Chinese tuberculosis prevent and cure face new challenge able to bear medicine endanger and exceed AIDS

Chinese tuberculosis prevent and cure, face new challenge able to bear medicine endanger and exceed AIDS
In recent years, tuberculosis produced through tuberculosis is able to bear the medicine problem seriously day by day, and our country has already been become able to bear one of the most serious countries of epidemic situation of tuberculosis of medicine. Please pay close attention to - -Ministry of Public Health points out, the tuberculosis prevention and control of our country still faces the new challenge at present, the three new difficult points appear in the tuberculosis prevention and control: First of all, economic development, people flow and aggravate, cause the spreading extensively of tuberculosis fungus; Secondly, the number of the infected of AIDS increases, HIV-positive's immunity obviously drops, make the number of the infected of tuberculosis increase; It has to be unstandard to lead to the fact, able to bear the production of nature because of treatment, patient of tuberculosis, and then, the ones that make some tuberculosis recover to the past again " Incurable disease " . The pulmonary tuberculosis patient of the systematic report of straight newspaper of national infectious disease network will reach more than 1 million in 2009 alone. Able to bear tuberculosis of medicine to endanger and exceed statistics that Ministry of Public Health of AIDS offers to reveal: China 22 pieces of tuberculosis in the world bears one of the countries high, patient's quantity ranks the second in the world, among them it is very serious to able to bear many medicine tuberculosis epidemic situations. Until the whole country able to bear the intersection of medicine and the intersection of tuberculosis and the intersection of base-line and investigation result, estimate the whole country send pulmonary tuberculosis patient to it able to bear many medicines to be 8.32% in rate newly every year, it is 0.68% to be able to bear medicine rate extensively; The new hair is able to bear many medicine tuberculosis patients 120,000 every year, able to bear a medicine patient nearly 10,000 extensively, it endangers and far exceeds AIDS. "The one that especially merited attention is, it is particularly serious in the countryside especially the western region of China to be able to bear tuberculosis of many medicines, because population flows frequently, cause the great danger to the public health. " In " the gift tuberculosis of global workplace comes to prevent China's projects " At the summing-up meeting, China disease accuses of the tuberculosis of in the center and prevents from director Jiang ShiWen of the intersection of control centre and policies and regulations department to say worrying. Able to bear tuberculosis of nature, mean not having curative effect with the present standard medicine healing solution while being so-called. The statistical data of WHO reveal, there are 28% in the tuberculosis case that one area in the northwestern part makes a definite diagnosis of newly of Russia in order to be able to bear tuberculosis of nature, this is a situation that it is able to bear tuberculosis of nature and have illness coming on that what WHO records up until now is the most serious. According to total number of patients, WHO says, Asia is able to bear the most tuberculosis cases of nature, and to able to bear the tuberculosis case of nature, estimate 69,000 Damien Africa, but the overwhelming majority can not be made a definite diagnosis of among them. According to the whole world, are able to bear the tuberculosis case of nature to estimate that only there are 7% that are made a definite diagnosis of. After the pathogen makes a variation in the forties of the 20th century, the tuberculosis patient had once broken away from " terror " brought by it gradually ,The reason has Streptomycin. This kind of antibiotic has lowered the fatality rates of tuberculosis greatly. Before the 1904 such as U.S.A., 188 people died in the every 100,000 pulmonary tuberculosis patient, this figure was only 4 people by 1953. This can not make us optimistic, because began since the eighties of last century, the structure of the tuberculosis pathogen changed. The pathogen after this kind of sudden change can resist the bacterium of most medicines, disease that it causes is known as and able to bear tuberculosis of many medicines. Finish newly according to World Health Organization <>Estimate, in 2008, 440,000 people will suffer from and is able to bear tuberculosis of many medicines in the global range, among them 1/3 have already died. The report still estimates, the about 50% of whole world is able to bear many medicine tuberculosis cases and take place in China and India. But the whole world able to bear many medicine / able to bear medicine extensively tuberculosis high to bear at the national ministerial meeting in 2009, Chen ZhuTong, minister of Ministry of Public Health, has submitted to the situation of China: The morbidity that China is able to bear tuberculosis of many medicines at present is 8.32%, total number is about 120,000 people! This year " Two Conferences " , the appeal wants problem of this public health of solving tuberculosis of degree from the national aspect in a more cost-effective manner, in the range that should include in national free treatment regardless of curing tuberculosis the therapeutic expenses able to bear medicines, able to bear tuberculosis of medicine extensively for the first time or. 75% patient " tuberculosis revive for the young and the middle aged. China's disease accuses of the tuberculosis of centre and prevents the data of control centre from revealing, 80% of the tuberculosis patients are in the countryside at present, 75% of the patients, for the young and the middle aged. " Jiang Shi smells to reveal. View from the point of coming clinically, can divide 3 peak age brackets, including 20- 25 years old, 45 years old, 75 years old. In recent years, the crowd 15 years old to 35 years old becomes the colony aptest to be infected with pulmonary tuberculosis of our country, this and most of young people work in the environment of air conditioner and social activity is frequent and relevant. Medical research proves whether have illness coming on behind the tubercle bacillus invades the human body, not merely depend on quantity and toxicity of the bacterium, predominant to depend on resistance to the tubercle bacillus of the human body. Under the low situation of organism immunity, the invading tuberculosis fungus can't be being eliminated by system of defence of the organism but bred constantly, cause tuberculosis. Relevant materials statistics show, the tuberculosis infection rate of large and medium cities can be up to 50%- 70%, that is to say the infection rate of the urban crowd is higher than the countryside. "The rural worker enters the big city, the relative poverty that live, the living environment is crowded and narrow and small, the hygiene state allows of no optimist, in addition, working labour intensity is great, excessively tired, nutrition can not catch up with, is in this kind of life state for a long time, lead to the fact organism resistance drops, make them it becomes tuberculosis to be high to take place crowd. " Jiang Shi heard, " some rural workers had already suffered from tuberculosis or has been infected with the tuberculosis fungus before going down town, there are some rural workers from outlying mountain area, lack the specific immunity to the tuberculosis fungus, make them become more easily infected group. " Tuberculosis is prevented and cured to plan to finish an investigation to reveal, during 150 million floating population of China soon, the tuberculosis patient of the report of Beijing and Shanghai is 40% and 50% respectively, but Shenzhen is up to 80%. The diagnosis rate of this part of crowds' person who leads to the fact tuberculosis and suspicious symptom among them of high flowability is very low, it is 70%; The therapeutic success rate among them is lower, Beijing, Shanghai is 20%. So need until floating population increase continuously at present and floating population infect risk control the tuberculosis morbidity of floating population under the very much high situation still urgently. Recently, claim from the news of preventing the control centre from coming of tuberculosis of Center for Disease Prevention and Control of China, <> make. It is introduced, over the last 10 years, our country strengthened to policy and fund input of the tuberculosis prevention and control year by year, the measures of various fields are carried out effectively. Modern tuberculosis prevent and cure the intersection of tactics and coverage rate, the intersection of tuberculosis and patient, find rate and cure rate reach 100%, 70% and 85% respectively. Tuberculosis is preventing the control centre at present Organize the experts and scholars of various fields and implement personnel to discuss together that make tuberculosis for next ten years to prevent and cure and plan. The ones that face in order to should prevent and cure present tuberculosis for example is able to bear tuberculosis of many medicines, tuberculosis fungus / new problems such as HIV double infecting with and floating population tuberculosis,etc., <> prevent and cure tuberculosis the respects be lasted working endeavour to be lasted tuberculosis after lasting quality, lasting systemming, combining sound with health care reform,etc. to tactics, ensure the people to be healthy. (Li Ying)

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