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Because the incidence of tuberculous
infection cannot usually be measured, the average annual risk of
tuberculous infection is calculated from a tuberculin skin
test prevalence survey. If several surveys are available for a
population, then trends in the risk of infection can be evaluated
and predictions about the likely future course can be made. Estimates
of the risk of infection have also been used to estimate the number
of infectious sources that cause this risk of infection in the
community. The problems with this approach will be discussed in the
second part of this block. To
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