Cosivi O, Grange J M, Daborn C J, Raviglione M C, Fujikura T, Cousins D, Robinson R A, Huchzermeyer H F, de Kantor I, Meslin F X
World Health Organization, Geneva, Switzerland.
Emerg Infect Dis. 1998 Jan-Mar;4(1):59-70. doi: 10.3201/eid0401.980108.
The World Health Organization (WHO) estimates that human tuberculosis (TB) incidence and deaths for 1990 to 1999 will be 88 million and 30 million, respectively, with most cases in developing countries. Zoonotic TB (caused by Mycobacterium bovis) is present in animals in most developing countries where surveillance and control activities are often inadequate or unavailable; therefore, many epidemiologic and public health aspects of infection remain largely unknown. We review available information on zoonotic TB in developing countries, analyze risk factors that may play a role in the disease, review recent WHO activities, and recommend actions to assess the magnitude of the problem and control the disease in humans and animals.
世界卫生组织(WHO)估计,1990年至1999年期间,人类结核病(TB)的发病数和死亡数将分别达到8800万和3000万,其中大多数病例发生在发展中国家。人畜共患结核病(由牛分枝杆菌引起)在大多数发展中国家的动物中存在,而这些国家的监测和控制活动往往不足或无法开展;因此,感染的许多流行病学和公共卫生方面情况仍基本未知。我们回顾了发展中国家人畜共患结核病的现有信息,分析了可能在该病中起作用的风险因素,回顾了WHO近期的活动,并建议采取行动来评估问题的严重程度以及控制人类和动物中的该病。