Che Didier, Bitar Dounia
Institut de Veille Sanitaire, 12 rue du Val d'Osne, 94415 Saint Maurice cedex.
Bull Acad Natl Med. 2005 Jun;189(6):1257-69; discussion 1269-70.
Tuberculosis is still a concern in France, especially in the Paris region and among people originating from highly endemic countries. In 2003, 6098 cases of tuberculosis were notified in France (10.2 per 100000). The patients' median age was 42 years, and 61% of patients were male. Most cases involved pulmonary tuberculosis (71.7%), but there were also 113 cases of tubercular meningitis (1.9%). Among documented cases, 43.9% were of foreign origin and 47.8% of patients were born abroad. The incidence among people born in France declined year on year until 2003, but has increased in the last two years in the 0- to 14-year age group. At the same time the incidence of tuberculosis has been increasing among young people born in sub-Saharan Africa, and the number of cases due to multidrug-resistant strains is also increasing. Official guidelines have been updated in order to improve the prevention and control of tuberculosis. Enhanced surveillance and appropriately funded public health initiatives are needed to reinforce the fight against tuberculosis in France.
结核病在法国仍是一个令人担忧的问题，尤其是在巴黎地区以及来自结核病高流行国家的人群中。2003年，法国报告了6098例结核病病例（每10万人中有10.2例）。患者的中位年龄为42岁，61%的患者为男性。大多数病例为肺结核（71.7%），但也有113例结核性脑膜炎病例（1.9%）。在有记录的病例中，43.9%为外国籍，47.8%的患者在国外出生。在2003年之前，法国本土出生人群中的发病率逐年下降，但在过去两年中，0至14岁年龄组的发病率有所上升。与此同时，撒哈拉以南非洲出生的年轻人中的结核病发病率一直在上升，耐多药菌株导致的病例数量也在增加。官方指南已更新，以改善结核病的预防和控制。需要加强监测并提供充足资金支持公共卫生举措，以加强法国抗击结核病的斗争。
