Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, the Netherlands.
Euro Surveill. 2014 Mar 6;19(9):20728. doi: 10.2807/1560-7917.es2014.19.9.20728.
In low-incidence countries in the European Union (EU), tuberculosis (TB) is concentrated in big cities, especially among certain urban high-risk groups including immigrants from TB high-incidence countries, homeless people, and those with a history of drug and alcohol misuse. Elimination of TB in European big cities requires control measures focused on multiple layers of the urban population. The particular complexities of major EU metropolises, for example high population density and social structure, create specific opportunities for transmission, but also enable targeted TB control interventions, not efficient in the general population, to be effective or cost effective. Lessons can be learnt from across the EU and this consensus statement on TB control in big cities and urban risk groups was prepared by a working group representing various EU big cities, brought together on the initiative of the European Centre for Disease Prevention and Control. The consensus statement describes general and specific social, educational, operational, organisational, legal and monitoring TB control interventions in EU big cities, as well as providing recommendations for big city TB control, based upon a conceptual TB transmission and control model.
在欧盟（EU）低发病国家，结核病（TB）集中在大城市，尤其是某些城市高危人群，包括来自结核病高发国家的移民、无家可归者以及有药物和酒精滥用史的人。要在欧洲大城市消除结核病，需要针对城市人口的多个层面采取控制措施。例如，人口密度高和社会结构复杂等欧盟大都市的特殊复杂性为传播创造了特定的机会，但也使针对特定人群的结核病控制干预措施能够发挥作用或具有成本效益，而这些措施在一般人群中并不有效。可以从整个欧盟吸取经验教训，这份关于大城市和城市高危人群结核病控制的共识声明是由一个代表各个欧盟大城市的工作组编写的，该工作组是应欧洲疾病预防控制中心的倡议而召集的。该共识声明描述了欧盟大城市中一般和具体的社会、教育、运营、组织、法律和监测结核病控制干预措施，并根据结核病传播和控制模型为大城市结核病控制提供了建议。
