 3.8 4.8 2.7 45~49 32 21 11 32 21 11 4.5 5.8 3.1 5~54 31 22 9 31 22 9 4.8 6.8 2.8 55~59 39 3 9 39 3 9 6.1 9.5 2.8 6~64 62 45 17 62 45 17 8.3 12.3 4.5 65~69 79 56 23 79 56 23 1.4 15.2 5.8 7~74 98 61 37 98 61 37 14.8 19.8 1.5 75~79 146 87 59 146 87 59 27.9 37.7 2.2 8~84 173 18 65 173 18 65 42.6 66.7 26.7 85~89 192 98 94 192 98 94 75.2 114.2 55.5 9~ 128 64 64 128 64 64 89.5 2.6 57.6 Temporary registrants = 39, of registrants and temporary registrants = 1,216 Rate: summation / (population*1/12)*1, Population: as of 1st Oct. 214 Table 2. sputum smear positive pulmonary cases ans rates by sex and age, Japan, 216 Notification rate (per 1,) Male Female Male Female Male Female 418 27 148 418 27 148 3.9 5.2 2.7 ~4... 5~9... 1~14... 15~19 1 1 1 1.2.4. 2~24 8 6 2 8 6 2 1.5 2.3.8 25~29 12 7 5 12 7 5 2.2 2.5 1.8 3~34 8 4 4 8 4 4 1.3 1.3 1.3 35~39 6 5 1 6 5 1.8 1.4.3 4~44 9 8 1 9 8 1 1.1 1.9.2 45~49 6 5 1 6 5 1.8 1.4.3 5~54 15 14 1 15 14 1 2.3 4.3.3 55~59 17 13 4 17 13 4 2.7 4.1 1.2 6~64 25 2 5 25 2 5 3.3 5.4 1.3 65~69 2 15 5 2 15 5 2.6 4.1 1.3 7~74 38 25 13 38 25 13 5.8 8.1 3.7 75~79 56 38 18 56 38 18 1.7 16.5 6.2 8~84 6 46 14 6 46 14 14.8 28.4 5.7 85~89 77 36 41 77 36 41 3.2 42. 24.2 9~ 6 27 33 6 27 33 41.9 84.6 29.7 Rate: summation / (population*1/12)*1, Population: as of 1st Oct. 214 6
Table 3. cases and rates by prefecture, Japan, 216 Notification rate (per 1,) Sputum smear (+) Sputum smear (+) Sputum smear (+) 1,177 418 1,177 418 11.1 3.9 Hokkaido 31 9 31 9 6.9 2. Aomori 17 6 17 6 15.4 5.5 Iwate 1 3 1 3 9.3 2.8 Miyagi 14 5 14 5 7.2 2.6 Akita 1 1 1 1 11.6 1.2 Yamagata 4 4 4.2. Fukushima 9 2 9 2 5.6 1.2 Ibaraki 24 11 24 11 9.9 4.5 Tochigi 12 1 12 1 7.3.6 Gunma 12 3 12 3 7.3 1.8 Saitama 61 15 61 15 1.1 2.5 Chiba 6 24 6 24 11.6 4.6 Tokyo 163 55 163 55 14.6 4.9 Kanagawa 77 3 77 3 1.2 4. Niigata 15 5 15 5 7.8 2.6 Toyama 3 3 3 3 3.4 3.4 Ishikawa 2 2 2.1. Fukui 6 2 6 2 9.1 3. Yamanashi 1 1 1.4. Nagano 18 8 18 8 1.2 4.6 Gifu 31 12 31 12 18.2 7.1 Shizuoka 21 11 21 11 6.8 3.6 Aichi 64 27 64 27 1.3 4.3 Mie 14 3 14 3 9.2 2. Shiga 7 4 7 4 5.9 3.4 Kyoto 32 15 32 15 14.7 6.9 Osaka 139 61 139 61 18.9 8.3 Hyogo 47 17 47 17 1.2 3.7 Nara 1 6 1 6 8.7 5.2 Wakayama 11 4 11 4 13.6 4.9 Tottori 5 5 1.5. Shimane.. Okayama 17 6 17 6 1.6 3.7 Hiroshima 26 8 26 8 11. 3.4 Yamaguchi 17 4 17 4 14.5 3.4 Tokushima 6 2 6 2 9.4 3.1 Kagawa 16 3 16 3 19.6 3.7 Ehime 6 1 6 1 5.2.9 Kochi 8 1 8 1 13. 1.6 Fukuoka 57 19 57 19 13.4 4.5 Saga 6 1 6 1 8.6 1.4 Nagasaki 9 4 9 4 7.8 3.5 Kumamoto 17 6 17 6 11.4 4. Oita 2 5 2 5 2.5 5.1 Miyazaki 8 2 8 2 8.6 2.2 Kagoshima 15 6 15 6 1.8 4.3 Okinawa 19 7 19 7 16. 5.9 Rate: summation / (population*1/12)*1, Population: as of 1st Oct. 214 7
Table 4. cases and rates by major city, Japan, 216 Notification Rate (per 1,) Sputum Smear(+) Sputum Smear(+) Sputum Smear(+) 467 189 467 189 15.4 6.2 Sapporo City 13 4 13 4 8. 2.5 Sendai City 9 3 9 3 1.1 3.4 Saitama City 1 2 1 2 9.5 1.9 Chiba City 12 4 12 4 14.9 5. Yokohama City 41 18 41 18 13.3 5.8 Kawasaki City 19 5 19 5 15.6 4.1 Sagamihara City 2 2 3.3. Niigata City 6 4 6 4 8.9 5.9 Shizuoka City 6 3 6 3 1.2 5.1 Hamamatsu City 5 2 5 2 7.6 3. Nagoya City 42 22 42 22 22.1 11.6 Kyoto City 22 12 22 12 18. 9.8 Osaka City 68 33 68 33 3.4 14.7 Sakai City 1 6 1 6 14.3 8.6 Kobe City 17 4 17 4 13.3 3.1 Okayama City 4 2 4 2 6.7 3.4 Hiroshima City 13 4 13 4 13.2 4. Kitakyushu City 17 6 17 6 21.2 7.5 Fukuoka City 2 7 2 7 15.8 5.5 Kumamoto City 8 3 8 3 13. 4.9 23-ku area of Tokyo 123 45 123 45 16.2 5.9 Rate: summation / (population*1/12)*1, Population: as of 1st Oct. 214 Major city: city with a population of one million or more. Table 4 is a re-count of Table 3. Table 5. LI cases and rates by sex and age, Japan, 216 (Ratio) LI/Newly notifid cases Male Female Male Female Male Female 395 194 21 395 194 21.3.3.4 ~4 26 12 14 26 12 14 26. 12. - 5~9 7 3 4 7 3 4 7. - 4. 1~14 9 6 3 9 6 3 - - - 15~19 8 6 2 8 6 2 1.1 3..4 2~24 17 9 8 17 9 8.4.3.6 25~29 24 15 9 24 15 9.5.6.5 3~34 21 7 14 21 7 14.6.4.7 35~39 28 13 15 28 13 15.9.6 1.7 4~44 26 1 16 26 1 16.8.5 1.5 45~49 23 13 1 23 13 1.7.6.9 5~54 44 17 27 44 17 27 1.4.8 3. 55~59 22 8 14 22 8 14.6.3 1.6 6~64 31 17 14 31 17 14.5.4.8 65~69 35 16 19 35 16 19.4.3.8 7~74 25 11 14 25 11 14.3.2.4 75~79 27 22 5 27 22 5.2.3.1 8~84 18 8 1 18 8 1.1.1.2 85~89 4 1 3 4 1 3... 9~... LI: latent Infection of LI is not included in the newly notified patients 8
Table 6. LI cases and rates by prefecture, Japan, 216 LI LI (Ratio) LI /new 395 395.34 Hokkaido 9 9.29 Aomori 11 11.65 Iwate 2 2.2 Miyagi 18 18 1.29 Akita 1 1.1 Yamagata 1 1.25 Fukushima 2 2.22 Ibaraki 3 3.13 Tochigi. Gunma 1 1.8 Saitama 41 41.67 Chiba 17 17.28 Tokyo 55 55.34 Kanagawa 25 25.32 Niigata 7 7.47 Toyama 1 1.33 Ishikawa 2 2 1. Fukui. Yamanashi. Nagano 5 5.28 Gifu 4 4.13 Shizuoka 6 6.29 Aichi 1 1.16 Mie 2 2.14 Shiga 3 3.43 Kyoto 4 4.13 Osaka 66 66.47 Hyogo 15 15.32 Nara 6 6.6 Wakayama 4 4.36 Tottori. Shimane 1 1 - Okayama 5 5.29 Hiroshima 5 5.19 Yamaguchi 4 4.24 Tokushima. Kagawa 1 1.6 Ehime 1 1.17 Kochi. Fukuoka 16 16.28 Saga 1 1.17 Nagasaki 2 2.22 Kumamoto 8 8.47 Oita 22 22 1.1 Miyazaki 3 3.38 Kagoshima. Okinawa 5 5.26 LI: Latent Infection of LI is not included in the newly notified patients. 9
Table 7. LI cases and rates by major city, Japan, 216 LI (Ratio) LI LI /new 145 145.31 Sapporo City 3 3.23 Sendai City 13 13 1.44 Saitama City 2 2.2 Chiba City 1 1.8 Yokohama City 1 1.24 Kawasaki City 4 4.21 Sagamihara City 1 1.5 Niigata City 7 7 1.17 Shizuoka City 1 1.17 Hamamatsu City 2 2.4 Nagoya City 5 5.12 Kyoto City 4 4.18 Osaka City 25 25.37 Sakai City 1 1.1 Kobe City 4 4.24 Okayama City 4 4 1. Hiroshima City 1 1.8 Kitakyushu City 2 2.12 Fukuoka City 7 7.35 Kumamoto City 6 6.75 23-ku area of Tokyo 42 42.34 LI: Latent Infection of LI is not included in the newly nottified patients, Major city: city with a population of one million or more Table 7 is a re-count of Table 6 1