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中国防痨杂志 ›› 2021, Vol. 43 ›› Issue (11): 1120-1124.doi: 10.3969/j.issn.1000-6621.2021.11.004

• 专题笔谈 • 上一篇    下一篇

创建无结核社区 终止结核病流行

成君, 赵雁林()   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2021-09-06 出版日期:2021-11-10 发布日期:2021-11-02
  • 通信作者: 赵雁林 E-mail:zhaoyl@chinacdc.cn
  • 基金资助:
    梅里埃基金会合作项目

End tuberculosis epidemic by establishing zero tuberculosis community

CHENG Jun, ZHAO Yan-lin()   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2021-09-06 Online:2021-11-10 Published:2021-11-02
  • Contact: ZHAO Yan-lin E-mail:zhaoyl@chinacdc.cn

摘要:

社区不仅是社会的基本单位,也是结核病患者居家治疗管理的主要场所。主动发现和预防性治疗是全球终结结核病流行策略下结核病防治行动2.0版的核心措施,社区对于结核病防治的认知、态度和行为,是由点到面逐步消除结核病危害的关键环节。笔者阐述了创建无结核社区的必要性,提出应将有效的结核病防治适宜技术进行整合,在社区层面推广应用主动筛查和预防性治疗等综合措施,从建立点状分布的无结核社区,逐步扩展到点、线、面一体的无结核地区和城市,为逐步实现终止结核病流行目标奠定良好的基础。

关键词: 结核, 综合预防, 社区卫生服务, 无结核社区

Abstract:

Community is the basic unit of society and the main place of implementing tuberculosis (TB) patients treatment and management. Active case finding and preventive therapy are the core elements of TB control action 2.0, guided by End TB Strategy. Public’s knowledge, attitude and practice for TB control are key points for eliminating hazard resulted from TB by spreading over whole area from one point gradually. Authors describe the importance of establishing Zero TB community, and suggest all effective measurements should be integrated into a package. Comprehensive measurements including active case finding and preventive therapy should be implemented at community level, and spread gradually to establish Zero TB county and/or Zero TB city, by which lay a solid foundation for End TB.

Key words: Tuberculosis, Universal precautions, Community health services, Zero tuberculosis community