Leonhardt K K, Gentile F, Gilbert B P, Aiken M
County of San Mateo Department of Health Services, Public Health Division, CA 94403.
Am J Public Health. 1994 Nov;84(11):1834-6. doi: 10.2105/ajph.84.11.1834.
In March 1992, a cluster of 89 persons with tuberculosis infection was identified in San Mateo County, California. Thirteen persons (15%), including 11 children, were diagnosed with active pulmonary tuberculosis. All contacts were African Americans who resided in or visited one of two houses used for crack cocaine smoking or dealing. The patient with the index case, a male infected with human immunodeficiency virus, contributed to the transmission of tuberculosis as a transient resident of several dwellings. Public health authorities applied unique intervention methods to control the outbreak, including the use of a mobile health van. Further innovative strategies will be necessary to meet the challenge of this reemerging disease.
1992年3月,在加利福尼亚州圣马特奥县发现了89例结核感染病例群。其中13人(15%)被诊断为活动性肺结核,包括11名儿童。所有接触者均为非裔美国人,他们居住在或到访过用于吸食或交易强效可卡因的两所房屋中的一所。首例病例是一名感染了人类免疫缺陷病毒的男性,作为几处住所的临时居住者,他促成了结核病的传播。公共卫生当局采用了独特的干预方法来控制疫情,包括使用一辆流动医疗车。为应对这种再度出现的疾病的挑战,还需要进一步的创新策略。