AN EPIDEMIOLOGIC FOLLOW-UP ON TUBERCULOUS CASES IN THE MEDICOSOCIAL CENTERS OF PARIS FOR THE YEAR 1994

This study was carried out in 280 patients in 1994 in five medico-soci al centres (CMS) in the city of Paris for the follow up of treatment t uberculous disease. The group represented approximately one fifth of t he tuberculous patients in Paris. 90.7% of the subjects were of foreig n origin, predominantly African. Amongst these 280 patients, 80% were unemployed and 64.6% without social security protection. Their tubercu lous disease did not differ on clinical grounds from those of the gene ral population but they were less often vaccinated with BCG. They are also less often co-infected with the HIV virus (4.4 vs 12-16%). The le vel of resistance to isoniazid and rifampicin was 1.4%. A cure was cer tainly achieved in 73.5% of the patients. For the remainder, the absen ce of information and the loss to follow up prevented us from having a definite answer. The patients last to follow numbered 56 and represen ted 20% of the group.