Tuberculosisis an old – newinfection, scientists theorized that first human infection was in Africa about5,000 years agoi,even there is evidence that human infected by this infection 9,000 years ago. Oneof the sustainable development goals for 2030 was to end the global TBepidemic. Globally Tuberculosis is one of the most causes of mortality andmorbidityii.

  It is measured as the third of the worldpopulation is infected with tuberculosis and about 8- 10 million cases ofactive infection and 3 million deaths occur annually.In Saudi Arabia, tuberculosis isstill a major problem and it is the third- largest Arab country despite the governmentaleffortsiii incontrolling the infection but still this effort in a term of medication andthey do not jump to the step of prevention. Most of the researches and papersbased on old or not updated references; here a comparative incidence of activecases in 1991 based on official notifications was 14.8 per 100,000 while theestimated incidence was 30 per 100,000iv.Onthe other hand, World Health Organization (WHO), in 2012, reported that anannual TB incidence rate increased to 18 per 100,000vand Saudi Arabia remains a TB burden country. There are many factors can play arole to make the Kingdom faces this public health issue. One of these factorsare the immigrant who pass the border to settle down in Saudi or to come to thearea as a transit then to Europe and due to socio-economy defects which may considera major factor of infection transmission.iCarl Zimmer, Tuberculosis is Newer than Thought, Study Says, New York Times, 21August 2014.

iiAbdullah M. Al-Rubaish, ABIM, Ali A.Madania, MD, Fahd A. Al-Muhanna, ABIM.Drug resistance pulmonary tuberculosis inthe Eastern Province of Saudi Arabia.

iiiSahal Al-Hajoj, BrightVarghese. Tuberculosis in Saudi Arabia: the journey across time, JIDC, October2014.ivRaviglione MC, Snider JrDE, Kochi A. Global epidemiology of tuberculosis: morbidity and mortality of aWorldwideepidemic.JAMA 1995; 273: 220-226.vWorld Health Organization(2013) Global Tuberculosis Report 2013. Geneva: WHO.


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