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.

Review of 'Pictures Bring Us Messages' / Sinaakssiiksi aohtsimaahpihkookiyaawa: Photographs and Histories from the Kainai Nation by Alison K. Brown and Laura Peers with members of the Kainai Nation

In August 1925, University of Oxford anthropologist Beatrice Blackwood spent two days on the Blood Reserve in southern Alberta, home to the Kainai Nation. Assisted by the Indian Agent, she toured the reserve and took 33 photographs. Blackwood was investigating potential links among "race," culture, and environment, and some of her photographs were anthropometric in nature. Others, showing men working in fields or girls at residential school, portrayed a culture in transition. Upon her return to Britain, Blackwood deposited the Kainai photographs with Oxford's Pitt Rivers Museum.