Department of Biochemistry, ICMR-National JALMA Institute for Leprosy & Other Mycobacterial Diseases, Agra, Uttar Pradesh, India.
Department of Community Medicine, Gouri Devi Institute of Medical Sciences & Hospital, Durgapur, West Bengal, India.
Indian J Tuberc. 2023 Jul;70(3):273-275. doi: 10.1016/j.ijtb.2023.05.003. Epub 2023 May 9.
India is committed to the elimination of tuberculosis by 2025. But its achievement appears to be difficult as India has a huge burden of silicosis as well as sub-radiological silicosis, which was never given its required attention. Silicotic subjects are highly vulnerable to pulmonary tuberculosis due to the progressive decline of lung immunity. A study among vulnerable glass factory workers in Firozabad, Uttar Pradesh, revealed that silicotic workers were 7.5 times more at risk of pulmonary tuberculosis compared to non-silicotic subjects. Since India has a huge burden of silicosis and sub-radiological silicosis, the elimination of tuberculosis needs prior attention on silicosis. This article may be viewed as an eye-opener for understanding the necessity of dual control of both silicosis as well as tuberculosis by integrating both together.
印度致力于在 2025 年消除结核病。但印度的矽肺负担巨大，还有亚放射矽肺，这似乎使其难以实现这一目标，而这些问题从未得到应有的重视。由于肺部免疫力逐渐下降，矽肺患者极易感染肺结核。在北方邦菲罗扎巴德（Firozabad）的易感染玻璃厂工人中进行的一项研究表明，矽肺工人患肺结核的风险比非矽肺工人高 7.5 倍。由于印度的矽肺和亚放射矽肺负担巨大，因此消除结核病需要首先关注矽肺。本文可能会让人们认识到，矽肺和结核病的双重控制是必要的，将两者结合起来进行综合控制尤为重要。
