Tuberculosis 2015: Burden, Challenges and Strategy for Control and Elimination.
Tuberculosis 2015: Burden, Challenges and Strategy for Control and Elimination.
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DOI：
10.4081/idr.2016.6570
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发表时间：
2016-06-24
影响因子：
3.2
通讯作者：
Sulis G
中科院分区：
文献类型：
--
作者：
Raviglione M;Sulis G
结核病（TB）是全世界发病率和死亡率的主要原因，每年约有960万新发病例和150万例死亡。最贫穷和受社会排斥的群体承受着最大的疾病负担，因此必须通过减贫措施和针对高危人群的干预措施，妥善处理健康的社会决定因素。耐多药结核病的蔓延需要特别关注，并突出表明需要促进对结核病诊断、新药和疫苗的研究。尽管在过去的二十年里，在抗击结核病方面取得了许多进展，但要实现全球消灭结核病，仍然需要做很多工作。世界卫生组织于2014年首次推出的新的终结结核病战略完全符合自2016年1月起生效的十七项可持续发展目标，并为2015年后议程制定了雄心勃勃的目标。该战略的主要目标是在2030年内将结核病相关死亡率降低90%，结核病发病率降低80%，以及取消对结核病患者的灾难性支出。为了实现这些目标，政府必须作出强有力的承诺，所有国家必须提供充足的资金，社区必须参与，研究工作必须得到适当的投资。
Tuberculosis (TB) is a leading cause of morbidity and mortality worldwide, accounting for about 9.6 million new cases and 1.5 million deaths annually. The poorest and socially excluded groups carry the largest burden of disease, which makes it essential to properly address the social determinants of health through poverty reduction measures and targeted interventions on high-risk populations. The spread of multidrug-resistance TB requires special attention and highlights the need to foster research on TB diagnostics, new drugs and vaccines. Although many advances have been made in the fight against TB over the last twenty years, a lot is still needed to achieve global elimination. The new end-TB strategy that was first launched in 2014 by the World Health Organization, is fully in line with the seventeen Sustainable Development Goals that came into effect since January 2016 and sets ambitious goals for the post-2015 agenda. A 90% reduction in TB-related mortality and an 80% decline in TB incidence within 2030 as well as the abolition of catastrophic expenditures for TB-affected people are the main targets of this strategy. Strong government commitment and adequate financing from all countries together with community engagement and appropriate investments in research are necessary in order to reach these objectives.