Kober Lukas, Solovic Ivan, Littva Vladimir, Siska Vladimir
Department of Nursing, Faculty of Health, Catholic University, Ruzomberok, Slovakia.
Department of Public Health, Faculty of Health, Catholic University, Ruzomberok, Slovakia.
Iran J Public Health. 2021 Nov;50(11):2229-2237. doi: 10.18502/ijph.v50i11.7577.
Despite the available diagnostics and treatment, tuberculosis (TB) is a serious infectious disease currently occurring. Even some high-income countries in the world do not fully control it at this time. The reason for this situation is the lack of elimination programs to address the situation. The aim of the update of the prediction data was to create a presumption of TB development in Slovakia by 2040.
We used the time series prediction method with exponential equalization. The basis for the calculation were historical data on the incidence of TB from 1960 to 2018 in Slovakia (data for the last 58 yr). This time series has a clearly declining level. In view of this trend, we have set a threshold, whether and when the incidence in the future will fall below 5.0 patients per 100,000 inhabitants.
In case of a favorable development, the limit of our incidence drop below 5.0 cases per 100 000 inhabitants in 2022, when the incidence will be 4.91 per 100 000 inhabitants. In 2040, the predicted incidence of TB should be 1.78 per 100 000 inhabitants. A gradual decline may also be related to a decrease in the population of the Slovak Republic.
Slovakia belongs to those countries of the world where TB is under control. Increased surveillance of high-risk communities through community interventions and countries' readiness for global migration can help to influence factors that may aggravate the epidemiological situation of TB.
尽管有可用的诊断方法和治疗手段,但结核病仍是当前一种严重的传染病。即使是世界上一些高收入国家目前也未能完全控制住它。出现这种情况的原因是缺乏应对该状况的消除计划。更新预测数据的目的是推测到2040年斯洛伐克结核病的发展情况。
我们使用了指数平滑法的时间序列预测方法。计算的依据是1960年至2018年斯洛伐克结核病发病率的历史数据(过去58年的数据)。这个时间序列的水平明显呈下降趋势。鉴于这种趋势,我们设定了一个阈值,即未来发病率是否以及何时会降至每10万居民5.0例以下。
在情况良好的发展态势下,我们的发病率在2022年降至每10万居民5.0例以下,届时发病率将为每10万居民4.91例。到2040年,预计结核病发病率应为每10万居民1.78例。发病率的逐渐下降也可能与斯洛伐克共和国人口的减少有关。
斯洛伐克属于世界上结核病得到控制的国家。通过社区干预加强对高危社区的监测以及各国对全球移民的应对准备,有助于影响可能加剧结核病流行状况的因素。