关于我国结核病控制状况的若干认识

SOME VIEWS ABOUT TUBERCULOSIS CONTROL SITUATION OF OUR COUNTRY.

本文利用我国1979年、1984/85年和1990年三次全国结核病流行病学抽样调查资料和现已掌握的肺结核登记资料,对我国结核病疫情特点和防治工作若干问题试作探讨。资料表明:我国各省、自治区、直辖市的肺结核疫情可以粗略地划分为高、中、低三个水平,其动态趋势则表现为降低较快、降低平稳和有上升趋势三种类型。我国结核病登记率水平同发达国家间尚存在着较大差距,不宜用以反映疫情,但对于考核各地结核病防治措施的效果仍具有积极的意义。肺结核病程最近数年内有不断缩短的趋势,这与结核病程疗法的推广和药物疗效的提高密切相关。

This paper tried to inquire into characters of epidemic situation on tuberculosis and some problems about the work on tuberculosis control and treatment in our country by informations of three sampling surveys on tubercu- losis epidemiology and ones of registration on pulmonary tuberculosis hold now.These informations indicated that the epiedemic situations on tuberculosis refering to nationwide provinces,municipalities and autonomous cities may be roughly divided into threee levels(namely high,middle and low)and their dynamic trends into three types(namely reducing more rapidly,reducing smoothly and increasing). Our country's registration rate has still more greatly differed from developed countries,so it couldn't be used to express the epidemic situation on tuberculosis,however there is still an active meanings in the field of assessing effects of programmes on tuberculosis control and treatment. There is a trend of reducing increasingly about dissease duration on pulmonary tuberculosis in recent years, it is closely relative to the spreading of short chemotherapy and the raising of drug effects.