“世界卫生组织(WHO)自1997年起,每年都会发布一个全球结核病报告。报告的主要目的是为全世界提供全球、地区及国家关于结核病流行、预防、诊断和治疗方面的综合性最新消息。
2016年10月14日,WHO发布了2016年全球结核病报告,数据涵盖了202个国家和地区的99%的人口和结核病病例。
下面华银君就为大家就其部分结论进行解读,如需了解详情,请点击下面的阅读原文。”
Status of the TB epidemic and MDR-TB crisis
结核病流行现状和耐多药结核病危机情况
1
In 2015, there were an estimated 10.4 million new (incident) TB cases worldwide, of which 5.9 million (56%) were among men, 3.5 million (34%) among women and 1.0 million (10%) among children. People living with HIV accounted for 1.2 million (11%) of all new TB cases.
2015年,世界范围内估计有1040万新发病例,其中男性590万(56%),女性350万(34%),儿童100万(34%)。新发病例中有120万(11%)HIV患者。
2
Six countries accounted for 60% of the new cases: India, Indonesia, China, Nigeria, Pakistan and South Africa.1 Global progress depends on major advances in TB prevention and care in these countries.
印度、印度尼西亚、中国、尼日利亚、巴基斯坦和南非这六个国家占了新发病例总数的60%。结核病发病率在2014-2015年期间仍以1.5%的速度缓慢下降。
3
In 2015, there were an estimated 480 000 new cases of multidrug-resistant TB (MDR-TB) and an additional 100 000 people with rifampicin-resistant TB (RR-TB) who were also newly eligible for MDR-TB treatment.2 India, China and the Russian Federation accounted for 45% of the combined total of 580 000 cases.
2015年全球估计有48万新发的MDR-TB病例和10万耐利福平结核病(RR-TB)病例。印度、中国和俄罗斯三个国家占所有这58万病例的45%。
4
There were an estimated 1.4 million TB deaths in 2015, and an additional 0.4 million deaths resulting from TB disease among people living with HIV. Although the number of TB deaths fell by 22% between 2000 and 2015, TB remained one of the top 10 causes of death worldwide in 2015.
2015年有140万人死于结核病,另外40万是TB/HIV双重感染人群死亡。虽然在2000到2015年间,结核病死亡以22%的速度在下降,但2015年结核病仍然排在全部死亡原因中的前十名。
TB care and prevention results
结核病治疗和预防结果
1
TB treatment averted 49 million deaths globally between 2000 and 2015, but important diagnostic and treatment gaps persist.
虽然全球在2000到2015年避免了4900万结核病死亡,但诊断和治疗方面的缺口还很大。
2
The crisis of MDR-TB detection and treatment continues. In 2015, of the estimated 580 000 people newly eligible for MDR-TB treatment, only 125 000 (20%) were enrolled.
耐药结核检测与治疗危机仍然再继续。2015年估计的58万MDR-TB患者中,只有12.5万(20%)得到了治疗。2013年MDR-TB病例队列的治疗成功率为52%。
3
In 2015, 6.1 million new TB cases were notified to national authorities and reported to WHO. Notified TB cases increased from 2013–2015, mostly due to a 34% increase in notifications in India. However, globally there was a 4.3 million gap between incident and notified cases, with India, Indonesia and Nigeria accounting for almost half of this gap.
2015年全球报告肺结核病例610万,其中2013-2015年报告的增加病例有34%的来自于印度,仍有约430万的估算病例未被发现和报告(主要集中在印度、印度尼西亚、尼日利亚)。
4
In 2015, 55% of notified TB patients had a documented HIV test result. The proportion of HIV-positive TB patients on antiretroviral therapy (ART) was 78%.
2015年,55%的报告肺结核病例进行了HIV检测,TB/HIV 双重感染的病例中接受抗病毒治疗的占78%。
(责任编辑:lgh)