Antunes M de L
Núcleo de Tuberculose, Direcção Geral de Saúde, Lisboa.
Acta Med Port. 1995 Oct;8(10):559-65.
There is a general downward trend of most epidemiological indices for TB, except for mortality. Incidence and prevalence rates were, for the first time ever, situated below 50 cases/100,000 inhabitants and smear-positive cases below 25/100,000. TB occurs mostly in the large, coastal cities, Lisboa and Oporto having 50% of the cases. There is a decreasing trend in 14 districts. Males are most affected. Young adults, 19 to 44 years old are the most prevalent group, children under 15 having very few cases and hardly any cases of miliary or meningitis. TB occurring together with AIDS had a greater increase than AIDS alone. Substance abusers had a greater increase of both situations, as well as deaths, than the other risk groups. BCG vaccination, as part of EPI, attained 91% coverage of newborns.
除死亡率外,结核病的大多数流行病学指标总体呈下降趋势。发病率和患病率有史以来首次降至每10万居民50例以下,涂片阳性病例降至每10万居民25例以下。结核病主要发生在沿海大城市,里斯本和波尔图的病例占50%。14个地区呈下降趋势。男性受影响最大。19至44岁的年轻人是最普遍的患病群体,15岁以下儿童病例极少,粟粒性或脑膜炎病例几乎没有。与艾滋病同时发生的结核病比单独的艾滋病增长幅度更大。与其他风险群体相比,药物滥用者在这两种情况下以及死亡人数方面的增长幅度更大。作为扩大免疫规划的一部分,卡介苗接种覆盖了91%的新生儿。