<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312021000100005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desigualdades de la tuberculosis en niños menores de 15 años en el occidente de Cuba, 2011-2015]]></article-title>
<article-title xml:lang="en"><![CDATA[Inequalities related to tuberculosis in children under 15 years old in the western area of Cuba, 2011-2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrán Torres]]></surname>
<given-names><![CDATA[Rita María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreu Suarez]]></surname>
<given-names><![CDATA[Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Ochoa]]></surname>
<given-names><![CDATA[Edilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical &#8220;Pedro Kouri"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Docente Universitario Centro Habana  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>93</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312021000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En Cuba se plantean metas progresivas para la eliminación de la tuberculosis en niños.  Objetivo:  Evaluar las desigualdades en la ocurrencia de la tuberculosis en menores de 15 años en cinco provincias occidentales cubanas y sus municipios.  Métodos:  Estudio ecológico de series temporales en las provincias Pinar del Río, Artemisa, La Habana, Mayabeque y Matanzas. Los datos provinieron del Sistema de Vigilancia del Ministerio de Salud Pública. Se analizaron el número de casos y las tasas de notificación por 100 000 habitantes. Se calcularon los porcentajes por grupos de edad; las tasas anuales, sus variaciones 2011-2015 y las tendencias mediante regresión lineal simple. Se estimaron las medias geométricas de las tasas, la menor fue la referencia para calcular las diferencias absolutas y relativas. Se estratificaron las provincias y sus municipios según las metas progresivas hacia la eliminación de la tuberculosis.  Resultados: Las provincias occidentales notificaron 56,1 % del total Cuba. Pinar del Río fue la provincia de referencia, mostró una reducción de 100 % de su tasa. La tendencia en La Habana y Mayabeque fue ligeramente ascendente con tasas 17 y 14 veces mayores que la de referencia. Artemisa, Matanzas y Pinar del Río estuvieron en preeliminación; cinco municipios de La Habana, dos de Mayabeque y uno de Matanzas están en ultracontrol muy avanzado.  Conclusiones: Las desigualdades de la tuberculosis en menores de 15 años para algunas provincias fueron relevantes, así el control debe ser fortalecido sostenidamente en La Habana y Mayabeque.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In Cuba, progressive goals are set for the elimination of tuberculosis in children.  Objective:  Assess inequalities in the occurrence of tuberculosis in children less than 15 years in five western Cuban provinces and their municipalities.  Methods:  Ecological study of time series in the following provinces: Pinar del Río, Artemisa, Havana, Mayabeque and Matanzas. The data came from the Surveillance System of the Ministry of Public Health. The number of cases and reporting rates per 100,000 inhabitants were assessed. Percentages by age group were calculated, and the annual rates, their variations in 2011-2015 and trends were assessed through simple linear regression. The geometric means of the rates were estimated; the lower was the reference for calculating absolute and relative differences. Provinces and their municipalities were stratified according to progressive goals for TB elimination.  Results:  Western provinces reported 56.1% of the total in Cuba. Pinar del Río was the reference province, showing a 100% reduction in its rate. The trend in Havana and Mayabeque was slightly upward with rates 17 and 14 times higher than the reference rate. Artemisa, Matanzas and Pinar del Río were in pre-elimination stage; five municipalities in Havana, two in Mayabeque and one in Matanzas are in a very advanced far-control.  Conclusions:  TB inequalities in children under 15 years old for some provinces are relevant, so control must be strengthened steadily in Havana and Mayabeque.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[monitoreo de desigualdades]]></kwd>
<kwd lng="es"><![CDATA[control]]></kwd>
<kwd lng="es"><![CDATA[eliminación]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[monitoring inequalities]]></kwd>
<kwd lng="en"><![CDATA[control]]></kwd>
<kwd lng="en"><![CDATA[elimination]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
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