Keller R, Bohn W
Prax Klin Pneumol. 1978 Sep;32(9):571-7.
Disorders of the respiratory tract account for about 13 percent of overall mortality in Switzerland, for about 50 percent of all hospital admissions and for about 7 percent of the nursing days. Cases of obstructive respiratory disease, pneumonia and carcinoma of the lung predominate. Morbidity regarding newly discovered cases of tuberculos is still 0.5 percent and 40 percent of the population are still positive reactors. BCG vaccination of newborns and of all tuberculin-negative schoolchildren is the approved prophylactic procedure. Periodic mass radiography of adults on a voluntary basis, aimed at the early diagnosis of pulmonary disorders, shows an incidence of 0.4/1 000 and of 0.3/1 000 for new cases of tuberculosis and lung cancer respectively. Cases of chronic obstructive respiratory disease who require hospitalization for above-average length and are frequently on sick leave present special sociomedical problems.
呼吸道疾病约占瑞士总死亡率的13%,占所有住院病例的约50%,占护理天数的约7%。阻塞性呼吸道疾病、肺炎和肺癌病例占主导。新发现的结核病病例发病率仍为0.5%,40%的人口仍是结核菌素阳性反应者。新生儿和所有结核菌素阴性的学童接种卡介苗是批准的预防措施。以早期诊断肺部疾病为目的的成人自愿定期集体X光检查显示,肺结核和肺癌新病例的发病率分别为0.4/1000和0.3/1000。需要住院时间高于平均水平且经常请病假的慢性阻塞性呼吸道疾病患者存在特殊的社会医学问题。