Lee Y A, Munsiff S S, Li J, Driver C R, Mathema B, Kreiswirth B N
Tuberculosis Control Program, New York City Department of Health, New York 10013, USA.
J Immigr Health. 2001 Oct;3(4):173-80. doi: 10.1023/A:1012223510638.
Tuberculosis among Tibetans increased in New York City between 1995 and 1999. We examined characteristics of 68 Tibetan patients compared to 702 non-Tibetan patients from Nepal, India, or China, diagnosed between January 1995 and December 1999. The number of Tibetan patients increased each year after 1995 whereas non-Tibetans remained stable during the same period. Tibetans were younger (27 vs. 44 years), more likely to be infectious (63% vs. 46%), have multidrug resistance (7% vs. 2%) and shorter time to diagnosis after arrival (9 vs. 79 months, p < 0.01). For Tibetan patients, 68% of identified contacts were evaluated. The prevalence of tuberculosis infection was 65%. In contrast, among non-Tibetan patients 88.8% of contacts were evaluated and 45.2% were infected. Outreach efforts with community leaders and educational presentations at community events have been implemented in an effort to ensure continuity of care and completion of treatment.
1995年至1999年间，纽约市藏族人群中的结核病发病率有所上升。我们对68名藏族患者的特征进行了研究，并与1995年1月至1999年12月期间确诊的702名来自尼泊尔、印度或中国的非藏族患者进行了比较。1995年后，藏族患者的数量逐年增加，而同期非藏族患者数量保持稳定。藏族患者更年轻（27岁 vs. 44岁），更易具有传染性（63% vs. 46%），更易出现多重耐药（7% vs. 2%），抵达后至诊断的时间更短（9个月 vs. 79个月，p < 0.01）。对于藏族患者，68%的已识别接触者接受了评估。结核病感染率为65%。相比之下，非藏族患者中88.8%的接触者接受了评估，45.2%受到感染。已与社区领袖开展外联工作，并在社区活动中进行教育宣讲，以确保持续护理和完成治疗。
