生活条件和卫生干预措施对结核病的影响,丹麦,1876 年至 2022 年。

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Eurosurveillance Pub Date : 2024-06-01 DOI:10.2807/1560-7917.ES.2024.29.24.2300652
Anne Christine Nordholm, Anja Joergensen, Louise Hedevang Holm, Aase Bengaard Andersen, Anders Koch, Peter Henrik Andersen, Troels Lillebaek
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引用次数: 0

摘要

背景丹麦拥有从 1876 年至今的结核病历史数据,这为评估丹麦 147 年来的结核病流行病学提供了一个独特的机会。方法我们在全国范围内开展了一项以登记为基础的生态研究,研究对象包括 1876 年至 2022 年期间丹麦的所有肺结核患者,并将肺结核发病率与社会、经济和健康指标联系起来。结果在过去的 147 年中,丹麦的总体肺结核发病率和死亡率显著下降,仅受到特定肺结核干预措施(如疗养院、卡介苗(BCG)接种、大规模筛查和抗生素)的轻微影响。在结核病减少的同时,丹麦的生活条件也得到了改善,婴儿死亡率下降,预期寿命和财富增加。1978 年,丹麦成为结核病发病率较低的国家,主要受影响的是高危人群,人口结构也在不断变化,丹麦出生的病例减少,而移民病例相对增多。目前,结核病在丹麦已成为一种罕见疾病,主要发生在特定的高危人群中。未来要消除结核病,需要对这些高危人群采取特定的健康干预措施,同时继续关注改善社会经济状况和生活条件。
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The impact of living conditions and health interventions on tuberculosis, Denmark, 1876 to 2022.

BackgroundDenmark possesses an exceptional historical data collection on tuberculosis (TB) from 1876 to the present, providing a unique opportunity to assess TB epidemiology over 147 years in Denmark.AimOur aim was to describe the TB disease burden in Denmark in relation to historical events, living conditions and health interventions during the past 147 years.MethodsWe performed a nationwide register-based ecological study including all persons with TB in Denmark from 1876 through 2022, correlating the TB incidence to social, economic and health indicators.ResultsIn Denmark, the overall TB incidence and mortality declined markedly over the past 147 years, only marginally influenced by specific TB interventions such as sanatoria, Bacillus Calmette-Guèrin (BCG) vaccination, mass screenings and antibiotics. Parallel to this decline, the country experienced improved living conditions, as illustrated by decreased infant mortality and increased life expectancy and wealth. In 1978, Denmark became a low-incidence country for TB with risk groups predominantly affected, and with a continuous change in demographics towards fewer Danish-born cases and relatively more migrant cases.ConclusionsThe decline over time in TB incidence and mortality in Denmark preceded specific TB interventions and can, first of all, be attributed to improved living conditions. TB has now become a rare disease in Denmark, predominantly occurring in particular risk groups. Future elimination of TB will require a combination of specific health interventions in these risk groups combined with a continued focus on improving socioeconomic status and living conditions.

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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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