International Health Regulations Coordination Department, World Health Organization, Avenue Appia 20, 1211 Geneva, Switzerland.
Travel Med Infect Dis. 2010 Mar;8(2):90-5. doi: 10.1016/j.tmaid.2009.11.003. Epub 2009 Dec 29.
In 2007, the World Health Organization's ("WHO") revised International Health Regulations (2005) ("IHR" or "Regulations") entered into force across the globe. The IHR contain a range of binding and advisory provisions for reporting, health measures, capacity-building and further procedures to address the risks of international disease spread in international travel, transport and trade. While the prior versions of the Regulations were limited to a short list of infectious diseases (which did not include tuberculosis), the revised IHR cover virtually all serious internationally transmissible disease risks, whether biological/infectious, chemical or radionuclear in origin, that meet certain criteria. These revised Regulations are now generally applicable to transnational tuberculosis ("TB") transmission, including through air travel. In light of the great numbers of persons undertaking international travel, the worldwide geographical coverage of the IHR, and the emergence of extremely drug resistant TB ("XDR TB"), these Regulations are an important element in addressing these (and other) serious international public health risks. This article describes the relevant provisions in the IHR, and their applicability in this context.
2007 年，世界卫生组织（“世卫组织”）修订的《国际卫生条例（2005）》（“IHR”或“条例”）在全球范围内生效。《国际卫生条例》包含一系列具有约束力和咨询性的规定，涉及报告、卫生措施、能力建设以及进一步程序，以应对国际旅行、运输和贸易中国际疾病传播的风险。尽管之前的条例版本仅限于少数几种传染病（不包括结核病），但经修订的《国际卫生条例》几乎涵盖了所有严重的、具有国际传播风险的疾病，无论其起源是生物/传染性、化学还是放射性核，只要符合某些标准。这些经修订的条例目前通常适用于跨国结核病（“TB”）传播，包括通过航空旅行。鉴于大量人员进行国际旅行、《国际卫生条例》的全球地理覆盖范围以及耐多药结核病（“XDR-TB”）的出现，这些条例是应对这些（和其他）严重国际公共卫生风险的重要因素。本文描述了《国际卫生条例》中的相关规定及其在这方面的适用性。
