Seasonality of tuberculosis in India: is it real and what does it tell us?

India has a third of the world’s tuberculosis cases. Large-scale expansion of a national program in 1998 has allowed for population-based analyses of data from tuberculosis registries. We assessed seasonal trends using quarterly reports from districts with stable tuberculosis control programs (population 115 million). In northern India, tuberculosis diagnoses peaked between April and June, and reached a nadir between October and December, whereas no seasonality was reported in the south. Overall, rates of new smear-positive tuberculosis cases were 57 per 100 000 population in peak seasons versus 46 per 100 000 in trough seasons. General health-seeking behavior artifact was ruled out. Seasonality was highest in paediatric cases, suggesting variation in recent transmission.

SOME VERTEBRATE PEST PROBLEMS IN JAPAN

The wildlife in Japan does more damage in outbreaks in forestry than in agriculture. Hares annually damage in excess of 250 thousand acres. Voles annually damage 50 to 100 thousand acres; in some areas great damage may occur suddenly. The giant flying squirrel damages areas of replanted trees in southern areas of Japan. The Himalayan black bear strips the bark on tree trunks. In agriculture, the sparrow and the duck do an excessive amount of damage in rice fields, and the boar does conspicuous harm in the plowed fields of mountain villages. In Okinawa, sugar cane is attacked by Rattus rattus, and in some years the loss is severe. Of even greater concern is the damage done by introduced vertebrates. The gem-faced civet was imported from Taiwan. Similarly introduced from Taiwan, the tree squirrel increased on Izu-Oshima. The nutria was introduced in 1940; they escaped from cages in Southern Honshu and have increased.