广州市区结核病流行病学监测

目的：了解广州市结核病流行病学状况，监测、评价防治措施。方法：对１９９３～１９９７年广州市属八区确诊登记的活动性肺结核病人建立中心登记卡，通过监测资料，对结核病疫情、病例发现、治疗管理、卡介苗接种、死亡等进行连续性观察和分析。结果：５年间活动性肺结核登记率下降了 ４８．７％，新登记率上升了 ９５．７％；儿童结核性脑膜炎发病率下降了 ６６．７％，结核病死亡率下降了 ４４．１％，新登记涂阳治愈率上升为 ９０．９％。结论：广州市实施结核病控制规程的措施是成功的，达到控制传染源的目的。

Epidemiological Surveilance of Tuberculosis in Guangzhou Urban Districts During 1993～1997

Objective: To understand the epidemic condition of tuberculosis in Guangzhou urban districts, and to survey and evaluate the prophylactico - therapeutic measures. Method: Centralregistration cards were set up for the registered active pulmonary tuberculosis cases with confirmed diagnosis in the eight urban districts of Guangzhou during 1993 - 1997, and based on the surveiled data, the multiple indexes such as epidemic status, case-finding, therapeutic management, BCG vaccination, and the mortality of the disease, were continually observed and analysed. Result: During the five years of Observation, the registration rate of active pulmonary tuberculosis decreased by 48.7%, and the newly-registered rate of the disease increased by 95. 7%; the incidence of tubercular meningitis in children decreased by 66.7%; the mortality of tuberculosis decreased by 44.1%; and the sputum negstive conversion rate in newly-registered smear positive cases increased to 90.9 %. Conclusion: The practice of tuberculosis control program in Guangzhou urban districts during 1993 - 1997 was successful, the aim to control tuberculosis cases had been achieved.