The incidence rates of tuberculosis (TB) in Israel decreased steadily
up to 1984, but rose again between 1985 and 1991, mainly due to immigr
ation waves from Ethiopia. The epidemiology of TB in children was surv
eyed in the Ashkelon region. The regional TB register of Barzilai Medi
cal Centre, kept since 1958, was used as the source for our data. Two
hundred and fifty TB cases in children were reported between 1958 and
1994, constituting 9.7% of the total 2565 cases reported in the whole
population of Israel's southern Mediterranean coast. While in the late
1950s and early 1960s the majority of reported cases occurred in chil
dren of North African origin, reflecting the large wave of immigration
from North Africa at that time, in 1985-94 at the time of the Ethiopi
an immigration wave, Ethiopian children constituted the majority of th
e patients. They were diagnosed up to 9 years after arrival. None of t
he reported cases was HIV-positive.