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An overview of tuberculosis and migration.结核病与移民概述
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Health workers and the weaponisation of health care in Syria: a preliminary inquiry for The Lancet-American University of Beirut Commission on Syria.卫生工作者与叙利亚医疗保健的武器化:《柳叶刀》-贝鲁特美国大学叙利亚问题委员会的初步调查。
Lancet. 2017 Dec 2;390(10111):2516-2526. doi: 10.1016/S0140-6736(17)30741-9. Epub 2017 Mar 15.
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Mortality in children diagnosed with tuberculosis: a systematic review and meta-analysis.儿童结核病诊断后的死亡率:一项系统评价与荟萃分析
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Active Tuberculosis Case Finding Interventions Among Immigrants, Refugees and Asylum Seekers in Italy.意大利针对移民、难民和寻求庇护者的活动性肺结核病例发现干预措施
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Cameroon's MDR-TB treatment programme jeopardised by cross-border migration.喀麦隆的耐多药结核病治疗项目因跨境移民而受到威胁。
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Preventing tuberculosis transmission at a maternity hospital by targeted screening radiography of migrants.对移民进行有针对性的筛查 X 光检查,以预防某家妇产医院的结核病传播。
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人道主义紧急情况下的结核病控制:叙利亚流离失所危机的经验教训。

TB control in humanitarian emergencies: Lessons from the Syria displacement crisis.

作者信息

Boyd Andrew T, Cookson Susan T

机构信息

Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

J Clin Tuberc Other Mycobact Dis. 2019 Feb;14:31-35. doi: 10.1016/j.jctube.2018.06.006.

DOI:10.1016/j.jctube.2018.06.006
PMID:30906885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6423543/
Abstract

The satellite session at the 2017 48th Union World Conference on Lung Health discussed the impact of the Syrian displacement crisis on regional tuberculosis (TB) control. At the session, representatives of the affected countries and of international organizations reviewed the epidemiologic impact of Syrian displacement on regional TB control, as well as challenges and successes seen in TB control during this displacement. This discussion offered several lessons for TB control in other humanitarian emergencies. TB control in humanitarian emergencies requires increasing awareness of TB symptoms and services among healthcare workers and the affected populations. It also requires performing standardized symptom screening at borders or registration, while leveraging more widely available radiographic and diagnostic tools to find cases in high-burden settings that may be missed using symptom screening alone. Additionally, treatment completion rates can be maintained and improved through dedication of sufficient resources and innovative strategies to keep mobile populations on treatment. Finally, sustained commitment, including funding, from the international humanitarian community is necessary to improve TB control, and ultimately end TB, both in the Syria crisis and other humanitarian emergencies worldwide.

摘要

2017年第48届世界肺部健康联盟大会的卫星会议讨论了叙利亚流离失所危机对区域结核病控制的影响。在该会议上,受影响国家和国际组织的代表审查了叙利亚流离失所对区域结核病控制的流行病学影响,以及在此期间结核病控制方面所面临的挑战和取得的成功。此次讨论为其他人道主义紧急情况下的结核病控制提供了几点经验教训。人道主义紧急情况下的结核病控制需要提高医护人员和受影响人群对结核病症状及服务的认识。这还需要在边境或登记处进行标准化症状筛查,同时更广泛地利用现有的放射成像和诊断工具,以便在高负担环境中发现仅通过症状筛查可能遗漏的病例。此外,通过投入足够的资源和采用创新策略,让流动人群持续接受治疗,可以维持并提高治疗完成率。最后,国际人道主义社会的持续承诺,包括资金投入,对于改善叙利亚危机及全球其他人道主义紧急情况下的结核病控制并最终消除结核病是必要的。