Porter J D
Department of Clinical Sciences, London School of Hygiene and Tropical Medicine.
CDR (Lond Engl Rev). 1991 Nov 8;1(12):R136-9.
Every year, between six and eight million people worldwide develop tuberculosis and 2-3 million die of the disease. The situation is worsening due to the epidemic of human immunodeficiency virus (HIV) infection and reactivation of tuberculosis in patients with 'dual infection'. The World Health Organisation estimated that three million persons had 'dual infection' in 1990; 78% occurring in Africa. Tuberculosis, which affects adults during their most productive years and is a curable and preventable disease, has thus become a priority in the 1990s after a period of neglect. It also has some of the most cost effective health interventions available. The thrust of tuberculosis research in developing countries should be to support national tuberculosis control programmes, both in the development of their infrastructure and in research, to assist and develop tuberculosis control strategies.
全世界每年有600万至800万人感染结核病，其中200万至300万人死于该病。由于人类免疫缺陷病毒（HIV）感染的流行以及“双重感染”患者中结核病的复发，情况正在恶化。世界卫生组织估计，1990年有300万人“双重感染”；其中78%发生在非洲。结核病在成年人最具生产力的年龄段发病，是一种可治愈和可预防的疾病，因此在经历了一段时间的忽视之后，在20世纪90年代已成为优先事项。它还拥有一些最具成本效益的卫生干预措施。发展中国家结核病研究的重点应该是在基础设施建设和研究方面支持国家结核病控制规划，以协助制定和完善结核病控制策略。
