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迈向发展中国家的结核病消除:阿曼25年的结核病控制历程。

Towards the elimination of tuberculosis in a developing country: 25 years of tuberculosis control in Oman.

作者信息

Al-Maniri A, Al-Rawas O, Al-Tuhami H, Eriksson B, Diwan V K

机构信息

Department of Public Health Sciences, Division of International Health (IHCAR), Karolinska Institutet, Sweden.

出版信息

Int J Tuberc Lung Dis. 2007 Feb;11(2):175-80.

PMID:17263288
Abstract

OBJECTIVE

To analyse trends of tuberculosis (TB) in Oman (1981-2005) in relation to the socio-economic development of the country.

METHODS

Data were used from the National Tuberculosis Control Programme (NTP). Information on TB cases' age, sex and type were obtained from the national book (1981-1991) and the computer database (1992-2005).

RESULTS

TB notification rates among Omani nationals declined by more than 85% from 1981 to 1995. During the period 1981-1993, the TB notification rate declined by around 15% per year, compared to only 3.6% per year in subsequent years. Males and the age group > or = 50 years have higher rates than females and younger age groups, respectively. Non-nationals contributed 21% of all TB cases notified and 40% of all smear-positive cases. Of cases among nationals notified between 2004 and 2005, 95% had a family income lower than the national average.

CONCLUSION

Although TB notification in Oman has declined by more than 85% over the last 25 years, the decline has slowed down over the last 10 years, requiring a detailed analysis of existing TB control measures and implementation of additional measures for TB elimination.

摘要

目的

分析阿曼(1981 - 2005年)结核病(TB)趋势及其与该国社会经济发展的关系。

方法

使用国家结核病控制规划(NTP)的数据。结核病病例的年龄、性别和类型信息来自国家手册(1981 - 1991年)和计算机数据库(1992 - 2005年)。

结果

1981年至1995年期间,阿曼国民的结核病报告率下降了85%以上。在1981 - 1993年期间,结核病报告率每年下降约15%,而在随后几年中每年仅下降3.6%。男性和年龄≥50岁的年龄组的发病率分别高于女性和年轻年龄组。非本国居民占所有报告结核病病例的21%,占所有涂片阳性病例的40%。在2004年至2005年报告的本国居民病例中,95%的家庭收入低于全国平均水平。

结论

尽管阿曼的结核病报告率在过去25年中下降了85%以上,但在过去10年中下降速度有所放缓,需要对现有的结核病控制措施进行详细分析,并实施额外的结核病消除措施。

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