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Countries with high occurrence of tuberculosis

People from countries with a high occurrence of tuberculosis are obliged to undergo tuberculosis testing if they intend to stay more than three months in Norway, and their children will be offered BCG vaccination. The Norwegian Institute of Public Health maintains the list over which countries are considered to be high occurrence countries. From March 2017, there is a distinction between high and very high occurrence to help target screening for latent tuberculosis.

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Tuberkulose global oversikt.

What does "high occurrence" mean?

According to the Norwegian regulations for tuberculosis control, the Norwegian Institute of Public Health must state which countries have a high occurrence of tuberculosis.

Countries with high occurrence are based on estimates from the World Health Organization (WHO) based on resistance evaluation and incidence in Norway. The list was last updated in December 2016.

Since February 2013, countries with an incidence of tuberculosis of 40 or more cases per 100,000 inhabitants per year, or countries with a high incidence of multi-drug resistant (MDR) tuberculosis, are considered to have a high tuberculosis occurrence.

Since March 2017, there is a distinction between high and very high occurrence of tuberculosis. Occurrence of over 200 cases per 100,000 inhabitants is considered to be very high. Afghanistan and Eritrea are included in this group because of high incidence in Norway. The reason for the change is that the test for latent tuberculosis (IGRA) among young adults is being limited to only include new arrivals from countries with high occurrence.

Obligatory tuberculosis testing

These people are required to undergo tuberculosis testing:

  • People arriving from countries with high occurrence if they intend to stay for more than three months in Norway. Children will be offered the BCG-vaksine.
  • All refugees and asylum seekers, even if they come from countries that are not on the list of high occurrence countries. 

Alphabetical list of countries with high and very high occurrence

The table gives an alphabetical overview of countries with high occurrence, updated 1.3.2017. The countries with very high occurrence are marked in bold. 

Countries with high TB occurrence - alphabetical
 A-C D-J K-M N-S T-Z

Afghanistan 
Algeria 
Angola 
Armenia 
Azerbaijan 

Bangladesh 
Belarus 
Benin 
Bhutan 
Bolivia 
Bosnia-Herzegovina 
Botswana 
Brazil 
Brunei Darussalam
Burkina Faso 
Burma (Myanmar) 
Burundi 

Cambodia 
Cameroon 
Cape Verde 
Central African Republic
Chad 
China 
Congo-Brazzaville 
(Republic of the Congo) 
Congo-Kinshasa 
(Democratic Republic of 
the Congo) 
Côte d'Ivoire (Ivory Coast)

 

Djibouti 
Dominican Republic

East Timor 
Ecuador 
Equatorial Guinea 
Eritrea 
Ethiopia

Fiji

Gabon 

Gambia 
Georgia 
Ghana 
Greenland (Denmark) 
Guam 
Guatemala 
Guinea 
Guinea-Bissau 
Guyana 

Haiti 
Honduras 

India 
Indonesia 
Iraq 

Kazakhstan 
Kenya 
Kiribati 
Kosovo 
Kyrgyzstan 

Laos 
Latvia 
Lesotho 
Liberia 
Libya 
Lithuania 

Madagascar 
Malawi 
Malaysia 
Mali 
Mariana Islands
Marshall Islands 
Mauritania 
Micronesia 
Moldova 
Mongolia 
Morocco 
Mozambique 
Myanmar (Burma)

Namibia 
Nauru
Nepal 
Niger 
Nigeria 
North Korea

Pakistan 
Palau 
Panama 
Papua New Guinea 
Paraguay 
Peru 
Philippines 

Romania 
Russia 
Rwanda 

São Tomé and
 Principe
Senegal
Sierra Leone
Singapore
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Sri Lanka
Sudan
Swaziland 



Taiwan 
Tajikistan 
Tanzania 
Thailand 
Togo 
Turkmenistan 
Tuvalu 

Uganda 
Ukraine 
Uzbekistan 

Vanuatu 
Vietnam 

Yemen 

Zambia 
Zimbabwe

Out of the list

Countries no longer considered to be of high occurrence in December 2016 include Belize, Estonia and Surinam.

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