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新发传染病电子杂志 ›› 2024, Vol. 9 ›› Issue (6): 92-97.doi: 10.19871/j.cnki.xfcrbzz.2024.06.016

• 标准/指南/共识 • 上一篇    下一篇

2024年WHO全球结核病报告:全球与中国关键数据分析

李媛媛1, 谢晶晶1, 李树涛1, 苏东栋1, 郑甜1, 陆普选2, 彭溢1   

  1. 1.新疆维吾尔自治区传染病医院结核科,新疆 乌鲁木齐 830001;
    2.深圳市慢性病防治中心影像中心,广东 深圳 518020
  • 收稿日期:2024-11-02 出版日期:2025-01-25 发布日期:2025-01-25
  • 通讯作者: 彭溢,Email:18999918582@189.com
  • 基金资助:
    2024年度省部共建中亚高发病成因与防治国家重点实验室联合基金项目(SKL-HIDCA-2024-BF2)

2024 WHO Tuberculosis Report: key data analysis for China and the global world

Li Yuanyuan1, Xie Jingjing1, Li Shutao1, Su Dongdong1, Zheng Tian1, Lu Puxuan2, Peng Yi1   

  1. 1. Department of Tuberculosis, Xinjiang Uyghur Autonomous Region Infectious Disease Hospital, Xinjiang Urumqi 830001, China;
    2. Department of Radiology, Shenzhen Center for Chronic Disease Control, Guangdong Shenzhen 518020, China
  • Received:2024-11-02 Online:2025-01-25 Published:2025-01-25

摘要: 据WHO估算,2023年全球新增结核病患者1080万例;中国新增病例数为74.1万例(占全球发病数的6.8%),在30个结核病高负担国家中排第3位。全球结核病死亡人数约125万例,中国结核病死亡数估算为2.7万例。2023年,全球有约40万例耐多药/利福平耐药结核病患者,中国约有2.9万例。2015–2023年结核病发病率累计下降8.3%,死亡人数净减少23%,但仍有约50%的结核病患者及其家庭面临灾难性支出,与WHO终止结核病策略所确定的2025年阶段性目标存在较大差距。2023年全球结核病诊治服务进一步复苏,全球新诊断并报告结核病患者820万例,为1995年WHO监测全球结核病数据以来的最高值,然而通报数与估算数之间仍然存在约270万例的差距。在全球结核病负担不断上升的背景下,加强资源投入和多方合作已刻不容缓。WHO呼吁各国加大结核病防治力度,以应对这一日益严峻的全球健康威胁。对标全球数据,中国在结核病防治方面取得了一定进展,治疗成功率较高且覆盖范围广泛。但中国在耐药性结核病监控、经济支持和预防性治疗方面与全球目标仍有较大差距。未来需要政府和社会各界共同努力,持续加大投入和防控力度,以实现“2035年终结结核病”的战略目标。

关键词: 结核病, 报告, 终止结核病策略, 数据分析

Abstract: It is estimated that in 2023, there were 10.8 million new cases of tuberculosis globally, with China recording 741 000 new cases (accounting for 6.8% of the global incidence rate), ranking third among the 30 high-burden countries for tuberculosis. The global death toll from tuberculosis was approximately 1.25 million, with an estimated 27 000 deaths in China. In 2023, there were about 400 000 cases of multi-drug resistant/rifampin-resistant tuberculosis globally, with approximately 29 000 cases in China. From 2015 to 2023, the incidence rate of tuberculosis decreased by 8.3%, and the net decrease in deaths was 23%. However, about 50% of tuberculosis patients and their families still face catastrophic expenses, which is far from the 2025 milestone set by the World Health Organization's End TB Strategy. In 2023, global tuberculosis diagnosis and treatment services further recovered, with 8.2 million new cases of tuberculosis diagnosed and reported globally, the highest since the WHO began monitoring global tuberculosis data in 1995. However, there is still a gap of approximately 2.7 million cases between the reported and estimated numbers. Against the backdrop of a rising global tuberculosis burden, it is urgent to strengthen resource investment and multi-party cooperation. The WHO calls on countries to increase their efforts in tuberculosis prevention and control to address this increasingly severe global health threat. Compared to global data, China has made certain progress in tuberculosis prevention and control, with a relatively high treatment success rate and wide coverage. However, China still has a significant gap with global goals in terms of drug resistance monitoring, economic support, and preventive treatment. In the future, it will require joint efforts from the government and all sectors of society to continuously increase investment and prevention and control efforts to achieve the strategic goal of "ending tuberculosis".

Key words: Tuberculosis, Report, The end tuberculosis strategy, Data analysis

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