人口动态和结核病的控制
Christopher Dye1, Brian G Williams
1World Health Organization, CH1211 Geneva 27, Switzerland. dyec@who.int
概括
结核病 (TB) 控制已经治疗了数百万人,但新的病例正在增加. 早期诊断和治疗是中断传播和控制这一持续的全球健康挑战的关键.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 自1995年以来,结核病 (TB) 控制策略已经治疗了超过3600万名患者.
- 尽管采取了控制措施,但全球结核病新发病例的发生率仍在增加,在2010年接近1000万.
- 结核菌及其人类宿主之间的复杂关系有助于结核病的持续性.
研究的目的:
- 审查结核病中不断演变的宿主-病原体关系.
- 检查导致全球结核病持续存在的因素.
- 确定有效控制结核病的优先事项.
主要方法:
- 审查有关结核病流行病学和控制现有的文献.
- 对Mycobacterium结核病菌宿主-病原体动态的分析.
- 检查影响结核病控制的社会,机构和流行病学因素.
主要成果:
- 虽然存在干预措施来降低易感性,疫苗可以帮助预防,但这些不是唯一的解决方案.
- 早期诊断和及时的药物治疗对于中断结核病传播至关重要.
- 任何结核病控制技术的成功在很大程度上取决于其应用的背景.
结论:
- 通过早期诊断和治疗中断结核病传播仍然是最高优先事项.
- 结核病控制方面的技术进步必须考虑到社会制度和流行病学环境.
- 解决结核病的持续性需要一个多方面的方法,不仅仅是医疗干预.
相关概念视频
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