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结核病一直是一个世界性的公共卫生问题,世界卫生组织估计下个世纪将会有9千万新发结核病人(且多为20～49岁的青壮年),将有3千万人死于结核病。如果不采取措施,死亡率还会急剧上升。高患病率、高死亡率的主要原因是:①在世界许多地方,政府忽视结核病控制;②管理不善和结核病控制的不正确观念使结核病增加,产生多发耐药菌,给治疗带来困难;③人口高速增长地区这几十年出生的儿童,现在已达到高发病率、高病死率的年龄;④人类免疫缺陷病毒(HIV)感染及艾滋病
Tuberculosis has always been a worldwide public health issue, and the World Health Organization estimates that by the next century there will be 90 million new tuberculosis patients (mostly young adults aged 20 to 49 years), 30 million people will die of tuberculosis . If no measures are taken, the mortality rate will rise sharply. The main reasons for the high prevalence and high mortality rates are: ① In many parts of the world, the government ignores the control of tuberculosis; ② Mismanagement and the incorrect concept of tuberculosis control have led to the increase of tuberculosis and the emergence of multiple drug-resistant bacteria, which have brought difficulties to treatment; (3) children born in the high population growth areas in recent decades have now reached a high incidence and a high age of death; (4) human immunodeficiency virus (HIV) infection and AIDS