Hutás I, Nyárády I
Z Erkr Atmungsorgane. 1976 May;145(2):158-68.
The organization of tuberculosis control in Hungary is organized in 3 levels: The central level is represented in the leading Korányi-Institute, the regional level are 19 district care departments for lung diseases, and the local care departments for lung diseases, which are responsible for the practical realization of the control programme. Between the different levels exist a bilateral stream of information, which guarantees the functioning of this organisational structure. At the onset of this century, tuberculosis morbidity in Hungary was 2 to 3 times higher than in the European industrial countries. This situation has been rapidly and permanently improved until the present time. But the tuberculosis problem is not yet removed today. The development of tuberculosis control turned out in 3 periods after the second world war: 1. Up to 1950 - The basis was built up, epidemiological indices were defined and a compulsary registration was introduced; 2. 1950 to 1964 - A complex programme of tuberculosis control was elaborated; a new documentation system and new sanatoriums were erected; 3. from 1964 - Final eradication of tuberculosis among children. The objective of complete eradication of tuberculosis was established. Intensive examination and control and chemoprophylaxis are organized for high risk groups. With the repression of tuberculosis new tasks in the field of respiratory diseases will be assumed step by step.
中央层级以领先的科拉尼研究所为代表，区域层级是19个地区肺病护理部门，地方肺病护理部门则负责控制项目的实际实施。不同层级之间存在双向信息流，这确保了该组织结构的运作。在本世纪初，匈牙利的结核病发病率比欧洲工业国家高2至3倍。这种情况直到现在已迅速且持续得到改善。但如今结核病问题仍未消除。第二次世界大战后，结核病控制的发展经历了三个阶段：1. 到1950年——奠定基础，确定了流行病学指标并实行强制登记；2. 1950年至1964年——制定了复杂的结核病控制计划；建立了新的文档系统和新的疗养院；3. 从1964年起——最终消除儿童结核病。确立了完全根除结核病的目标。为高危人群组织了强化检查、控制和化学预防。随着结核病得到抑制，呼吸系统疾病领域将逐步承担新的任务。
