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不平等是结核病惊人死灰复燃的根本原因,结核病已成为全球因传染病导致死亡的首要原因——打破沉默,解决根本原因。

Inequities underlie the alarming resurgence of Tuberculosis as the world's top cause of death from an Infectious Disease - Breaking the silence and addressing the underlying root causes.

作者信息

Zumla Alimuddin, Sahu Suvanand, Ditiu Lucica, Singh Urvasha, Park Young-Joon, Yeboah-Manu Dorothy, Osei-Wusu Stephen, Asogun Danny, Nyasulu Peter, Tembo John, Kapata Nathan, Alyaqoubi Fatma, Maani Amal Al, Blumberg Lucille, Zumla Adam, Ahmed Rizwan, Go Unyeong, Hui David S, Goletti Delia, Petersen Eskild

机构信息

Department of Infection, Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, United Kingdom; NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, United Kingdom.

Stop TB Partnership Secretariat, Global Health Campus, Geneva, Switzerland.

出版信息

IJID Reg. 2025 Mar 19;14(Suppl 2):100587. doi: 10.1016/j.ijregi.2025.100587. eCollection 2025 Mar.

Abstract

•The WHO End TB strategy is stalling as shown in the Global Tuberculosis Report 2023.•The main reason is unequal access to tuberculosis diagnosis and treatment.•Tuberculosis diagnosis and treatment must be expanded outside urban centers down to the smallest and most remote unit.•Screening risk populations for latent tuberculosis will help identify infected persons before they develop active tuberculosis.

摘要

•如《2023年全球结核病报告》所示,世界卫生组织终止结核病战略正陷入停滞。

•主要原因是结核病诊断和治疗的可及性不平等。

•必须将结核病诊断和治疗扩展到城市中心以外,直至最小和最偏远的地区。

•对潜伏性结核感染的风险人群进行筛查,将有助于在感染者发展为活动性结核病之前识别出他们。

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本文引用的文献

1
Overcoming the global tuberculosis crisis with urgent country-level political and financial action.
Lancet Infect Dis. 2025 Jan;25(1):14-16. doi: 10.1016/S1473-3099(24)00748-5. Epub 2024 Nov 19.
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The United Nations' ambitious roadmap against tuberculosis: opportunities, challenges and the imperative of equity.
Future Sci OA. 2024 Dec 31;10(1):2418787. doi: 10.1080/20565623.2024.2418787. Epub 2024 Nov 14.
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Catastrophic costs for tuberculosis patients in India: Impact of methodological choices.
PLOS Glob Public Health. 2024 Apr 26;4(4):e0003078. doi: 10.1371/journal.pgph.0003078. eCollection 2024.
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Tuberculosis: a biosocial problem that requires biosocial solutions.
Lancet. 2024 Jun 8;403(10443):2467-2469. doi: 10.1016/S0140-6736(24)00489-6. Epub 2024 Mar 20.
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Scientific advances and the end of tuberculosis: a report from the Lancet Commission on Tuberculosis.
Lancet. 2023 Oct 21;402(10411):1473-1498. doi: 10.1016/S0140-6736(23)01379-X. Epub 2023 Sep 13.
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Optimising tuberculosis care for refugees affected by armed conflicts.
Lancet Respir Med. 2022 Jun;10(6):533-536. doi: 10.1016/S2213-2600(22)00104-7. Epub 2022 Mar 23.
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Addressing social determinants to end tuberculosis.
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