A retrospective study design was applied throughout the present study from the period of August 12th 2019 to October 8th 2019 in order to identify the tuberculosis cases in Al-Falluja city, Iraq for 2012-2018 except three years (2014-2015-2016) due to the security conditions experienced by Iraq since second half of 2014 and the provinces of Anbar, Nineveh, Salah al-Din, Kirkuk and Diyala have been subjected to the terrorist attacks and Al-Falluja was among them. A convenient sample of (299) registered patients with tuberculosis in Al-Falluja, Iraq for the period 2012-2018 except the years of conflict. The following data were studied from patient record at Al-Wihdda health center in Al-Falluja, Iraq (age, gender, and type of tuberculosis).

Table 1

Type of TB	0-1		1-4		5-14		15-24		25-34		35-44		45-54		55-64		65or more		total
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	T
N SS+)	0	0	0	0	0	1	4	7	2	2	0	3	1	2	1	3	2	1	10	19	29
Relapse	0	0	0	0	0	0	0	0	1	0	1	0	1	0	1	0	1	0	5	0	5
After failre	0	0	0	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	1	1
After default	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
N (SS-)	0	0	0	0	0	0	0	1	0	1	0	1	0	0	1	0	1	0	2	3	5
(ND,NA)	0	0	0	0	1	1	0	0	0	0	0	0	0	0	0	0	0	0	1	1	2
N (EP)	1	0	0	0	4	4	3	3	4	2	2	2	3	4	1	2	2	5	20	22	42
other	1	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	1	2
total	3		0		11		19		12		9		11		9		12		39	47	86

Table 1 : Show females were affected more than male, The ratio (female 47=55% and male 39=45%). The patients of age group (15-24) year old had experienced detected Tuberculosis cases of N (SS+). Females of age group of (65 and more) year old had experienced detected Tuberculosis cases of EPTB. All cases of Relapse were had detected in males. EPTB and N (SS+) more than others in this year.

Table 2 : .Show females were affected more than male, the ratio (female 52=51% and male 50=49%).Female patients in age group of (15-24) and (25-34) year old had experienced detected Tuberculosis cases of N (SS+), Males in age group of (0-1)year old had experienced detected Tuberculosis cases of EPTB more than female, females in age group of (55-64)year old had experienced detected Tuberculosis cases of EPTB while in age group of (15-24) year old males had experienced detected Tuberculosis cases of EPTB more than females. Males in age group of (65 and more) year old had experienced detected Tuberculosis cases of Relapse more than females. Females in age group of (55-64) year old had experienced detected Tuberculosis cases of N (SS-). EPTB and N (SS+) more than other types in this year.

Table 3

Type of TB	0-1		1-4		5-14		15-24		25-34		35-44			45-54			55-64			65or more			Total
	M	F	M	F	M	F	M	F	M	F	M	F	M		F	M		F	M		F	M		F		T
N (SS+)	0	0	0	0	0	2	0	2	1	1	0	1	0		1	0		2	0		0	1		9		10
Relapse	0	0	0	0	0	1	0	0	1	0	1	0	0		0	0		0	0		0	2		1		3
After failure	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		0	0		0	0		0		0
After default	0	0	0	0	0	0	0	0	0	0	0	0	0		1	0		0	0		0	0		1		1
N (SS-)	0	0	0	0	0	0	0		0	1	1	0	1		0	0		0	0		0	2		1		3
(ND,NA)	0	0	0	0	0	0	0	0	1	0	0	0	0		1	0		0	0		0	1		1		2
N (EP)	1	0	1	0	1	0	4	2	3	4	2	2	2		3	2		2	2		1	18		14		32
Other	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0		0	0		0	0		0		0
Total	1		1		4		8		12		7			9			6			3			24		27		51

Table 3 : Show females were affected more than males, the ratio (female 27=53% and male 24=47%). Male patients had experienced detected Tuberculosis cases of EPTB, Relapse, and N (SS-) more than females. Females had experienced detected tuberculosis cases of N (SS+). EPTB and N (SS+) more than other types in this year.

Table 4

Type of TB	0-1		1-4		5-14		15-24		25-34		35-44		45-54		55-64		65or more		Total
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	T
N (SS+)	0	0	0	0	0	0	1	5	2	2	2	1	2	0	3	0	0	0	10	8	18
Relapse	0	0	0	0	0	0	0	1	0	0	0	0	1	0	0	1	0	1	1	3	4
After failure	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
After default	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0	0	0	0	0	1	1
N (SS-)	0	0	0	2	0	0	1	0	0	1	0	1	0	0	0	0	0	0	1	4	5
(ND,NA)	0	0	0	0	0	0	0	2	0	1	0	0	0	0	0	0	0	0	0	0	0
N (EP)	0	0	1	0	2	5	1	2	4	1	2	2	0	1	1	3	1	3	12	17	29
Other	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
total	0		3		7		13		11		9		4		8		5		24	36	60

Table 4 : Show female patients in age group of (5-14) year old had experienced detected Tuberculosis cases of EPTB, male in age group of (55-64) year old had experienced detected Tuberculosis cases of N (SS+). Females had experienced detected Tuberculosis cases of Relapse, N (SS-) and (ND, NA) more than males. EPTB and N (SS+) more than other types in this year.

This study describes the prevalence of Tuberculosis in four years period in Al-Falluja City, Iraq. In our study we depend on documented data in patients^, records in Al-Wihdda health center. Due to the security conditions experienced by Iraq since second half of 2014 and the provinces of Anbar, Nineveh, Salah al-Din, Kirkuk and Diyala have been subjected to the terrorist attacks that led to displacement of many Tuberculosis patients registered in these hot spots and led to loss of communication with these patients so we could not catch up the Tuberculosis cases in this city in 2014-2015-2016.

Conclusion:

Based on the study findings, the study can conclude:

1. Females in age group of (15-24) year old had experienced detected Tuberculosis cases more than males of all age group.

2. There were detected Tuberculosis cases in age group of (0-1) year old and these cases were in 2012 and 2013 while absence like these cases in 2017 and 2018 and in these two years the males had experienced detected Tuberculosis cases of New Extra-pul than females.

3. Relapes cases were found in Males more frequently than females in 2012 and 2013, while females were more in 2018……

4. New extra-pul TB (EPTB) is the type in female patient, while new pulmonary TB (PTB) (SS+) is the type in male patient in 2018.

5. New PTB (SS-) were more detected in females in all these years.

Recommendation:

Our study can recommend:

1.Spreading health awareness about tuberculosis as a health problem for all people by organize an awareness program in which people learn about what is Tuberculosis and how to benefit from its treatment

2.Tuberculosis care through the Iraqi Ministry of Health.

Global Health Observatory (GHO) data> Tuberculosis WHO (2019) epidemiology (PDF), Global tuberculosis control epidemiology, strategy, financy p 2 6 33 Tuberculosis-World Health Organization 2018