结核病监测和控制,波多黎各,1898-2015年
Emerging infectious diseases
|November 7, 2023
概括
波多黎各正在接近结核病 (TB) 消除,但延迟诊断和贫困等挑战可能会阻碍进展. 持续监测和适应战略对于实现2035年目标至关重要.
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:
- 波多黎各被世界卫生组织认可为结核病发病率低的地区,并有2035年消除的目标.
- 结核病监测和控制的持续努力导致了病例发病率和死亡率的下降.
- 了解历史趋势和当前挑战对于结核病消除战略至关重要.
研究的目的:
- 描述目前波多黎各报告的结核病例发生率较低的情况.
- 提供从历史结核病监测和控制工作中吸取的关键经验教训.
- 识别可能阻碍消除结核病的进展的因素.
主要方法:
- 在波多黎各对结核病监测和控制的系统文献审查.
- 对三个不同的历史时期的分析:化疗前期,化疗后期和扩展控制.
- 补充额外的参考资料和流行病学数据.
主要成果:
- 持续的监测,持续的护理和新的策略与减少结核病发病率和死亡率有关.
- 尽管取得了进展,但影响结核病消除的因素仍不明确.
- 潜在的障碍包括诊断延迟,报告不足,经济挑战和风玛丽亚的影响.
结论:
- 波多黎各在结核病控制方面取得了重大进展,与世卫组织的消除目标保持一致.
- 解决报告不足和社会经济因素等挑战对于持续进步至关重要.
- 持续警和适应性战略是必要的,以克服结核病消除的剩余障碍.
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