Abstract: Objective To investigate the situation of the tuberculosis sputum smear spots in the township hospitals established from 2005 to the first half year of 2007,to offer the basis of the development of the next-step plan and to standardize the work of the criterion work of sputum smear spots. Methods The basic situation of the sputum smear spots in Gansu province and the situation from 2005 to first half year of 2007 were investigated,and the problems in the sputum smear spots were analyzed. Results There were 535 sputum smear spots at township level in Gansu Province.The staff of laboratory were all part-time worker.The munberof the sputum smear were 18416,17798,and 9242 cases/shares respectively from 2005 to first half year of 2007.1 001936 and 395 smear positive TB cases were reported respectively.Nevertheless,there were 20～33% sputum smear spots have never been started,and there were 20%～24% among the spots which have found over 50 cases every year.The smear positive rate of TB patients examined was 4.3%～5.4% on average and under the county level. Conclusion Although it has contributed to the case finding in Gansu province,it still has some problems such as no professional examination staff,poor laboratory situation,unbalanced the activities of TB laboratory.Thus,the capacity building of TB control laboratory should be greatly improved on the base of the actual situation.

Key words: pulmonary tuberculosis/prevention canel control