van Geuns H A
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:561-4.
In the developing countries tuberculosis is one of the most common diseases. According to estimates the number of cases of infectious tuberculosis is 3-4 millions. The guidelines for the effective control of the disease in the developing countries were laid down in a report by a Spezial Committee of the W.H.O. in 1974. The emphasis is 1) on protecting young people as far as possible by BCG vaccination, 2) on the early detection and treatment of as many cases of infectious tuberculosis as possible. The diagnosis does not depend on (expensive) radiographic equipment, as it can be made simply by microscopic examination of the sputum. For treating the infection various efficacious and not too expensive drugs are available which succeed within a few weeks in reducing the process to a non-infectious stage. Sanatorium or hospital treatment is generally not necessary.
在发展中国家,结核病是最常见的疾病之一。据估计,传染性结核病病例数为300万至400万。1974年世界卫生组织一个特别委员会的报告制定了发展中国家有效控制该疾病的指导方针。重点是:1)通过卡介苗接种尽可能保护年轻人;2)尽早发现并治疗尽可能多的传染性结核病病例。诊断不依赖(昂贵的)放射设备,因为仅通过痰涂片显微镜检查就能做出诊断。治疗感染有各种有效且不太昂贵的药物,这些药物能在几周内使病情发展到非传染阶段。一般不需要疗养院或医院治疗。