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国家结核病消除规划——发生了哪些变化。

National TB elimination programme - What has changed.

机构信息

Government of Delhi, India.

Department of Microbiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 95, India.

出版信息

Indian J Med Microbiol. 2023 Mar-Apr;42:103-107. doi: 10.1016/j.ijmmb.2022.10.008. Epub 2022 Nov 16.

DOI:10.1016/j.ijmmb.2022.10.008
PMID:36402676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9672688/
Abstract

BACKGROUND

Before the start of Coronavirus (COVID-19) pandemic, TB was the leading cause of death due to a single infectious agent, ranking well above HIV/AIDS. Almost one-fourth of the world's population is infected with M. tuberculosis. TB is curable and preventable. About 85% of people who develop TB can be successfully treated with drug regimens of 6 months. Universal health coverage (UHC) is necessary to ensure that all those with the disease can access these treatments. Research breakthroughs (e.g., newer rapid diagnostic techniques, drugs, newer vaccine) are needed to rapidly reduce the number of new cases each year (TB incidence) worldwide.

OBJECTIVE

Changes in the National TB Elimination Programme since its inception.

CONTENT

The Government of India launched the "National TB Programme" in 1962 as District TB Centre model involved with BCG vaccination and TB treatment to fight tuberculosis, a major public health problem. The tuberculosis control programme has come a long way since then and has undergone major changes over the past few years The Ministry of Health and Family Welfare has developed the "National Strategic Plan" for Tuberculosis Elimination (2017-25) which encapsulates the bold and innovative steps required to eliminate TB in India by 2025, five years ahead of the global targets. By 2020 it was clear that the NSP- 2017-25 will not be able to meet these objectives, so another new NSP India 2025 had been launched in 2020. India has been actively involved in TB control activities for more than 50 years now. TB still continues to be a severe health problem in India. The country is now better prepared to tackle TB than before. It now has advanced and effective interventions and technologies for diagnosis, treatment and care of TB cases.

摘要

背景

在冠状病毒(COVID-19)大流行开始之前,结核病是单一传染病导致的主要死亡原因,其排名远高于艾滋病毒/艾滋病。世界上几乎有四分之一的人口感染了结核分枝杆菌。结核病是可治愈和可预防的。大约 85%的结核病患者可以通过 6 个月的药物治疗方案成功治愈。全民健康覆盖(UHC)是确保所有患者都能获得这些治疗的必要条件。需要研究突破(例如,新的快速诊断技术、药物、新疫苗),以迅速减少全球每年(结核病发病率)的新发病例数量。

目的

自成立以来国家结核病消除计划的变化。

内容

印度政府于 1962 年启动了“国家结核病规划”,该规划采用了“地区结核病中心”模式,涉及卡介苗接种和结核病治疗,以应对结核病这一重大公共卫生问题。自那时以来,结核病控制规划取得了长足的进步,并在过去几年经历了重大变革。卫生和家庭福利部制定了《结核病消除国家战略计划》(2017-25 年),该计划包含了在 2025 年之前在印度消除结核病所需的大胆和创新步骤,比全球目标提前了五年。到 2020 年,很明显,2017-25 年国家战略计划将无法实现这些目标,因此,2020 年又推出了另一个新的国家战略计划印度 2025。印度现在已经积极参与结核病控制活动 50 多年了。结核病仍然是印度的一个严重健康问题。该国现在比以往任何时候都更有准备来应对结核病。现在它拥有先进有效的干预措施和技术,用于诊断、治疗和护理结核病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d6/9672688/c06331dad504/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d6/9672688/c06331dad504/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d6/9672688/c06331dad504/gr1_lrg.jpg

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