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Objective To grasp the Pudong New Area, the incidence of TB dynamics and epidemic levels of understanding of the Pudong New Area TB management situation and existing problems, epidemiological description of the study of the Pudong New Area 2000-2008 TB registration information for health administrative departments to develop to provide a scientific basis for future TB prevention and control programs. Pudong New Area on January 1, 2000 to 2008, during which the registration and management of the Centers for Disease Control and Prevention, tuberculosis patients for the study. Collect the patient's name, age, occupation, found the incidence of type TB diagnosis, pre-treatment inspection results, visit date, date of diagnosis, starting governance programs. Demographic data from the same period in the Pudong New Area Center for Disease Control Vital Statistics Branch, including the age and gender characteristics. Statistical methods calculate observe the total incidence, gender, age, the incidence of. Different years, the gender differences in the incidence of the chi-square test for comparison. Results 1 Pudong New Area, the incidence of TB in 2000 and 2008 a total of 4892 people. The incidence of TB in the 30/10 million fluctuate, nine-year population TB incidence was increased at first, slow downward trend after 2004. 2 male inhabitants of the high incidence of female residents, nearly three times. Over the age of 60, the incidence is rising rapidly, and part of the age group, the incidence of more than 100/100 000. The career of the Pudong New Area, the new tuberculosis patients constituted is workers, retirees and homemakers. Mainly, the part of the staff accounted for about 67.8% of the tuberculosis patients. From the registration and management of tuberculosis status, Pudong New Area, 91 percent of tuberculosis patients has been found to the hospital due to feeling unwell, and about 9% of the patients found by physical examination. There are more than 80% of tuberculosis patients for the first time incidence. 5.2000 years tuberculosis empty ratio of 18.3%, this proportion rose to 25.9% in 2008, tuberculosis empty upward phenomenon. Type of TB diagnosis report from the registration, the vast majority of the infiltrative type. 7. Sputum results show, from 2000 to 2008 between the tuberculosis patients sputum-positive rate was 36.0%, 39.1%, 43.8%, 41.3%, 39.0%, 42.2%, 41.8%, 46.6% and 45.2%, 9 The annual average rate of smear positive 41.7%. 8 the tuberculosis patient hospitalization ratio between 40% -50%, the other choose full management and family supervision therapy in 2004, mainly in the whole management, 2004, the Family Steering accounted for 50 % or more. 9. Pudong New Area of ??tuberculosis patients using the treatment the the \The small proportion of other methods. 10.2002 and 2008 reported a total number of 3863 cases in the foreign population tuberculosis patients, the average annual registration rate the highest incidence of 60.45/10 million in 2003, increased significantly to 1.55 times in 2007, 2004, newly registered smear-positive rate reached 16.90 / 100,000 new registration rate in 2006 and 2007, despite the decline, but the percentage increase in the proportion of new smear-positive patients registered .11. the foreign staff significantly higher than the incidence of male to female, male and female ratio of 2 near fluctuations. 12. Foreign sources of tuberculosis patients in Anhui, Sichuan and Jiangsu provinces, accounting for about 50% of the total number of foreign patients. Conclusions. Pudong incidence of TB has the following characteristics: higher incidence of male residents than female; elderly population with a high incidence in middle-aged following the crowd; higher proportion of new incidence of sputum positive; mainly in the elderly; total population, the incidence of tuberculosis 30/100000 fluctuate; workers and retired workers, homemakers common. These phenomena show that the Pudong New Area, the TB epidemic is still serious, and strengthen the management of patients with pulmonary tuberculosis is still the focus of TB prevention and control work. Tuberculosis patients found that the rate is not high. Cases found that the proportion of tuberculosis empty upward, only 9% of the patients were found by physical examination. Therefore, to enhance the healthy elderly population, so that early detection of suspected cases, early diagnosis of the tuberculosis patients can get early treatment. 3. Tuberculosis patient management mode changes. From full management on the basis of hospital management, the main changes to family Supervisory Management based. Family supervision should continue to do a good job, so that patients can get regular treatment methods and a complete course of treatment in the family and community. 4. Strengthen foreign migrant workers in tuberculosis health education and management is extremely important in the area popular for curbing the tuberculosis epidemic.
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