Abstract: Objective To evaluate the effectiveness of the new TB control network in Shanghai and to discuss the sustainable development of TB control in metropolis of China. Methods The current network of TB control in Shanghai, which was established in 1999, consists of CDC, designated TB hospital and community health services center. The effectiveness of the new network of case finding, report and register, diagnosis and treatment and management was analyzed and compared with that of old network. Results The number of active pulmonary TB cases found in all general hospitals in Shanghai increased 68.7% from 2 549 in 1995 to 429 9 in 2004, and the proportion of newly-registered cases among local residents found in general hospitals increased from 43.1% in 1995 to 51.0% in 2004 Ninety six of all suspected or diagnosed TB cases were reported in 1997, and remained around 99% during 1998-2004. The six-month bacillus conversion rate of newly-registered smear positive TB cases showed no significance difference during 1994-2003, remaining around 90% . The one-year cure rate of active pulmonary TB cases was more than 90% for each year except for 1996. The community case-management coverage rate of active TB cases increased from 93.7% in 1995 to 99.2% in 2004. The regular drug-intake rate of active TB cases showed the trend of increasingduring 1995-2004. Conclusion With the supports of policy, finance, organization and quality assurance, the new network of TB control in Shanghai had improved the effectiveness of TB control in Shanghai.

Key words: Pulmonary tuberculosis/prevention and control, Shanghai