Table 1 Significant high-rate TB clusters in Nepal detected by SaTScan from FY 2020–2021, FY 2021–2022 and FY 2022–2023.

From: Spatial heterogenicity of tuberculosis and dengue in Nepal

Cluster

Location

Radius/KM

Prevalence of TB/100,000

Observed cases

Expected cases

LLR

RR

p-value

01/07/2020- 30/06/2021

Primary cluster

Rautahat

Bara

Sarlahi

Mahottari

Makawanpur

Parsa

Lalitpur

Kabhrepalanchok

Sindhuli

Dhanusha

Bhaktapur

Kathmandu

80.88

120.4

10,621

8654.61

308.42

1.36

< 0.001

Secondary cluster

Kathmandu

0

146.1

2981

2002.42

225.79

1.55

< 0.001

Secondary cluster

Mahottari

Dhanusha

Sarlahi

27.89

125.1

3048

2390.45

91.44

1.31

< 0.001

Secondary cluster

Banke

Salyan

Bardiya

Dang

59.29

127.2

2513

1938.68

83.96

1.32

< 0.001

Secondary cluster

Parsa

Bara

Makawanpur

Chitawan

Rautahat

58.04

117.2

4001

3351.55

67.64

1.23

< 0.001

Secondary cluster

Kanchanpur

Dadeldhura

Kailali

55.91

125.6

1956

1528.13

58.38

1.30

< 0.001

Secondary cluster

Rupandehi

Parasi

Palpa

35.30

114.0

1998

1720.20

22.75

1.17

< 0.001

01/07/2021-30/06/2022

Primary cluster

Bara

Rautahat

Parsa

Makawanpur

Sarlahi

Lalitpur

Kabhrepalanchok

Bhaktapur

Kathmandu

Mahottari

Chitawan

82.18

163.9

13,715

10873.60

497.70

1.41

< 0.001

Secondary cluster

Makawanpur

Lalitpur

Kathmandu

Parsa

Bara

Bhaktapur

42.45

173.7

8521

6372.87

402.08

1.43

< 0.001

Secondary cluster

Banke

Salyan

Bardiya

Dang

59.29

182.1

3597

2565.99

199.10

1.44

< 0.001

Secondary cluster

Dhanusha

Mahottari

Sarlahi

27.89

161.2

3925

3163.95

93.37

1.27

< 0.001

Secondary cluster

Kanchanpur

Dadeldhura

Kailali

55.91

154.5

2406

2022.60

36.30

1.20

< 0.001

Secondary cluster

Parasi

Palpa

Rupandehi

Nawalpur

Syangja

Chitawan

68.85

146.4

4541

4030.62

34.90

1.14

< 0.001

01/07/2022-30/06/2023

Primary cluster

Rautahat

Bara

Sarlahi

Mahottari

Makawanpur

Parsa

Lalitpur

Kabhrepalanchok

Sindhuli

Dhanusha

Bhaktapur

Kathmandu

80.88

164.9

14,544

11329.81

624.48

1.46

< 0.001

Secondary cluster

Kathmandu

0

186.9

3813

2621.38

257.80

1.51

< 0.001

Secondary cluster

Parsa

Bara

Makawanpur

39.07

175.8

3310

2418.63

158.57

1.40

< 0.001

Secondary cluster

Dhanusha

Mahottari

21.94

179.1

2819

2021.95

148.79

1.43

< 0.001

Secondary cluster

Banke

Salyan

Bardiya

Dang

59.29

168.0

3318

2537.94

117.98

1.34

< 0.001

Secondary cluster

Rupandehi

0

155.6

1745

1440.58

31.40

1.22

< 0.001

Secondary cluster

Sarlahi

0

158.8

1369

1107.40

29.66

1.25

< 0.001

Secondary cluster

Lalitpur

Bhaktapur

18.13

149.4

1469

1263.19

16.51

1.17

< 0.001

Secondary cluster

Kanchanpur

Dadeldhura

Kailali

55.91

143.9

2240

2000.49

14.61

1.13

< 0.001

  1. LLR = Log Likelihood Ratio;
  2. RR = Relative Risk; p < 0.05 indicates statistical significance.
  3. KM = Kilometer.