海南省第四次全国结核病流行病学抽样调查分析

目的：评价世行贷款结核病项目实施效果，掌握疫情现状，为制度2001－2010年防治规划提供理论依据。方法：按照《第四次全国结核病流行病学抽样调查工作手册》对2个随机抽样点人群进行流调。结果：活动性肺结核13例，患病率和涂阳患病率434．8／10万，33．4／10万，较1990年流设疫情分别下降了43．4％和27．3％，BCG接种率34．9％，较1996年流调提高了一倍。结论：以控制传染源为目的：以DOTS为核心的结核病控制策略是成功的，可行的，政府的行政干预及保持必要的经费投入，对结核病控制可持续发展具有重要意义。农村儿童及新生儿BCG接种工作亟待改善。

Inveatigation of the 4th National epidemiological sampling of tuberculosis in Hainan Province

ve To evaluate the practical effect of the Tuberculosis Control Project with World Bank Loan implemented in Hainan Province, and provide basis for formulation of the tuberculosis control program in the period of 2001 - 2010. Methods Randomized Epidemiological sampling of two communities was conducted according to the < Mannual for the 4th National Epidemiological Sampling Investigation> . Results Thirteen active pulmonary tubercilosis cases were detected with an incidence and smear positive incidence of 434.8/100 000 and 33.4/100 000, a drop of 43.4 % and 27.3 % compared with that of 1990 were achieved. The BCG inoculation rate was 34.9% with increase of one time than that of 1996 before the investigation. Conclusion The strategy of tulbercolosis control aimed at the control of infectious sources and with DOTS as the mainstay was successful and applicable, and the administrative involvement of the Government and necessary financial support is important and necessary for sustainable development of tuberculosis conrtol. It also worthwhile to be mentioned that the work of BCG vaccination of the new - borns and children in rural areas be improved.