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非洲抗击结核病:新冠疫情下的现状

Fighting Tuberculosis in Africa: The Current Situation Amidst the COVID-19 Pandemic.

作者信息

Uwishema Olivier, Badri Rawa, Onyeaka Helen, Okereke Melody, Akhtar Samaa, Mhanna Melissa, Zafar Bilal, Zahabioun Amirsaman, Said Khanafi A, Tovani-Palone Marcos Roberto

机构信息

Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.

Clinton Global Initiative University, New York, USA.

出版信息

Disaster Med Public Health Prep. 2022 Jun 8:1-3. doi: 10.1017/dmp.2022.142.

Abstract

Globally, tuberculosis (TB) is one of the leading infectious causes of mortality, with around 4000 deaths daily. Since the emergence of the coronavirus disease 2019 (COVID-19) pandemic in Africa, the region has experienced a lapse in responses directed at TB control, because the priority has shifted to interventions aimed at managing COVID-19. In addition to an unprecedented burden on the region's already overburdened health systems, another major public health concern is the clinical similarities between COVID-19 and TB, making TB diagnosis increasingly challenging, which may lead to poor prognosis, especially in people with TB and COVID-19 co-infection. A likely implication is that TB patients may stop attending health-care facilities due to fear of contracting or being diagnosed with COVID-19 or to avoid being stigmatized, invariably resulting in a disruption in their access to health-care services. Therefore, massive global support should be provided for TB endemic countries to respond synergistically and strongly to the thousands of TB cases as well as the COVID-19 pandemic.

摘要

在全球范围内,结核病是主要的感染性致死原因之一,每天约有4000人死亡。自2019年冠状病毒病(COVID-19)大流行在非洲出现以来,该地区针对结核病控制的应对措施出现了疏忽,因为工作重点已转向旨在管理COVID-19的干预措施。除了给该地区本已不堪重负的卫生系统带来前所未有的负担外,另一个主要的公共卫生问题是COVID-19与结核病在临床上的相似性,这使得结核病诊断越来越具有挑战性,可能导致预后不良,尤其是在同时感染结核病和COVID-19的人群中。一个可能的影响是,结核病患者可能会因担心感染或被诊断出患有COVID-19,或为避免被污名化而不再前往医疗机构就诊,这必然会导致他们获得医疗服务的机会中断。因此,应向结核病流行国家提供大规模的全球支持,以便协同有力地应对数千例结核病病例以及COVID-19大流行。

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