Page 97 - ANUAL REPORT MOH 2017

TB & LEPROSY SECTOR

• National Tuberculosis Control Program
Malaysia is committed with WHO End TB Strategy to end the global TB epidemic by 2035. To strengthen
this battle against TB, the National Strategic Plans (NSP) to Control TB (2016 to 2020) has been
developed and shall be the national guiding principles in control of TB towards achieving The End TB
Strategy goals.

Total number of notified TB cases for 2017 was 26,168 cases (NR 80.7 per 100,000 populations),
increment two (2) per cent compared to 25,739 cases (NR 81.3 per 100,000 populations) in 2016.
Number of TB deaths increased from 1,945 deaths (Mortality Rate (MR) 6.1 per 100,000 populations)
in 2016 to 2,098 deaths (MR 6.5 per 100,000 populations) in 2017.

• Tuberculosis Surveillance
Of the 26,168 TB cases notified in 2017, 23,991 (91.7 per cent) were new cases, 1,479 (5.6 per cent)
relapse cases, 593 (2.3 per cent) treatment after default cases and 105 (0.4 per cent) treatment after
failure case. Of these 26,168 cases, 15,655 (59.8 per cent) were pulmonary TB smear positive cases,
5,757 (22.0 per cent were either pulmonary TB smear negative, smear not done or not known cases,
3,913 (15.0 per cent) were extra-pulmonary TB cases and 843 (3.1 per cent) were pulmonary TB and
extra-pulmonary TB.

Sabah contributed the highest number of TB cases i.e. 5,106 cases (19.5 per cent) followed by Selangor
4,916 cases (18.8 per cent) and Sarawak 2,797 cases (10.7 per cent). Highest proportion of TB cases
are among age group are the age group of 25-34 years old with 4,862 cases (18.5 per cent). There
were 3133 cases of TB among non-Malaysian which account for 12 per cent from total cases. TB cases
among non-Malaysian increased from 2,978 cases in 2016 to 3,133 cases in 2017.

For 2017, 22,848 (87.3 per cent) among notified TB cases underwent HIV screening. Of these 22,848
cases, 1463 cases (6.4 per cent) were HIV positive. 379 of TB-HIV cases (26 per cent) received HAART
and 110 cases (8 per cent) received CPT. Nearly one fifth of TB patients had co-morbid Diabetes. TB
patients with diabetes increased from 4192 cases in 2014 to 4,404 (18.2 per cent) cases in 2015, 4,623
(18.0 per cent) cases in 2016 and 4959 (19 per cent) in 2017.

TB cases among Ministry of Health healthcare worker for 2017 were 289 cases compared to 286 cases
in 2016. NR of TB among HCW was 118.0 per 100,000 HCWs in 2017 compared to 119.6 per 100,000
HCWs in 2016. There were 110 cases of MDR-TB notified in the year 2017 with proportion of 0.4 per
cent of all notified TB cases in 2017.

• Tuberculosis Treatment Outcome Analysis
Cohort analysis of new and relapse cases from year 2013 to 2016 showed that treatment success
rate had improved from 76.3 per cent (cohort 2013) to 81.8 per cent (cohort 2016). When analysed
separately, treatment success rate among Malaysian for cohort 2016 was 84 per cent and among
non-Malaysian was 65 per cent.

96 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA