北卡罗来纳州农民农场工人结核病的流行病学
S D Ciesielski1, J R Seed, D H Esposito
1Department of Parasitology and Laboratory Practice, School of Public Health, University of North Carolina, Chapel Hill 27599.
JAMA
|April 3, 1991
概括
结核病 (TB) 是移民农场工人的严重公共卫生问题,美国出生的黑人和海地人感染率更高. 农场工作带来重大风险,需要改善医疗保健准入和劳动制度改变,以制结核病传播.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 是已知的农民农场工人的健康问题,但其流行率和特定的风险因素仍然不明确.
- 之前的研究还没有充分定义这种脆弱人群中结核病的范围.
研究的目的:
- 在农场工人随机抽样中进行第一个基于人口的结核病研究.
- 为了更准确的评估,使用召回抗原调查这一群体中的结核病流行病学.
主要方法:
- 研究了543名农场工人的随机样本.
- 召回抗原被用来提高结核病流行病学评估的准确性,减轻虚假阴性.
主要成果:
- 纯化蛋白衍生物 (PPD) 的阳性差异很大:西班牙裔人33%,美国出生的黑人54%,海地人76%.
- 在美国出生的黑人中,活跃结核病发病率为3.6%,在西班牙裔中为0.47%.
- 农场工作被确定为结核病的重要风险因素,特别是在美国出生的黑人中,他们也显示出结核病的最高患病率.
结论:
- 农场工人患结核病是一个严重的公共卫生问题,具有重要的,以前未被识别的危险因素.
- 解决结核病传播需要增加移民医疗保健的资源,改善医疗保健的准入,以及移民劳动实践的系统性变化.
相关概念视频
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis II
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Pulmonary Tuberculosis III
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis V
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Tuberculosis
Tuberculosis (TB) remains a significant global health concern, primarily targeting the lungs and spreading through airborne transmission. Infection begins when aerosolized droplet nuclei, expelled by an individual with active TB, are inhaled by another person. These microscopic particles carry Mycobacterium tuberculosis, the causative agent of TB. Upon reaching the alveoli, the bacilli are engulfed by alveolar macrophages. However, due to their specialized lipid-rich cell wall, these pathogens...


