Szczuka Ireneusz
Instytut Gruźlicy i Chorób Płuc Zakład Epidemiologii i Organizacji Walki z Gruźlica.
Przegl Epidemiol. 2009;63(2):281-6.
In 2007 first time for many years registered small increase incidence of TB. In this year 8,616 tuberculosis cases notified it was higher--23 cases--than previous year. Incidence rate was 22.6 per 100,000 population with the large differences in notification rates between voivodships/region from 14.4 in the West to 35.3 in the East. The incidence in 2007 was 0.4% higher than in previous year and 34.0% lover than in 1998 y. Pulmonary cases represented 92.7% of all TB cases of which 65.1% were bacteriologically confirmed. Children TB cases--74 (including 5 cases in foreigners) incidence 1.2--represented 0.9% of all TB cases notified in Poland. The incidence of tuberculosis increases with age from 1.2 in children to 41.1 among 65 and older. The median age group--50-54. The incidence of men 31.4 is two times higher than in women--14.4 and in rural population is higher than in urban respectively 24.1 and 21.7. Among of all TB pulmonary cases were 226 cases--2.8% all TB cases--with resistance to at least one drug. In these cases were 59 MDR TB cases. In overall registered cases were 33 cases among HIV/AIDS patiens and 55 cases among foreigners and also registered 228 cases among prisoners. There were 739 deaths due to tuberculosis: from tuberculosis pulmonary 716--and 23 from extrapulmonary tuberculosis reported in 2006 i.e. 1.9 per 100,000. Mortality among males 3.1 was four times higher than among females--0.8. Among all deaths from tuberculosis--39.5% were in patients 65 year of age and older. Since many years the TB mortality is of the order of 0.2% of total mortality and more than 1/3 of all deaths from infectious diseases.
In 2007 y first time since 1994 y registered small increase incidence of TB. At this stage is two early to assert whether this provisional result for 2007 signify durable reverse of hitherto trends. The incidence of tuberculosis in Poland was about two times higher than mean incidence European Union before enlargement (15 countries). The distance between Poland and EU countries with lowest incidence TB is estimated 20-25 years.
2007年，多年来首次登记的结核病发病率略有上升。当年通报了8616例结核病病例，比上一年多23例。发病率为每10万人口22.6例，各省份/地区的通报率差异很大，从西部的14.4例到东部的35.3例。2007年的发病率比上一年高0.4%，比1998年低34.0%。肺结核病例占所有结核病病例的92.7%，其中65.1%经细菌学确诊。儿童结核病病例有74例（包括5例外国人），发病率为1.2，占波兰通报的所有结核病病例的0.9%。结核病发病率随年龄增长而上升，从儿童的1.2例到65岁及以上人群的41.1例。年龄中位数组为50 - 54岁。男性发病率为31.4例，是女性（14.4例）的两倍，农村人口的发病率高于城市人口，分别为24.1例和21.7例。在所有肺结核病例中，有226例（占所有结核病病例的2.8%）对至少一种药物耐药。其中有59例耐多药结核病病例。在总体登记病例中，艾滋病毒/艾滋病患者中有33例，外国人中有55例，囚犯中也登记了228例。有739人死于结核病：2006年报告的肺结核死亡716例，肺外结核死亡23例，即每10万人口中有1.9例。男性死亡率为3.1，是女性（0.8）的四倍。在所有结核病死亡病例中，39.5%是65岁及以上的患者。多年来，结核病死亡率约占总死亡率的0.2%，占所有传染病死亡病例的三分之一以上。
2007年是自1994年以来首次登记的结核病发病率略有上升。在这个阶段断言2007年的这一初步结果是否意味着迄今趋势的持久逆转还为时过早。波兰的结核病发病率比欧盟扩大前（15个国家）的平均发病率高出约两倍。波兰与结核病发病率最低的欧盟国家之间的差距估计为20 - 25年。
