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Volume 16, Number 3—March 2010
Dispatch

Global Origin of Mycobacterium tuberculosis in the Midlands, UK

Jason T. EvansComments to Author , Sarah Gardiner, E. Grace Smith, Richard Webber, and Peter M. Hawkey
Author affiliations: Health Protection Agency West Midlands Laboratory, Birmingham, UK (J.T. Evans, S. Gardiner, E.G. Smith, P.M. Hawkey); King’s College London, London, UK (R. Webber); University of Birmingham, Birmingham (P.M. Hawkey)

Main Article

Table 2

Distribution of Mycobacterium tuberculosis isolates according to lineage and continent of patient origin on the basis of CEL group, the Midlands, UK*

Continent and region No. (%) isolates in each M. tuberculosis lineage
Total no. (%) isolates
East African–Indian East Asian Euro-American Indo-Oceanic West African-1 West African-2
Africa
Eastern 56 (4) 9 (4) 62 (3) 39 (7) 0 0 166 (4)
Central 0 0 4 (0) 1 (0) 0 0 5 (0)
Northern 2 (0) 0 3 (0) 1 (0) 0 0 6 (0)
Southern 2 (0) 1 (0) 29 (2) 3 (1) 0 0 35 (1)
Western 5 (0) 3 (1) 21 (1) 5 (1) 4 (24) 1 (14) 39 (1)
Unknown 0 1 (0) 6 (0) 1 (0) 0 0 8 (0)
Region total
65 (5)
14 (6)
125 (7)
50 (9)
4 (24)
1 (14)
259 (6)
Americas
Caribbean region 2 (0) 0 5 (0) 0 0 0 7 (0)
North America 2 (0) 0 4 (0) 1 0 0 7 (0)
South America 2 (0) 0 2 (0) 0 0 0 4 (0)
Region total
6 (0)
0
11 (1)
1 (0)
0
0
18 (0)
Asia
Eastern 4 (0) 25 (11) 10 (1) 5 (1) 0 0 44 (1)
Southeastern 1 (0) 2 (1) 3 (0) 5 (1) 0 0 11 (0)
Southern 1,117 (79) 100 (46) 614 (32) 403 (72) 4 (24) 2 (29) 2,240 (55)
Western 5 (0) 0 13 (1) 1 (0) 0 0 19 (0)
Unknown 23 (2) 1 (0) 23 (1) 5 (1) 0 0 52 (1)
Region total
1,150 (81)
128 (59)
663 (35)
419 (75)
4 (24)
2 (29)
2,366 (58)
Europe
Eastern 1 (0) 1 (0) 17 (1) 2 (0) 0 0 21 (1)
Northern 186 (13) 69 (32) 994 (52) 74 (13) 7 (41) 4 (57) 1,334 (33)
Southern 9 (1) 6 (3) 40 (2) 6 (1) 1 (6) 0 62 (2)
Western 0 0 14 (1) 0 1 (6) 0 15 (0)
Unknown 1 (0) 0 7 (0) 2 (0) 0 0 10 (0)
Region total
197 (14)
76 (35)
1,072 (57)
84 (15)
9 (53)
4 (57)
1,442 (35)
Unclassified
7 (0)
0
23 (1)
2 (0)
0
0
32 (1)
Total 1,425 (100) 218 (100) 1,894 (100) 556 (100) 17 (100) 7 (100) 4,117 (100)

*CEL, cultural, ethnic, and linguistic. Unknown indicates that the continent was identified but without a specific region. The United Kingdom (Great Britain and Northern Ireland) is located in northern Europe and India, Pakistan, and Bangladesh are located in southern Asia. A total of 90 (2%) of 4,207 strains were not assigned to 1 of the 6 major lineages.

Main Article

Page created: December 14, 2010
Page updated: December 14, 2010
Page reviewed: December 14, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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