Stehbens W E
Department of Pathology, Wellington Clinical School of Medicine, New Zealand.
Pathology. 1987 Apr;19(2):115-9. doi: 10.3109/00313028709077120.
In epidemiology, tuberculosis is currently considered to have multiple causes and "cause" is used for all secondary, aggravating and conditional factors in its pathogenesis. The tubercle bacillus is the cause of tuberculosis, and without it tuberculosis cannot occur. The failure to differentiate the cause from noncausative associated factors has wide and serious implications. It is retrogressive, scientifically inaccurate and to be avoided for the sake of logic and precision in scientific communication. Associated noncausative factors need to be classified according to their roles in the pathogenesis of the disease.
在流行病学中，目前认为结核病有多种病因，“病因”用于其发病机制中的所有次要、加重和条件因素。结核杆菌是结核病的病因，没有它结核病就不会发生。未能区分病因与非病因相关因素具有广泛而严重的影响。这是倒退的，在科学上不准确，为了科学交流中的逻辑性和精确性应予以避免。相关的非病因因素需要根据它们在疾病发病机制中的作用进行分类。
