• Determination of the burden of hepatitis C virus infection in Ireland

      THORNTON, L.; MURPHY, N.; JONES, L.; CONNELL, J.; DOOLEY, S.; GAVIN, S.; HUNTER, K.; BRENNAN, A. (Epidemiol. Infect, 2011)
    • Epidemiology of Tuberculosis in Ireland, 2008

      Health Service Executive (HSE); HSE Health Protection Surveillance Centre (HPSC); HSE Health Protection Surveillance Centre (HPSC) (HSE Health Protection Surveillance Centre (HPSC), 2011-03)
    • Leptospirosis in Ireland: annual incidence and exposures associated with infection.

      Garvey, P; Connell, J; O'Flanagan, D; McKeown, P; Health Protection Surveillance Centre, HSE, Dublin, Ireland. (2013-08-05)
      SUMMARY Human leptospirosis is found throughout the world, albeit with a higher incidence in tropical regions. In temperate regions it is associated with certain occupational and recreational activities. This paper reports both on the incidence of human leptospirosis in Ireland and on possible associated exposures, using leptospirosis case notification, enhanced surveillance, hospital discharge data and death registrations. Based on official notification data, there was a threefold increase in the reported incidence of leptospirosis in Ireland between 1995-1999 and 2004-2009, which appears partially to be due to improved reporting. The exposures most associated with infection were those involving contact with livestock or water-based recreational sports, in particular kayaking. Advice on prevention should continue to be targeted in the first instance at these groups. The variety of potential transmission routes reported should inform clinicians to consider leptospirosis in individuals with a compatible clinical profile who were not from occupational groups historically considered at risk.
    • Report on the epidemiology of TB in Ireland, 2009

      Health Service Executive (HSE); Health Protection Surveillance Centre (HPSC); Health Protection Surveillance Centre (HPSC) (Health Service Executive (HSE), Health Protection Surveillance Centre (HPSC), 2012-03)
    • Report on the epidemiology of tuberculosis in Ireland 2004

      Health Protection Surveillance Centre (HPSC) (HSE, 2005)
    • Report on the epidemiology of tuberculosis in Ireland 2007

      National Disesase Surveillance Centre (NDSC); Health Service Executive (HSE) (National Disesase Surveillance Centre (NDSC), 2010-01)
    • A report on the epidemiology of tuberculosis in Ireland in 1999

      National Disease Surveillance Centre (NDSC) (National Disease Surveillance Centre (NDSC), 2001-06)
    • Report on the epidemiology of tuberculosis in Ireland in 2006

      Health Protection Surveillance Centre (HPSC) (Health Protection Surveillance Centre (HPSC), 2008-10)
    • Towards tuberculosis elimination: an action framework for low-incidence countries.

      Lönnroth, Knut; Migliori, Giovanni Battista; Abubakar, Ibrahim; D'Ambrosio, Lia; de Vries, Gerard; Diel, Roland; Douglas, Paul; Falzon, Dennis; Gaudreau, Marc-Andre; Goletti, Delia; et al. (ERS Journals, 2015-04)
      This paper describes an action framework for countries with low tuberculosis (TB) incidence (<100 TB cases per million population) that are striving for TB elimination. The framework sets out priority interventions required for these countries to progress first towards "pre-elimination" (<10 cases per million) and eventually the elimination of TB as a public health problem (less than one case per million). TB epidemiology in most low-incidence countries is characterised by a low rate of transmission in the general population, occasional outbreaks, a majority of TB cases generated from progression of latent TB infection (LTBI) rather than local transmission, concentration to certain vulnerable and hard-to-reach risk groups, and challenges posed by cross-border migration. Common health system challenges are that political commitment, funding, clinical expertise and general awareness of TB diminishes as TB incidence falls. The framework presents a tailored response to these challenges, grouped into eight priority action areas: 1) ensure political commitment, funding and stewardship for planning and essential services; 2) address the most vulnerable and hard-to-reach groups; 3) address special needs of migrants and cross-border issues; 4) undertake screening for active TB and LTBI in TB contacts and selected high-risk groups, and provide appropriate treatment; 5) optimise the prevention and care of drug-resistant TB; 6) ensure continued surveillance, programme monitoring and evaluation and case-based data management; 7) invest in research and new tools; and 8) support global TB prevention, care and control. The overall approach needs to be multisectorial, focusing on equitable access to high-quality diagnosis and care, and on addressing the social determinants of TB. Because of increasing globalisation and population mobility, the response needs to have both national and global dimensions.