Kekkaku. 2016 Feb;91(2):83-90.
This brief is the first of a series of documents based on the Tuberculosis Annual Report 2014. It includes a summary of tuberculosis (TB) statistics, including data on foreign-born TB patients notified and registered in Japan in 2014. For the first time, the number of newly notified cases (all forms of TB) fell below 20,000. In 2014, a total of 19,615 patients were notified, a rate of 15.4 per 100,000 population The number of sputum-smear positive pulmonary. TB patients notified was 7,651, a rate of 6.0 per 100,000 population. The number of patients with latent TB infections increased slightly from 7,147 in 2013 to 7,562 in 2014. The proportion of miliary TB cases has constantly increased over the past 10 years, especially among women aged 80 years and older. The number of foreign-born TB patients continued to increase from 1,064 in 2013 to 1,101 in 2014. In 2014, new foreign-born TB patients aged 20-29 years accounted for 44.1% of all new TB patients in that age group. Among foreign-born TB patients, half were from the Philippines (26.5%) and China (23.5%). However, the number of patients from Vietnam and Nepal is increasing. Among foreign-born TB patients, 28% were regular employees, 26% were students, and 20% were unemployed. The changing trend in the nationality of foreign students entering Japan may at least partially explain the differences in TB burden among foreign-born patients, by country of birth. As we expect to see the proportion of foreign-born TB patients continue to rise, more tailored case identification and treatment support activities are needed.
本简报是基于《2014年结核病年度报告》编制的系列文件中的第一份。它包括结核病(TB)统计摘要,其中涵盖了2014年在日本通报和登记的外国出生结核病患者的数据。新通报病例(所有形式的结核病)数量首次降至20000例以下。2014年,共通报了19615例患者,发病率为每10万人15.4例。痰涂片阳性肺结核患者通报数为7651例,发病率为每10万人6.0例。潜伏性结核感染患者数量从2013年的7147例略有增加至2014年的7562例。粟粒性结核病例的比例在过去10年中持续上升,尤其是在80岁及以上的女性中。外国出生结核病患者数量继续从2013年的1064例增加至2014年的1101例。2014年,20至29岁的外国出生新结核病患者占该年龄组所有新结核病患者的44.1%。在外国出生结核病患者中,一半来自菲律宾(26.5%)和中国(23.5%)。然而,来自越南和尼泊尔的患者数量正在增加。在外国出生结核病患者中,28%是正式员工,26%是学生,20%是失业者。进入日本的外国学生国籍的变化趋势可能至少部分解释了按出生国划分的外国出生患者中结核病负担的差异。由于我们预计外国出生结核病患者的比例将继续上升,因此需要开展更具针对性的病例识别和治疗支持活动。