Starke J R, Tan T Q, Chacko M R, Cleary T G, Connelly K K, Kline M W
Department of Pediatrics, Baylor College of Medicine, Houston.
Tex Med. 1994 Jun;90(6):35-45.
In the past decade, many infectious diseases in children that were perceived to have been almost eliminated have returned with a vengeance in Texas. Across the state, vaccination rates are exceptionally low, and outbreaks of measles, mumps, and pertussis have been identified. Tuberculosis cases in children increased 77%, and cases of congenital syphilis increased 578% between 1987 and 1991. The new epidemic of HIV infection has placed additional strain on an already overburdened, inadequate public health system in Texas. This article identifies some of the major infections of public health significance among the children of Texas. A common theme for most of these problems is that they are preventable diseases that are not being prevented. Many children in Texas will suffer now and in the future if these public health problems remain ignored.
在过去十年里，许多曾被认为几乎已被消灭的儿童传染病在得克萨斯州卷土重来。在全州范围内，疫苗接种率极低，已发现麻疹、腮腺炎和风疹疫情。1987年至1991年间，儿童结核病病例增加了77%，先天性梅毒病例增加了578%。新出现的艾滋病毒感染疫情给得克萨斯州本就负担过重、运转不良的公共卫生系统带来了额外压力。本文指出了得克萨斯州儿童中一些具有公共卫生重要性的主要感染疾病。这些问题大多有一个共同的主题，即它们都是可预防的疾病，但却未得到预防。如果这些公共卫生问题继续被忽视，得克萨斯州的许多儿童现在及未来都将受苦。
