东日本大地震后结核病的流行:宫城北部沿海地区的后期随访

M. Sakurai, Tatsuya Takahashi, M. Ohuchi, Y. Terui, Akira Suzuki, Takao Saijyoh, K. Shikano
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摘要

与东日本大地震后早期(2011-2012年)相比,中期(2013-2014年)结核病病例总数和肺结核病例数未见显著变化。然而,在震后海啸肆虐的宫城北沿海地区,潜伏性结核感染(LTBI)患者数量明显减少。我们分析了该地区所有结核病患者在东日本大地震后早期(2011- 2012年)和后期(2015- 2016年)阶段的数据,并将其与灾前数据进行了比较。与灾后初始阶段相比,总结核、肺外结核和LTBI的病例数显著减少,但结核病和LTBI的患病率明显高于灾前。这些结果表明,持续的卫生活动和改善的交通系统降低了东日本大地震后结核病的总患病率。因此,这些保健活动应该保持下去。
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Prevalence of Tuberculosis after the Great East Japan Earthquake: Late Stage Follow-Up in the Coastal Region of Northern Miyagi
Compared to the early stage (2011-2012) after the Great East Japan Earthquake, no significant changes were seen in the total number of case of tuberculosis (TB), and pulmonary TB cases in the mid-term stage (2013-2014). However, the number of patients with latent tuberculosis infection (LTBI) decreased significantly in the coastal region of Northern Miyagi, which was ravaged by a post-quake tsunami. We analyzed the data of all TB patients in this region in the early (2011- 2012) and the late (2015- 2016) stages following the Great East Japan Earthquake and compared it with the pre-disaster data. The number of cases of total TB, extra pulmonary TB and LTBI significantly in comparison to the initial stage after the disaster decreased, but there was a significantly higher prevalence of TB and the LTBI compared to pre-disaster. These results suggest that continued health activities and an improved transportation system reduced the prevalence of total TB after the Great East Japan Earthquake. Thus, these health activities should be maintained.
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