Impact of the COVID-19 pandemic on TB E-Poster No.

EP-22-309

notification rates in high-burden states in India

Satabdi Kashyap, USAID’s Infectious Disease Detection and Surveillance (IDDS) Project, India

Introduction Extra Tables & Figures

Key Highlights:
India had made significant progress towards the goal of
Figure : Rate of change in the annual TB case notification
ending TB which have been impacted by the COVID-19
pandemic. Frequent lockdowns, diversion of healthcare • The notification rate showed a declining trend from rate
workers, and utilization of diagnostic facilities - CBNAAT
and Truenat for COVID-19 testing have significantly
2010 to 2015 and it has increased since 2016.
impacted the program services, an impact we document • In 2019 recorded the highest rate of change of 37.2%.
using the proxy figure of notification rates.
• In 2020, as a result of COVID-19 pandemic, the TB
Methods
services were impacted, and the rate of change reduced
to 1.6%.
The TB notification rate from year 2010 to 2020 was
retrieved from the annual TB reports published by the • The decadal notification rate increased marginally from
Central TB Division, Ministry of Health and Family Welfare
India1. The data analysis was done for the top ten high TB
129/100,000 in 2010 to 131/100,000 in 2020 (Figure).
burden states indicated in the report 2020. The rate of • The high burden states were adversely impacted due to
change in the notification was calculated over ten years
considering 2010 as the base year. COVID-19 (Table).
*Base year 2010.
Results
Table : High TB burden states with rate of change in TB notification

The percentage change in the total TB case notification Rate of change compared to base year
2010* Rate of change
rate in comparison to base year 2010 has shown a shift (annual TB in 2020 as
from negative to positive trend from 2016 to 2019. States
notification 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 compared to
However, given the current COVID-19 scenario, a drastic rate) 2019
reduction in the TB case notification rate is observed in
2020. Uttar Pradesh 141 1.4 -5.0 -12.1 -14.2 -18.4 -2.8 -0.7 32.6 51.1 11.3 -26.3
Maharashtra 123 -2.4 -3.3 -3.3 -5.7 -9.8 33.3 29.3 39.0 48.8 3.3 -30.6
Madhya Pradesh 124 0.8 -2.4 -0.8 5.6 7.3 32.3 34.7 58.1 82.3 31.5 -27.9
Discussion Rajasthan 169 -3.0 -14.2 -21.3 -22.5 -27.2 -15.4 -17.8 22.5 32.0 1.8 -22.9
Gujrat 134 -7.5 -11.9 -11.2 -9.0 -4.5 44.0 67.2 70.1 73.1 29.1 -25.4
Bihar 81 -8.6 -14.8 -23.5 -24.7 -29.6 3.7 1.2 7.4 23.5 -2.5 -21.0
Tamil Nadu 123 -9.8 -11.4 -12.2 -8.9 -14.6 1.6 -3.3 7.3 12.2 -30.1 -37.7
The COVID-19 pandemic has adversely impacted TB West Bengal 115 -5.2 -12.2 -15.7 -17.4 -20.0 -19.1 -13.0 -7.8 -3.5 -31.3 -28.8
services as a result the notification rate has declined. Delhi 281 9.6 8.9 4.6 9.6 11.7 23.8 28.1 79.7 104.6 62.3 -20.7
There is need to focus on remedial measures and intensify Andhra Pradesh 136 -2.9 -5.9 -11.0 -8.8 -10.3 6.6 18.4 29.4 39.0 -10.3 -35.4
the efforts towards the End TB goal by 2025. India 129 -3.1 -7.8 -11.6 -11.6 -14.0 4.7 7.2 24.0 37.2 1.6 -25.9
*Base year 2010.
References
1. India TB Report 2011-2021. New Delhi: Central TB Division, Ministry of Health and Family Welfare. Available from: https://tbcindia.gov.in/