Lock W
Z Erkr Atmungsorgane. 1983;161(1):100-2.
The author derives the consequences of his study for tuberculosis control in FRG from the statement, that the self-eradication of tuberculosis will begin, when a lower number of new sources of infection will be produced by the actually existing infectious cases. Self-eradication may be accelerated by measures of control, above all by chemotherapy, nevertheless, the epidemiological regular course will not be broken but the transition from tuberculosis epidemic to endemic will occur only quicker. The trend of tuberculosis in the different areas, countries, and counties of the FRG is being investigated by comparing the dates of the years 1894/97, 1977, and 1980. The development is characterized by a west-east-trend of the disease and by the formation of centres of relatively higher frequency. Consequences for the future tuberculosis control are drawn emphasizing it in the still existing areas of relative accumulation.
当现存传染源产生的新感染源数量减少时,结核病将开始自我根除。控制措施,尤其是化疗,可能会加速自我根除,然而,流行病学的正常进程不会被打破,只是结核病从流行向地方病的转变会更快发生。通过比较1894/97年、1977年和1980年的相关数据,对联邦德国不同地区、州和郡县的结核病趋势进行了调查。其发展特点是疾病呈西向东的趋势以及形成相对高发中心。针对未来结核病控制得出了相应结论,并强调了在仍然存在相对聚集的地区开展控制工作。