Tyryltin M A
Probl Tuberk. 1990(1):12-6.
Though in the Far North areas there is a decrease in the epidemic causes of tuberculosis, one can observe a greater role of negative social and sanitary factors influencing its morbidity. In the pattern of factors predisposing to newly diagnosed cases of the disease, unsatisfactory housing and living conditions as well as unqualified physical labour performed under unfavourable production and extreme climatic conditions, which are often combined with hazardous habits and concomitant diseases, are becoming more common. Higher tuberculosis morbidity among the aboriginal population with lower rates of their contamination are directly related to the level of their social and sanitary conditions, traditional way of life, occupational activities and disadvantages in the social development of the areas of their preferential habitation. In this connection, while taking further steps against tuberculosis in the Far North areas, it seems necessary to intensify social and preventive measures as well as antituberculous care of the groups which are influenced by clearly negative social and sanitary factors.
尽管在极北地区，结核病的流行病因有所减少，但可以观察到负面的社会和卫生因素对其发病率的影响更大。在导致新诊断出该疾病的因素模式中，住房和生活条件差，以及在不利的生产和极端气候条件下进行的不合格体力劳动，这些往往与有害习惯和伴随疾病相结合，正变得越来越普遍。在原住民中，感染率较低但结核病发病率较高，这与他们的社会和卫生条件水平、传统生活方式、职业活动以及他们优先居住地区社会发展中的劣势直接相关。因此，在极北地区进一步采取防治结核病的措施时，加强针对受明显负面社会和卫生因素影响群体的社会和预防措施以及抗结核护理似乎很有必要。
