Comparison of the Epidemiology of Tuberculosis and COVID-19 in East Java Province
{:en}Tuberculosis (TB) and Corona Virus Disease (COVID-19) are infectious diseases that infect the respiratory tract. Tuberculosis is caused by Mycobacterium tuberculosis while COVID-19 is caused by SARS CoV-2. Transmission of the disease is through coughing, sneezing and close contact with infected individuals. Tuberculosis disease has spread throughout the world and it is reported that Indonesia is ranked second in the world (543,874 cases), so, serious attention is needed by various sectors to suppress the transmission and elimination of this disease. During the COVID-19 pandemic during the last two years there were indications of COVID-19 coinfection in pulmonary tuberculosis patients, this was due to the risk and severity caused by COVID-19 disease and the high risk of death due to the development of new diseases in TB patients. Data released by the Ministry of Health of the Republic of Indonesia related to the development of TB cases shows a fluctuating trend over the past decade. In 2020, the incidence of TB cases in Indonesia increased to 845,000 with a mortality of more than 98,000 people. Furthermore, in 2021 there was a decline in cases reaching 2.04% from the previous year as many as 393,323 cases as a result of the government’s attention being focused on reducing the incidence of COVID-19. However, WHO determined that Indonesia urgently needed to carry out epidemiological surveillance of TB disease during the COVID-19 pandemic, this was due to a decrease in monthly and quarterly TB notifications and the first half of 2021 substantially decreased from 2019 in most countries with the highest TB burden. . Reportedly, a relative reduction in annual notifications between 2019 and 2020 was seen in Gabon (80%), the Philippines (37%), Lesotho (35%), Indonesia (31%) and India (25%) so that the real number of TB cases is estimated much higher than those found and treated and a decline in 2021 presumably many cases go unreported. Taking into account the updated information released by the World Health Organization, secondary data-based epidemiological surveillance was carried out by utilizing regional data reports released annually. The data used is the number of confirmed cases of positive TB and COVID-19 in the East Java Province and compared with each other with other factors or determinants. Geographical mapping of the distribution of cases of tuberculosis and COVID-19 was also carried out using the Quantum Geographic Information System (QGIS) to identify areas that have the potential to have the highest level of risk and severity of these two diseases. There are several indicators that are reviewed for the correlation between these two diseases, including: the correlation between the incidence and mortality rates of tuberculosis and COVID-19 cases, the relationship between case cure rates and death rates for tuberculosis cases, the incidence and success rates of tuberculosis treatment, the correlation between treatment success rates. and the death rate of tuberculosis cases, the rate of case recovery, and the death rate of COVID-19 cases as well as the calculation of geographical factors including the ratio of puskesmas, the number of doctors, nurses, midwives, public health workers, environmental health workers, nutritionists, and pharmacists and all ratios are calculated per 100,000 inhabitants. The results of the study obtained that the incidence of tuberculosis in East Java Province in 2020 was 95.49/100,000 population with varying case cure rates. TB cases are dominated by the male sex community. The number of women in East Java in 2020 reached 20,374,104, while men reached 20,291,592. The population with tuberculosis which is dominated by women is only found in Probolinggo district with a higher number of women (604) than men (561). Furthermore, the highest infection rate was found in Madiun (296.51/100,000 population), while the lowest was in Malang (0.07/100,000 population). The incidence ratio of tuberculosis cases based on gender was found for men (117.66/100,000 people) higher than women (93.49/100,000 people). The district with the highest incidence of tuberculosis in males is Madiun (342.62/100,000 population) and the lowest is Pacitan (57.88/100,000 population). Furthermore, in the female gender, the highest incidence of tuberculosis was in Pasuruan (223.16/100,000 people) and the lowest was in Pacitan (93.49/100,000 people). Based on the findings, the highest incidence of COVID-19 infection was found in Mojokerto (789.9/100,000 population), while the lowest was found in Sampang (52.5/100,000 population). Analysis by gender found that the incidence of COVID-19 in women (210.74/100,000 population) was higher than that of men (198.04/100,000 population). Meanwhile, the regency with the highest male population is in Mojokerto (744.46/100,000 people), while the lowest is in Sampang (48.58/100,000 people). The district with the highest incidence of COVID-19 in women is Mojokerto (804.51/100,000 people), while the lowest is in Madiun (51.14/100,000 people). The overall death rate for tuberculosis cases in East Java Province in Indonesia is 3.6%. The highest TB infection CFR was found in Probolinggo (7%), while the lowest was found in Surabaya (0.4%). Meanwhile, the highest CFR of COVID-19 infection was found in Pasuruan (11%), while the lowest was found in Tulungagung 2.1%. Furthermore, the highest cure rate for tuberculosis cases was in Magetan (96.6%), while the lowest was in Batu City (11.3%). Meanwhile, the COVID-19 Case Recovery Rate is defined as a COVID-19 patient with a positive result at the beginning of the RT-PCR, and a negative result at the end of the examination. The highest cure rate for COVID-19 cases was in Sidoarjo (92.6%), while the lowest was found in Tuban (64.5%). The highest success rate of tuberculosis treatment was in Magetan (95.97%), while the lowest was found in Bondowoso (65.89%). Calculation of the number of COVID-19 cases based on age group obtained the highest age in the range of 46-59 years (23,947 individuals), while the lowest was found in the age of 3-6 years (771 individuals). In this study, it was reported that there was no significant relationship between the incidence and mortality of tuberculosis cases (p = 0.912, p>0.05). It was also found that there was no significant relationship between the incidence and case fatality rates for COVID-19 (p = 0.219, p > 0.05), case cure rates and case fatality rates