全球结核病流行病学和实现全球目标的进展——2017 年。

Global Epidemiology of Tuberculosis and Progress Toward Achieving Global Targets - 2017.

出版信息

MMWR Morb Mortal Wkly Rep. 2019 Mar 22;68(11):263-266. doi: 10.15585/mmwr.mm6811a3.

Abstract

Worldwide, tuberculosis (TB) is the leading cause of death from a single infectious disease agent (1) and the leading cause of death among persons living with human immunodeficiency virus (HIV) infection, accounting for approximately 40% of deaths in this population (2). The United Nations' (UN) Sustainable Development Goals (3) and the World Health Organization's (WHO's) End TB Strategy (4) have defined ambitious targets for 2020-2035, including a 35% reduction in the absolute number of TB deaths and a 20% reduction in TB incidence by 2020, compared with 2015 (4). Since 2000, WHO has produced annual TB estimates for all countries (1). Global and regional disease estimates were evaluated for 2017 to determine progress toward meeting targets. In 2017, an estimated 10 million incident cases of TB and 1.57 million TB deaths occurred, representing 1.8% and 3.9% declines, respectively, from 2016. Numbers of TB cases and disease incidence were highest in the WHO South-East Asia and Africa regions, and 9% of cases occurred among persons with HIV infection. Rifampicin-resistant (RR) or multidrug-resistant (MDR) (resistance to at least both isoniazid and rifampicin) TB occurred among 3.6% and 18% of new and previously treated TB cases, respectively (5.6% among all cases). Overall progress in global TB elimination was modest in 2017, consistent with that in recent years (1); intensified efforts to improve TB diagnosis, treatment, and prevention are required to meet global targets for 2020-2035.

摘要

在全球范围内,结核病(TB)是单一传染病病原体导致死亡的首要原因(1),也是人类免疫缺陷病毒(HIV)感染者死亡的首要原因,约占该人群死亡人数的 40%(2)。联合国(UN)可持续发展目标(3)和世界卫生组织(WHO)的终结结核病战略(4)为 2020-2035 年设定了雄心勃勃的目标,包括到 2020 年与 2015 年相比,结核病死亡人数绝对减少 35%,结核病发病率减少 20%(4)。自 2000 年以来,世卫组织每年都为所有国家提供结核病估计数(1)。为了评估实现目标的进展情况,对 2017 年的全球和区域疾病估计数进行了评估。2017 年,估计有 1000 万例结核病新发病例和 157 万例结核病死亡,与 2016 年相比,分别下降了 1.8%和 3.9%。结核病病例和疾病发病率最高的地区是世卫组织东南亚和非洲区域,9%的病例发生在 HIV 感染者中。利福平耐药(RR)或耐多药(MDR)(至少对异烟肼和利福平耐药)结核病分别占新发病例和既往治疗病例的 3.6%和 18%(所有病例的 5.6%)(5.6%)。2017 年全球结核病消除进展不大,与近年来的情况一致(1);需要加强努力,改善结核病诊断、治疗和预防,以实现 2020-2035 年的全球目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f678/6478060/8915afdcd01d/mm6811a3-F1.jpg

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