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结核病监测是系统掌握疫情,评价防治对策,改进防治办法的重要手段。1992—1998年监测结果显示:1993年实施“卫生部加强与促进结核病项目”后,活动及涂阳肺结核病人新登记率均明显提高(新发涂阳病人发现率1998年是1992年的近2倍),实施督导及短程化疗使新发涂阳病人治愈率达85%以上,7年BCG接种率均在94%以上,说明结防工作质量93年后较92年明显提高,应推广“卫生部加强与促进结核病控制项目”工作经验。存在问题:涂阳新登记率虽达20/10万,但距国家要求2000年达70%以上还很远,因病人发现延误率还较高(56—81%),因此应加强病人发现工作;结核病死亡仍为常见死亡原因,为其它传染病和寄生病死亡的1.1—5倍,示河南省结核病仍为传染病的第一杀手,应加强其控制力度。
Tuberculosis monitoring is an important means of systematically grasping the epidemic, evaluating prevention and control measures, and improving prevention and treatment measures. The monitoring results from 1992 to 1998 showed that the number of newly registered smear-positive pulmonary tuberculosis patients and their newly registered smear-positive TB patients increased significantly after the implementation of the “Ministry of Health Strengthening and Promoting TB Project” in 1993 (the detection rate of new smear-positive patients was nearly 2 in 1992 Times), the implementation of supervision and short-range chemotherapy make the new smear-positive patients cure rate of 85% or more, 7-year BCG vaccination rates were above 94%, indicating that the quality of the work of anti-tuberculosis after 93 years was significantly improved over 92 years, should promote “health Ministry of Health to strengthen and promote tuberculosis control project ”work experience. Problems: The new registration rate of smear positive is 20 / 100,000 but it is still far from the requirement of more than 70% by the state in 2000 because of the higher delay rate (56-81%) found by the patients, so the patient discovery should be strengthened; The death of tuberculosis is still the common cause of death, which is 1.1 to 5 times as much as other infectious diseases and parasitic deaths. It shows that tuberculosis in Henan Province is still the number one killer of infectious diseases and its control efforts should be strengthened.