Song Jae Hoon, Huh Kyungmin, Chung Doo Ryeon
Asia Pacific Foundation for Infectious Diseases (APFID), Seoul, Korea.
Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Infect Chemother. 2019 Dec;51(4):414-426. doi: 10.3947/ic.2019.51.4.414. Epub 2019 Nov 28.
Tuberculosis has been a major public health threat in modern Korea. A few reports from the mid-1940s have demonstrated a high prevalence of latent and active tuberculosis infections. The high disease burden urged the newly established government to place a high priority on tuberculosis control. The government led a nationwide effort to control tuberculosis by building dedicated hospitals, conducting mass screening, providing technical and material support for microbiological diagnosis, administering Bacillus Calmette-Guérin vaccination, and improving appropriate antibiotic treatment through public health centers. Such concerted efforts resulted in a gradual decrease in the disease burden of tuberculosis, as demonstrated by National Tuberculosis Prevalence Surveys and notifiable disease statistics. While great progress has been made, new challenges - including an aging population, outbreaks in schools and healthcare facilities, and migration from high-prevalence countries - lie ahead. Here, we review the modern history of tuberculosis in Korea, focusing on epidemiology and public health policies.
结核病一直是现代韩国的重大公共卫生威胁。20世纪40年代中期的一些报告显示,潜伏性和活动性结核感染的患病率很高。沉重的疾病负担促使新成立的政府高度重视结核病控制。政府通过建设专科医院、开展大规模筛查、为微生物诊断提供技术和物资支持、接种卡介苗以及通过公共卫生中心改善适当的抗生素治疗等方式,在全国范围内开展结核病防治工作。正如全国结核病患病率调查和法定传染病统计数据所示,这些共同努力使结核病的疾病负担逐渐下降。尽管已取得巨大进展,但新的挑战依然存在,包括人口老龄化、学校和医疗机构的疫情爆发以及来自高流行国家的移民等问题。在此,我们回顾韩国结核病的现代史,重点关注流行病学和公共卫生政策。