中国可以终止结核病

China can eliminate tuberculosis

尽管中国每年发现并成功治疗70%以上的结核病病例,但按照目前结核病疫情下降的速度,中国无法实现《2030年可持续发展目标》中结核病相关目标。根据最新的科学知识和证据,如果结核病控制方法从单纯的“被动发现”转变为包括大规模的“主动筛查”,就有可能实现这些目标。中国有一个前所未有的机遇来扩大“主动筛查”,因为主动筛查的诊断技术和基础设施日臻成熟,包括基于舌拭子标本的分子检测技术和人工智能辅助的数字X线摄影和CT影像检查。抓住这一契机,中国有望在2030年成为首个将结核病发病率降低80%并消除结核病这一重大公共卫生问题的结核病高负担国家。

China is currently not on track to achieve the tuberculosis(TB)targets of the 2030 Sustainable Development Goals even though the country is detecting and successfully treating more than 70%of its incident TB cases each year.Based on recent scientific understanding and evidence,achieving these targets are possible if the TB control approach shifts from purely“passive detection”to include large-scale“active screening”.China has an unprecedented opportunity to scale up“active screening”because the diagnostic technology and infrastructure for active screening are largely or will soon be in place,including the availability of tongue swab-based molecular tests and AI-assisted imaging of X-ray and CT images.By seizing this opportunity,China can be the first high TB-burden country to reduce TB incidence by 80%and eliminate TB as a major public health problem in 2030.