Background. Incidence of tuberculosis (TB) in the Czech Republic (CR) during the year 2000 was evaluated on
the basis of newly detected cases as well the restriction of known TB sources by antituberculosis treatment. Data
from compulsory reported TB cases in the TB register for the year 2000 were used as well as data from the analysis
of treatment in cohorts of patients reported quarterly in 1999 and evaluated 12 months later.
Methods and Results. 1442 cases of new diseases and TB relapses were reported in 2000 (14.1/100 00). 1244
cases (12.1/100 000) were TB of the respiratory system, 198 cases (2.0/100 000) belonged to the extrarespiratory
TB. 61.9 % of cases were bacteriologically verified TB of the respiratory system. In comparison with the year 1999,
the number of TB cases was lower by 11.7 %, respectively by 9,3 % in TB of the respiratory system. The positive
trend in TB incidence recorded in CR since 1998 has continued. From 1442 cases of the TB, 916 were males (63.5 %)
and 526 females (36.5 %). Majority of patients was older than 65 years. 143 (9.9 %) of TB cases were patients born
extra CR („foreigners"), namely coming from Ukraine (41), Vietnam (16), and Romania (14). 74 patients died of
tuberculosis,mostly those older than 65 years. The youngest was the 24-year-oldUkrainian and a 38 year old homeless
person, the citizen of CR. The highest incidence of TB was in West Bohemia, in Prague and in North Moravia; the
lowest incidence was in South Moravia and in South Bohemia. TB was identified because of patient's troubles
(68.0 %), in the risk groups (13.3 %), and by examination of contact persons (4.7 %). Other mycobacteriosis than
TB was identified in 92 patients. The treatment was evaluated in 606 persons with the pulmonary TB, which was
bacteriologically verified; analysis was done in cohorts of patients reported quarterly in 1999. 70.1 to 77.5 % of
patients in individual cohorts were successfully treated, in 3 patients the treatment failed and 9 patients interrupled
the treatment. Remaining 25 % of patients either died before or during the treatment. The high mortality rate resulted
from the high age and other diseases in some of the patients.
Conclusions. WHO includes CR between countries with low TB incidence. Within the stabile population of CR
the continuous decrease of TB incidence should continue, unless some unfavourable effects occur.
incidence of tuberculosis, tuberculosis notification, tuberculosis mortality, tuberculosis casefinding,
treatment of tuberculosis.