Spatial analysis of tuberculosis amongst teenagers in Kenya
Tuberculosis (TB) is the ninth leading cause of death worldwide and the leading cause from a single infectious agent, ranking above HIV/AIDS. Despite being preventable and curable, tuberculosis (TB) is the leading cause of death from infectious disease globally, with nearly 10 million people developing TB and 1.5 million people dying from TB in 2014. Among teenagers, it is a top fifteen cause of mortality. Much emphasis in terms of TB surveillance is given to adults especially people living with HIV. This study provides a spatial model to determine the dynamics of TB epidemic among the notified teenage TB cases in Kenya over three years (2013, 2014 and 2015). Conditional autoregressive model emerges as the best model compared to generalized mixed model. Our results show that TB incidence remained constant over time and there is no much variation by sex. We found significance pattern of TB epidemic by counties.