Evans M R
Department of Public Health Medicine, South Glamorgan Health Authority, Cardiff, Wales.
BMJ. 1995 Dec 2;311(7018):1483-5. doi: 10.1136/bmj.311.7018.1483.
Tuberculosis has been the subject of much concern in recent years. Notifications have increased, inadequacies in surveillance revealed, and policies for BCG immunisation and screening of immigrants questioned. Until recently the disease was given low priority in the United Kingdom. There is no overall strategic framework for tackling tuberculosis, and fears have been expressed about the future of local tuberculosis control programmes in the new market economy of the NHS. An action plan for tuberculosis within the context of a national programme is urgently required. Only then will a major impact on the incidence of the disease be seen.
近年来,结核病一直备受关注。通报病例有所增加,监测不足的问题暴露出来,卡介苗免疫和移民筛查政策也受到质疑。直到最近,在英国该疾病的优先级一直较低。应对结核病没有整体战略框架,人们对国民保健制度新市场经济下地方结核病控制项目的未来表示担忧。迫切需要在国家项目背景下制定结核病行动计划。只有这样,才能对该病的发病率产生重大影响。