Reflections on the prevention and control of tuberculosis among Chinese students

doi:10.3969/j.issn.1000-6621.2020.03.003

Abstract

Abstract:

Tuberculosis prevention and control in school is one of the critical tasks in China’s tuberculosis prevention and control program. School tuberculosis control involves thousands of families, has strong political significance, with any slightly inappropriate policy, which will cause significant social impact. This article puts forward some different perspectives on the critical population of school tuberculosis, the definition of public health outbreaks, and the issue of student patients returning to school. We are advocating the attention and discussion among colleagues and provide a scientific basis for the government to formulate a practical and effective school tuberculosis control strategy.

Key words: Tuberculosis, Schools, Universal precautions, Communicable disease control

GAO Qian,MEI Jian. Reflections on the prevention and control of tuberculosis among Chinese students[J]. Chinese Journal of Antituberculosis, 2020, 42(3): 195-199. doi: 10.3969/j.issn.1000-6621.2020.03.003

References 21

[1]	钟球, 成诗明, 周林 . 学校结核病筛查技术手册. 北京: 人民卫生出版社, 2018.
[2]	World Health Organization. WHO global tuberculosis report. Geneva: World Health Organization, 2017.
[3]	中华人民共和国国家卫生和计划生育委员会. WS 288—2017 肺结核诊断. 2017-11-09.
[4]	Jiang Q, Lu L, Wu J , et al. Assessment of tuberculosis contact investigation in Shanghai, China: an 8-year cohort study. Tuberculosis (Edinb), 2018,108:10-15.
[5]	武洁, 方仁东, 徐鹏 , 等. 采用基因分型技术分析家庭内结核病的传播. 中华结核和呼吸杂志, 2008,31(5):390-391.
[6]	李静, 江渊, 唐利红 , 等. 上海市某高级中学学生结核病疫情的分子流行病学分析. 中国防痨杂志, 2017,39(5):506-510.
[7]	李建翠, 汪延举, 史衍席 , 等. 采用分子流行病学和传统调查相结合分析嘉祥县某中学结核病聚集性疫情. 中国防痨杂志, 2012,34(10):655-658.
[8]	Ma MJ, Yang Y, Wang HB , et al. Transmissibility of tuberculosis among school contacts: an outbreak investigation in a boarding middle school, China. Infect Genet Evol, 2015,32:148-155.
[9]	Andrews RH, Devadatta S, Fox W , et al. Prevalence of tuberculosis among close family contacts of tuberculosis patients in South India, and influence of segregation of the patient on early attack rate. Bull World Health Organ, 1960,23:463-510.
[10]	Brooks SM, Lassiter NL, Young EC . A pilot study concerning the infection risk of sputum positive with tuberculosis patients on chemotherapy. Am Rev Respir Dis, 1973,108(4):799-804.
[11]	Gunnels JJ, Bates JH, Swindoll H . Infectivity of sputum positive tuberculosis patients on chemotherapy. Am Rev Respir Dis, 1974,109(3):323-330.
[12]	Rouillon A, Perdrizet S, Parrot R . Transmission of tubercle bacilli: the effects of chemotherapy. Tubercle, 1976,57(4):275-299.
[13]	Telzak EE, Fazal BA, Pollard CL , et al. Factors influencing time to sputum conversion among patients with smear-positive pulmonary tuberculosis. Clin Infect Dis, 1997,25(3):666-670.
[14]	Fennelly KP, Jones-López EC, Ayakaka I , et al. Variability of infectious aerosols produced during coughing by patients with pulmonary tuberculosis. Am J Respir Crit Care Med, 2012,186(5):450-457.
[15]	Riley RL, Mills CC, O’Grady F , et al. Infectiousness of air from a tuberculosis ward. Ultraviolet irradiation of infected air: comparative infectiousness of different patients. Am Rev Respir Dis, 1962,85:511-525.
[16]	Riley RL, Mills CC, Nyka W , et al. Aerial dissemination of pulmonary tuberculosis. A two-year study of contagion in a tuberculosis ward: 1959. Am J Epidemiol, 1995,142(1):3-14.
[17]	Escombe AR, Moore DA, Gilman RH , et al. The infectiousness of tuberculosis patients coinfected with HIV. PLoS Med, 2008,5(9):e188.
[18]	Dharmadhikari AS, Basaraba RJ, Van Der Walt ML , et al. Natural tuberculosis. Tuberculosis (Edinb), 2011,91(4):329-338.
[19]	Dharmadhikari AS, Mphahlele M, Venter K , et al. Rapid impact of effective treatment on transmission of multidrug-resistant tuberculosis. Int J Tuberc Lung Dis, 2014,18(9):1019-1025.
[20]	Taylor Z, Nolan CM, Blumberg HM , et al. Controlling tuberculosis in the United States. Recommendations from the American Thoracic Society, CDC, and the Infectious Diseases Society of America. MMWR Recomm Rep, 2005,54(RR-12):1-82.
[21]	U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, et al. Questions and answers about tuberculosis. [TB 2014]. Atlanta: Centers for Disease Control and Prevention, 2014. [2019-12-16]. https://www.cdc.gov/tb/publications/faqs/pdfs/qa.pdf.