TB-related technical enquiries received at the Research Institute of Tuberculosis, Japan, during COVID-19.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2024-09-01 DOI:10.5588/pha.24.0014
M Urakawa, A Yasukawa, S Hirao, M Ota, Y Hatamoto, T Zama, Y Nagata, T Yoshiyama
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Abstract

Setting: Japan: a low-TB-burden country.

Objective: To characterise TB-related technical enquiries received in 2020-2022, and share the lessons learnt.

Design: This was a descriptive study.

Results: We received 1,898 communications, of which 1,447 (40.2 per month) were classified as technical enquiries, 34% fewer than the 2,197 enquiries received in 2017-2019. The enquiry rates were highest for Shimane (4.32/100,000 population) and Yamanashi (2.59/100,000 population) prefectures, and lowest in Ehime (0.00/100,000 population) and Yamagata (0.09/100,000 population) prefectures. The main organisations the enquirers belonged to were local governments (n = 989, 68.3%) and healthcare facilities (n = 242, 16.7%). The enquirers included medical doctors (n = 236, 16.3%), nurses (n = 814, 56.3%), and the general public (n = 141, 9.7%). The most frequent enquiries were about TB diagnosis and treatment, including laboratory diagnosis (n = 442, 30.6%), followed by the regulatory framework (n = 216, 14.9%), contact investigation (n = 151, 10.8%), and TB in foreigners (n = 112, 7.9%).

Conclusion: During the COVID-19 era, we received two-thirds of technical enquiries compared with 2017-2019, because local health offices were overwhelmed by the pandemic. Since the most frequent enquiries were about diagnosis and treatment of TB, the health ministry of Japan should maintain a few specialised TB institutions with TB physicians to provide technical assistance.

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COVID-19 期间日本结核病研究所收到的与结核病有关的技术询问。
环境日本:结核病负担较轻的国家:描述 2020-2022 年收到的结核病相关技术咨询的特点,并分享经验教训:设计:这是一项描述性研究:我们收到了 1,898 份通信,其中 1,447 份(每月 40.2 份)被归类为技术询问,比 2017-2019 年收到的 2,197 份询问减少了 34%。查询率最高的是岛根县(4.32/10 万人口)和山梨县(2.59/10 万人口),最低的是爱媛县(0.00/10 万人口)和山形县(0.09/10 万人口)。询问者所属的主要机构是地方政府(989 人,占 68.3%)和医疗机构(242 人,占 16.7%)。咨询者包括医生(n = 236,16.3%)、护士(n = 814,56.3%)和普通大众(n = 141,9.7%)。最常见的咨询内容是结核病诊断和治疗,包括实验室诊断(442 人,占 30.6%),其次是监管框架(216 人,占 14.9%)、接触调查(151 人,占 10.8%)和外国人结核病(112 人,占 7.9%):与 2017-2019 年相比,在 COVID-19 期间,我们收到的技术咨询数量减少了三分之二,因为大流行使当地卫生局不堪重负。由于最常见的咨询是关于结核病的诊断和治疗,日本卫生部应保留一些结核病专业机构,由结核病医生提供技术援助。
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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
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期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
期刊最新文献
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