Bjune G, Heldal E
Avdeling for vaksine, Statens Institutt for Folkehelse, Oslo.
Tidsskr Nor Laegeforen. 1994 Feb 20;114(5):578-81.
Tuberculosis is increasing, partly because of concomitant HIV-infection, but with poverty and lack of social welfare and public health services contributing substantially. Current treatment for tuberculosis has proved efficacious also in HIV-infected patients, and so far seems to have prevented increased transmission of the disease in Tanzania. Strictly controlled chemotherapy provides the only hope of preventing the emergence of multi-resistant tubercle bacilli. The World Bank has evaluated tuberculosis control as the most cost-effective form of health intervention among adults. Norway has made a substantial contribution to the development of a model for tuberculosis control in developing countries and to international mycobacterial research; and therefore has a special responsibility to meet the new challenge.
结核病发病率正在上升，部分原因是同时感染了艾滋病毒，但贫困以及缺乏社会福利和公共卫生服务也是重要因素。事实证明，目前的结核病治疗方法对感染艾滋病毒的患者也有效，而且迄今为止似乎已防止了该病在坦桑尼亚的传播增加。严格控制化疗是防止多重耐药结核杆菌出现的唯一希望。世界银行已将结核病控制评估为成人健康干预措施中最具成本效益的形式。挪威为制定发展中国家结核病控制模式以及国际分枝杆菌研究做出了重大贡献；因此有特殊责任应对这一新挑战。
