在美国境外出生的人群中的结核病,1993-1998年
E A Talbot1, M Moore, E McCray
1Division of Tuberculosis Elimination, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
JAMA
|January 9, 2001
概括
从1993年至1998年,外国出生的结核病例在美国显著增加. 针对外国出生人口的针对性结核病控制策略对于消除结核病的努力至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 移民显著维持了美国结核病 (TB) 发病率.
- 了解外国出生人口中的结核病趋势对于公共卫生倡议至关重要.
研究的目的:
- 分析在美国外国出生的个人中结核病例的趋势和特征.
- 以外国出生的病例数据为基础,为结核病计划规划和政策制定提供信息.
主要方法:
- 对1993年至1998年美国结核病监测数据的描述性分析.
- 对被诊断患有结核病的外籍人士的人口和临床特征的检查.
主要成果:
- 外国出生的结核病例增加了2.6% (1993-1998),使其在美国总病例中的比例从29.8%增加到41.6%.
- 结核病例率在外国出生的 (32.9/100,000) 与美国出生的 (5.8/100,000) 个体中明显高.
- 超过一半的外国出生的病例发生在美国入境5年内;主要来源国包括墨西哥,菲律宾,越南,印度,中国,海地和韩国.
结论:
- 减少结核病在外国出生人口中的影响对于实现美国结核病消除目标至关重要.
- 定制结核病控制策略以适应外国出生的社区和全球结核病努力至关重要.
- 增加直接观察疗法 (DOT) 的使用表明治疗完成率有所改善.
相关概念视频
Prevalence and Incidence
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Infectious Diseases and Their Occurrence
Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...
Investigation of Disease Outbreaks
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Cytomegalovirus Disease
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
American Trypanosomiasis
Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...


