PDF《澳门地区》

澳门地区 结核病?况 和防治工作 全球结核情况 三分一人口已感染结核病 (廿亿) 每?有八百万的新发病? 约有四十万耐多药(MDR)个案 一千二百万是TB/HIV合并感染 每?二百万人死於结核病,是最大的传染病?手 发展中国家发生25%因结核病死亡是可避免 90%的结核病?和死亡发生在发展中国家 75%的病?发生在15-50岁?龄组,减少20-30%的经济 收入 如?治?,2/3痰涂片阳性的病人在 5-8?内死亡 Tuberculosis Epidemiology 全球结核病?燃的原因 贫富悬殊 忽视 (?适当的病?发现、诊断和 治?) 地域的改变 (人口?动、?龄层的 改变) HIV感染 Tuberculosis Epidemiology 结核病控制失败的原因 政策承?和资?投入?足 防治机构?足 ?适当的病?管? (未能完全治K已发现的病?) 对BCG过份信赖 耐多药菌株(MDR)的出现 Tuberculosis Epidemiology

184 107

280 305

242 397

330 175

526 132

320 484

189 359

68 140

351 168

433 572

584 321

0 100

200 300

400 500

600 India China Indonesia Nigeria Bagladesh Ethiopia Philippines Pakinstan South Africa Russian Federation DR Congo Kenya Viet Nam UR Tanzania Bazil Thailand uganda Myanmar Mozambique Cambodia Zimbabwe Afghanstan Estimated incidenceof TB of high burden countries,

2000 Rate/100,000 Tuberculosis Epidemiology Tuberculosis in WPR

113 118

113 118

114 114

76 Vietnam

165 160

166 150

139 158

519 Philippines

213 221

226 202

234 199

61 Papua N Guinea

68 60

47 36

37 36

33 China

253 223

209 185

147 148

67 Cambodia

174 174

152 150

140 124

75 Mongolia

64 55

49 47

45 42

44 Laos

2005 2004

2003 2002

2001 2000

1990 High Burden Countries Case Notification rates (/100000)

31 33

37 36

37 43

53 Singapore

61 60

64 60

63 65

66 Malaysia

77 68

82 86

104 101

92 Macao

80 72

71 74

79 47

149 Korea

21 23

25 26

28 31

42 Japan

81 82

86 92

101 91

114 Hong Kong

44 48

58 66

63 92

56 Brunei

2005 2004

2003 2002

2001 2000

1990 Median Burden Countries Case Notification rates (/100000) Tuberculosis in WPR Median Burden countries Case Notification Rates

0 20

40 60

80 100

120 140

160 1990

2000 2001

2002 2003

2004 2005 Median Burden Countries Case Notification rates (/100000) Brunei Hong Kong Japan Korea Macao Malaysia Singapore Tuberculosis in WPR High Burden Countries Case Notification Rates

0 100

200 300

400 500

600 1990

2000 2001

2002 2003

2004 2005 High Burden Countries Case Notification rates (/100000) Laos Mongolia Cambodia China Papua New Guinea Philippines Vietnam Tuberculosis in Macau

445 168.

9

651 230.2

571 197.1

420 141.9

389 126.8

320 101.3

294 90.4

369 110.2

370 101.7

348 92.1

348 89.2

399 98.9

402 96.9

570 137.3

579 138.1

465 109.4

424 98.7

449 104.1

467 106.9

428 96.9

383 85.4

362 77.8

415 85.0

444 87.3

0 100

200 300

400 500

600 700

1983 1984

1985 1986

1987 1988

1989 1990

1991 1992

1993 1994

1995 1996

1997 1998

1999 2000

2001 2002

2003 2004

2005 2006 MACAO TB 1983-2006 所有病? /100000 Tuberculosis in Macau 澳门结核病?况 1991-2006

370 348

348 399

402 570

579 465

424 449

467 428

383 362

415 444 101.7 92.1 89.2 98.9 96.9 137.3 138.1 109.4 98.7 104.1 106.9 96.9 85.4 77.8 85.0 87.3 363.8

378 390 403.6

415 415.2 419.4 425.2 429.6 431.5 436.7 441.6 448.5 465.3 488.1 508.5