Heffernan J F, Nunn A J, Peto J, Fox W
Tubercle. 1975 Dec;56(4):253-67. doi: 10.1016/0041-3879(75)90083-5.
A survey has been undertaken of a 50 per cent random sample of 865 patients notified as having pulmonary tuberculosis in 1968 in Scotland. The estimated notification rate for the total population was 33.3 per 100,000. The highest rate for males was 89.8 for those aged 55 or more and for females 29.5 for those aged 25 to 54. The rates for bacteriologically confirmed cases were 51.6 and 16.0, respectively, for these two groups. An independent radiological assessor reported the characteristic appearances of active tuberculosis in 50 per cent of the chest radiographs. Nearly half the patients were referred by general practitioners and 20 per cent were hospital inpatients when diagnosed. Contacts and mass radiography services produced many fewer cases and the proportion of infectious cases in these groups was low. The notification procedure is discussed and it is suggested that as progress towards eradication is made notification information is inadequate, and that standardised supplementary information on severity of disease and infectiousness should be collected, annually or periodically.
对1968年苏格兰通报的865例肺结核患者的50%随机样本进行了一项调查。总人口的估计通报率为每10万人33.3例。男性中，55岁及以上人群的发病率最高，为89.8例；女性中，25至54岁人群的发病率最高，为29.5例。这两组细菌学确诊病例的发病率分别为51.6例和16.0例。一名独立的放射学评估员报告称，50%的胸部X光片呈现出活动性肺结核的特征性表现。近一半的患者由全科医生转诊，确诊时20%为住院患者。接触者和集体X光检查服务发现的病例要少得多，这些群体中传染性病例的比例也很低。文中讨论了通报程序，并建议随着根除工作的推进，通报信息不足，应每年或定期收集关于疾病严重程度和传染性的标准化补充信息。
