General and tuberculosis mortality in two states of India : A population-based survey .

Kolappan, C.; Subramani, R.; Swaminathan, S.

Indian Journal of Tuberculosis; 2016; 63; 28-33.

Abstract: Background: General and cause-specific mortality data for causes of death are not available for the states of Andhra Pradesh (AP) and Orissa in India .

Objectives: To estimate general mortality rate (GMR) and the tuberculosis mortality rate (TMR) among the general population in the two states.

Methods: All permanent residents in households of selected districts of AP and Orissa states were registered in the survey in 2005–2006. A sample size of 380,000 persons was selected from each state. Health workers carried out house-to-house enumeration. Demographic and occurrence of death data were collected. The cause of death was determined using the instrument of verbal autopsy.

Results: The GMR for AP and Orissa was 636 (95% CI: 610–662) and 616 (95% CI: 588–643) per 100,000 person years (p-ys) respectively. The TMR for AP and Orissa was 76 (95% CI: 67–85) and 41 (95% CI: 34–48) per 100,000 p-ys respectively. The difference in TMR between the states was statistically significant (P < 0.0001).

Conclusion: The GMRs are similar in AP and Orissa states. Tuberculosis accounted for 12% and 7% of deaths in AP and Orissa respectively. Focused strategies are needed to reduce mortality due to tuberculosis.

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