結核対策の進展と中国の公衆衛生システムの発展
Longde Wang1, Jianjun Liu, Daniel P Chin
1Ministry of Health, Beijing, China.
Lancet (London, England)
|February 27, 2007
まとめ
中国 中国 中国 中国 中国.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 感染症のコントロール・コントロール
背景:
- 中国は1990年代に,制御の進展が遅い,多剤耐性結核の発生率が高く,著しい結核流行に直面した.
- 2003年のSARS流行によって,公衆衛生システムの弱点は明らかになった.
- 結核の制御が不十分であることは,全身的な公衆衛生上の欠陥と関連していた.
研究 の 目的:
- 中国の疾病管理プログラムと公衆衛生システムの強化が結核管理の成果をどのように改善したかを検討する.
- 疾患特有の介入と,公衆衛生システム全体の強化の間の相乗効果関係を分析する.
主な方法:
- 2003年以降,中国で実施された公衆衛生改革と感染症対策戦略のレビュー.
- 結核症例検出率と多剤耐性結核の傾向の分析,介入前と後の分析.
- 公共衛生システム強化イニシアチブの評価,資金調達,法律改正,報告システムなど.
主要な成果:
- 結核症例の検出は,2005年までに約30%から80%に大幅に増加しました.
- 中国は2005年の世界結核対策目標を達成しました.
- 強化された疾病管理プログラム,特に結核対策は,より堅牢な公衆衛生システムに寄与した.
結論:
- SARS後,公衆衛生改革に対する中国政府のコミットメントは,結核対策の努力を加速させた.
- 公共衛生システムの改善は,国内および世界の結核対策目標を達成するために不可欠でした.
- 疾病管理と公衆衛生インフラの強化における統合的な取り組みは,健康上の重要なポジティブな成果をもたらします.
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