People's Health Press
ISSN 2096-2738 CN 11-9370/R
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Electronic Journal of Emerging Infectious Diseases ›› 2020, Vol. 5 ›› Issue (3): 145-149.doi: 10.19871/j.cnki.xfcrbzz.2020.03.001

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The implement effects and innovative strategies for tuberculosis controlling among migrants

Tan Weiguo, Guan Hongyun, Wu Qingfang, Lu Puxuan, Hong Chuangyue, Lai Peixuan, Li Mingzhen, Chen Rong, Yu Weiye   

  1. Department of Tuberculosis Control,Shenzhen Center for Chronic Disease Prevention, Guangdong Shenzhen 518020, China
  • Received:2020-07-16 Online:2020-03-20 Published:2020-10-12

Abstract: Managing tuberculosis (TB) among migrants is one of the most important and challenging tasks of TB control in China. Controlling TB epidemic among migrants can prompt the progress towards the ultimate goal to "End TB by 2035". Shenzhen remains one of the cities with the largest number of internal migrants in China and even the world, resulting in a more grave situation for TB control. Through establishing a specialized comprehensive TB management system for the internal migrating population, Shenzhen took the lead in covering migrants for district-level TB control, implementing a population-wide TB control strategy, and sustaining exclusive funds for migrants. As a result, the prevalence of smear-positive TB among migrants has dropped by 54.2% for the last 20 years with treatment success rate increased to 90.3%, and coverage rate of DOTS reaching 100%, having achieved the goals proposed by WHO at least 10 years ahead of schedule. The research work "Integrated Research and Application of Tuberculosis Control" won the second prize of the 2017 China National Tuberculosis Association Science and Technology Award; Another work "The Research and Effect Evaluation on Shenzhen Tuberculosis Control Strategy" won the 2004 Shenzhen Science and Technology Progress Award; The first monograph on TB prevention and control among internal migrants Tuberculosis Control in Migrating Population was published in English by the editor-in-chief of Springer, which has unprecedented downloads. During the implementation of the World Bank-financed TB control project, the evaluation of health economics showed that TB controlling strategy among migrants produced 134.98 Chinese Yuan of social and economic benefits with each Yuan invested, and the direct or indirect economic benefits reached to 20.245 billion Chinese Yuan. Meanwhile, the exploration and practice of innovative strategies for TB controlling among migrants have provided the "Shenzhen Model" for the development of a series of TB prevention and controlling strategies techniques and policies for related national and international institutions or organizations.

Key words: Migrant population, Tuberculosis, Prevention and control strategies