Barkham T M, Drury A, Pearson A D, Dybowski R, Atkinson H
Department of Microbiology, United Medical School Guy's Hospital, London.
Epidemiol Infect. 1995 Aug;115(1):133-7. doi: 10.1017/s0950268800058192.
We report a marked increase in the rate of notifications of tuberculosis in young adults in the London Borough of Lambeth. Analysis of notifications made to the Proper Officer over a 10-year period showed that the age specific notification rate in the cohort aged 20-44 years increased from 30/100,000 in 1983 to 51/100,000 in 1992. Analysis of St. Thomas' Hospital laboratory records of patients seen between 1984 and 1991 from whom Mycobacterium tuberculosis was isolated showed an increase in the number of patients of African origin from five in the first half of the study period (1984-7) to 25 in the second half (1988-91): 21 of these 25 had immigrated into England within 4 years of their illness. This finding is being further investigated in a prospective study of ethnicity, travel history and date of immigration of Lambeth residents notified with tuberculosis.
我们报告了伦敦兰贝斯区年轻成年人结核病通报率显著上升的情况。对向卫生官员提交的长达10年的通报情况分析显示，20至44岁人群的年龄特异性通报率从1983年的30/10万增至1992年的51/10万。对1984年至1991年间在圣托马斯医院就诊且分离出结核分枝杆菌的患者的实验室记录分析表明，非洲裔患者数量有所增加，从研究期前半段（1984 - 1987年）的5例增至后半段（1988 - 1991年）的25例：这25例中有21例在患病后4年内移民至英国。正在对兰贝斯区结核病通报居民的种族、旅行史和移民日期进行前瞻性研究，以进一步调查这一发现。
