University of Florida, Gainesville, Florida, USA.
MEDICC Rev. 2018 Apr;20(2):59-63. doi: 10.37757/MR2018.V20.N2.14.
Global efforts to eliminate tuberculosis by 2050 continue to challenge health systems. In countries with low reported tuberculosis incidence, such as the USA (3.1/100,000 population) and Cuba (6.9/100,000), differences in classification by income level and health systems' overall organizational structure are evident. However, the two countries' low tuberculosis incidence, geographic proximity, robust research capacity and shared health priority for tuberculosis elimination provide fertile territory to strengthen collaboration for tuberculosis control in clinical, laboratory and community settings. Two tuberculosis symposia in Cuba-one at the Cuba Salud Convention in 2015 and the other at the International Forum on Hygiene and Epidemiology in 2016-were instrumental in stimulating dialogue on continued efforts towards eliminating tuberculosis by 2050. In this article, we describe tuberculosis burden in the USA and Cuba, critically analyze strengths and challenges experienced in areas of low tuberculosis incidence and provide recommendations for future institutional collaboration to support tuberculosis elimination and improved population health. KEYWORDS Tuberculosis/epidemiology, Mycobacterium tuberculosis, prevention, communicable disease control, disease eradication, disease elimination, international cooperation, Cuba, USA.
全球在 2050 年消除结核病的努力继续挑战着卫生系统。在结核病发病率低的国家，如美国（3.1/10 万人口）和古巴（6.9/10 万人口），按收入水平和卫生系统整体组织结构分类的差异明显。然而，这两个国家结核病发病率低、地理位置接近、强大的研究能力以及共同的结核病消除卫生重点为在临床、实验室和社区环境中加强结核病控制合作提供了肥沃的领域。古巴的两次结核病研讨会——一次是在 2015 年的古巴健康大会上，另一次是在 2016 年的国际卫生和流行病学论坛上——对激发关于到 2050 年继续努力消除结核病的对话起到了重要作用。在这篇文章中，我们描述了美国和古巴的结核病负担，批判性地分析了在结核病发病率低的地区的优势和挑战，并为未来支持结核病消除和改善人口健康的机构合作提供了建议。关键词 结核病/流行病学，结核分枝杆菌，预防，传染病控制，疾病消除，疾病消除，国际合作，古巴，美国。
