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  • Countries with high tuberculosis incidence

Article

Countries with high tuberculosis incidence

List of countries with a high incidence of tuberculosis. People from these countries are required to undergo tests for tuberculosis.

verdenskart
Illustrasjonsfoto: Colourbox.com

List of countries with a high incidence of tuberculosis. People from these countries are required to undergo tests for tuberculosis.


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

Alphabetical list of countries with high and very high incidence

The table gives an alphabetical overview of countries with high and very high incidence. The countries with particularly high incidence are marked in bold. 

Table 1. Countries with high TB incidence - alphabetical
 A-E F-L  M-R  S-Z

Afghanistan      

Algeria

Angola

Azerbaijan

 

Bangladesh

Benin

Bhutan

Bolivia

Botswana

Brazil

Brunei Darussalam

Burkina Faso

Burundi

 

Cambodia

Cameroon

Central African Republic

Chad

China

Colombia

Congo DRC

Congo-Brazaville

Côte d’Ivoire

 

Djibouti

Dominican Republic

 

East Timor

Ecuador

El Salvador

Equatorial Guinea

Eritrea

Eswatini

Ethiopia

Fiji

 

Gabon

Gambia

Georgia

Ghana

Greenland (Denmark)

Guinea

Guinea-Bissau

Guyana

 

Haiti

Hong Kong 

 

India

Indonesia

 

Kazakhstan

Kenya

Kiribati

Kyrgyzstan

 

Laos

Lesotho

Liberia

Libya

Macao SAR

Madagascar

Malawi

Malaysia

Mali

Marshall Islands

Mauritania

Micronesia

Moldova

Mongolia

Morocco

Mozambique

Myanmar

 

Namibia

Nauru

Nepal

Nicaragua

Niger

Nigeria

Northern Mariana Islands

North Korea


Pakistan

Palau

Panama

Papua New Guinea

Paraguay

Peru

Philippines

 

Qatar

 

Romania

Russian Federation

Rwanda

Sao Tome and Principe

Senegal

Sierra Leone

Singapore

Solomon Islands

Somalia

South Africa

South Korea

South Sudan

Sri Lanka

Sudan

 

Tajikistan

Tanzania

Thailand

Turkmenistan

Tuvalu

 

Uganda

Ukraine

Uzbekistan

 

Venezuela

Vietnam

 

Yemen

 

Zambia

Zimbabwe

Changes to the list from 1 December 2022

  • The following countries go from particularly high to high incidence: Ethiopia
  • The following countries go from high to particularly high incidence: Equatorial Guinea
  • The following countries enter the list of high incidence: Colombia and Qatar
  • The following countries are removed from the list: Lithuania, Togo, Cape Verde and Vanuatu

What does "high" and "very high" incidence mean?

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

From 1 March 2017, a distinction between "high" and "very high" tuberculosis incidence was introduced. As a general rule, countries which according to estimates from the World Health Organization (WHO) have a tuberculosis incidence of 40 per 100,000 inhabitants or more are considered to be high-incidence countries, while an incidence of over 200 tuberculosis cases per 100,000 inhabitants is considered a "very high" incidence. In addition, an assessment is made of incidence figures in Norway and the occurrence of resistance. The COVID-19 pandemic has led to a backlog of diagnostics and rising tuberculosis numbers in several regions in 2021. We have therefore been conservative in removing countries from the particularly high category, and in removing countries from the list, if the estimates are just below the limits of 200 and 40 cases per 100,000. The list is updated regularly.

Obligatory tuberculosis testing

These people are required to undergo tuberculosis testing:

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

History

13.12.2022: Updated list of countries. Added sentence about COVID-19 and backlog of diagnosis.