Snow K, Yadav R, Denholm J, Sawyer S, Graham S
Centre for International Child Health, University of Melbourne, Department of Paediatrics and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia.
School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Western Pac Surveill Response J. 2018 Nov 9;9(4):16-20. doi: 10.5365/wpsar.2017.8.4.011. eCollection 2018 Oct-Dec.
The Philippines, a country with a young population, is currently experiencing an intense and persistent tuberculosis epidemic. We analysed patient-based national surveillance data to investigate the epidemiology of reported tuberculosis among children (aged 0-9 years), adolescents (aged 10-19 years) and young adults (aged 20-24 years) to better understand the burden of disease and treatment outcomes in these age groups. Descriptive analyses were performed to assess age-related patterns in notifications and treatment outcomes. Data quality was assessed against international benchmarks at the national and regional levels. Overall, 27.3% of tuberculosis notifications for the Philippines in 2015 pertained to children, adolescents and young adults aged 0-24 years. Treatment outcomes were generally favourable, with 81% of patients being cured or completing treatment. The data quality assessment revealed substantial regional variation in some indicators and suggested potential underdetection of tuberculosis in children aged 0-4 years. Children, adolescents and young adults in the Philippines constitute a substantial proportion of patients in the national tuberculosis surveillance data set. Long-term progress against tuberculosis in the Philippines relies on improving the control of tuberculosis in these key age groups.
菲律宾是一个人口年轻化的国家，目前正经历着一场严重且持续的结核病流行。我们分析了基于患者的国家监测数据，以调查儿童（0至9岁）、青少年（10至19岁）和青年成年人（20至24岁）中报告的结核病流行病学情况，以便更好地了解这些年龄组的疾病负担和治疗结果。进行描述性分析以评估通报和治疗结果中与年龄相关的模式。在国家和区域层面根据国际基准对数据质量进行了评估。总体而言，2015年菲律宾27.3%的结核病通报涉及0至24岁的儿童、青少年和青年成年人。治疗结果总体良好，81%的患者被治愈或完成治疗。数据质量评估显示某些指标存在显著的区域差异，并表明0至4岁儿童中可能存在结核病检测不足的情况。菲律宾的儿童、青少年和青年成年人在国家结核病监测数据集中占相当大的比例。菲律宾在结核病防治方面的长期进展依赖于改善这些关键年龄组的结核病控制情况。
