Enarson D A, Grzybowski S
CMAJ. 1986 May 15;134(10):1149-52.
We analysed the incidence rates of active tuberculosis reported between 1970 and 1981 in three groups of people born in Canada: Inuit, registered Indians and others (mainly of European origin). While the rates of tuberculosis were quite low in the last group, which constitutes about 82% of the population of Canada, they were 16 times higher among Indians and 24 times higher among Inuit. Some 20 to 30 years ago the Inuit had the highest recorded rate of tuberculosis in the world; with an intensive program the rate decreased sharply. Such a program has not been implemented among the Indian population, and the incidence rate has not decreased as rapidly. A major effort is required to satisfactorily control tuberculosis among Indians. In addition, we must not allow our efforts to slacken in the control of tuberculosis among the Inuit.
我们分析了1970年至1981年期间在加拿大出生的三组人群中报告的活动性肺结核发病率：因纽特人、注册印第安人和其他人（主要是欧洲血统）。在构成加拿大约82%人口的最后一组人群中，肺结核发病率相当低，而在印第安人中发病率高16倍，在因纽特人中高24倍。大约二三十年以前，因纽特人的肺结核发病率是世界上有记录以来最高的；通过一项强化计划，发病率急剧下降。这样的计划在印第安人群体中尚未实施，发病率下降得没有那么快。需要做出重大努力才能令人满意地控制印第安人中的肺结核。此外，我们在控制因纽特人中的肺结核方面绝不能放松努力。
