Majewska-Zalewska H
Klinika Gruzlicy Dzieciecego Szpitala Klinicznego, Instytut Gruzlicy i Chorob Pluc w Rabce, ul. Jana Rudnika 1 m 4, 34-700 Rabka.
Med Wieku Rozwoj. 2000 Oct-Dec;4(4):441-50.
After the Second World War tuberculosis was a very serious health problem in Poland. Tuberculosis in children and youth constituted an important part of the morbidity in the whole population. In 1957 almost 27% of newly detected cases concerned children (19.9%) and adolescents (7%). This percentage decreased systematically through 15.1% in 1965 to 3,0% of total morbidity in 1999 (0.8% in children aged 0-14 and 2.2% in youth aged 15-19 years). Improvement was also observed in the general tuberculosis morbidity rate. The number of new cases diagnosed in 1965 was 57511 (morbidity rate per 100000 population was 182.6) and in 1990 the number of new cases diagnosed was 16136 (morbidity rate 42.3 per 100000 population). In 1999 - 12179 new cases in the whole population were registered (morbidity rate 31.5 per 100000 population). The decrease of morbidity in children and adolescents was more rapid than in adults (mean value 8.9%). The number of new tuberculosis cases diagnosed in 1965 in the age group 0-14 was 4248, (43.5 per 100000 population) and fell to 108 new cases in 1999 (1.4 per 100000 population). In the 15-19 years age group in 1965 - 3621 new cases were diagnosed (125.2 per 100000 population) and in 1999 - 265 new cases (8 per 100000 population) were detected. The most common form of tuberculosis in children and in youth as well as in adults is pulmonary tuberculosis.
第二次世界大战后,结核病在波兰是一个非常严重的健康问题。儿童和青少年结核病在整个人口中的发病率中占重要部分。1957年,近27%的新确诊病例涉及儿童(19.9%)和青少年(7%)。这一比例系统性下降,从1965年的15.1%降至1999年占总发病率的3.0%(0-14岁儿童为0.8%,15-19岁青少年为2.2%)。总体结核病发病率也有所改善。1965年新确诊病例数为57511例(每10万人口发病率为182.6),1990年新确诊病例数为16136例(发病率为每10万人口42.3)。1999年,全国登记了12179例新病例(发病率为每10万人口31.5)。儿童和青少年发病率的下降比成年人更快(平均值为8.9%)。1965年0-14岁年龄组新确诊的结核病病例数为4248例(每10万人口43.5例),到1999年降至108例新病例(每10万人口1.4例)。1965年15-19岁年龄组确诊了3621例新病例(每10万人口125.2例),1999年检测到265例新病例(每10万人口8例)。儿童、青少年以及成年人中最常见的结核病形式是肺结核。