[Implementation of national tuberculosis control programme--focus on registration, case-management and treatment]

The results of three nationwide epidemiological surveys on tuberculosis showed the declination of the magnitude of tuberculosis from 1979 to 1990 was slower. The case registration rates and new case registration rates within ten years (1982-1991) were gradually increasing year by year and came to a climax in 1988. The fact indicated the improvement of case-finding and case registration. The case registration rate was going down thereafter coincided with the declination of the prevalence of tuberculosis. The proportion of registration rate to the prevalence was rather low. This is mainly attributed to the fact that the majority of detected patients were held by general medical clinics and had not been registered to the central registration of tuberculosis. Therefore, only 17.7% of detected tuberculosis cases were under proper case-management for treatment. The results of cohort analysis on smear-positive treated cases showed the rate of sputum negative conversion was gradually increasing and the case lost rate was going down. The case-management for treatment was improving year by year. The results of sociological study on tuberculosis indicated that the financial problem was the main factor inducing delay of treatment and intermission and interruption of treatment among treated patients.