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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.

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。

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