The implement effects and innovative strategies for tuberculosis controlling among migrants

doi:10.19871/j.cnki.xfcrbzz.2020.03.001

Abstract

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

Tan Weiguo, Guan Hongyun, Wu Qingfang, Lu Puxuan, Hong Chuangyue, Lai Peixuan, Li Mingzhen, Chen Rong, Yu Weiye. The implement effects and innovative strategies for tuberculosis controlling among migrants[J]. Electronic Journal of Emerging Infectious Diseases, 2020, 5(3): 145-149.

References

[1] World Health Organization. Global Tuberculosis Report2019 [EB/OL]. [2019-12-17]. https://www.who.int/tb/publications/global_report/en/.
[2] 杜昕, 刘二勇, 成诗明. 2010年全国登记流动人口新涂阳肺结核患者特征分析[J]. 中国防痨杂志, 2011, 33(8): 461-465.
[3] 陈静, 魏晓林, 李洪娣, 等. 上海市流动人口肺结核病人接受治疗影响因素研究[J]. 中国防痨杂志, 2009, 31(6): 337-340.
[4] 贾磊, 李雪, 李峻, 等. 我国非户籍人口结核病登记状况地理分布分析[J]. 中国防痨杂志, 2012, 34(11): 712-720.
[5] 林东子, 罗勇强, 李玉美,等. 东莞市2013—2017年结核病流行病学特征分析[J]. 广东医学, 2019, 40(09): 84-87.
[6] Schwartz NG, Price SF, Pratt RH, et al.Tuberculosis - United States, 2019[J]. MMWR Morb Mortal Wkly Rep, 2020, 69(11): 286-289.
[7] Anna O, Taavi T, Andreas S, et al.Tuberculosis among migrant populations in the European Union and the European Economic Area[J]. Eur J Public Healt, 2015, 25(3): 506-512.
[8] 深圳市统计局. 深圳统计年鉴, 2019[M]. 北京:中国统计出版社, 2019.
[9] 管红云, 杨应周, 谭卫国, 等. 《深圳市结核病防治规划(2001-2010年)》实施效能评价[J]. 中国防痨杂志, 2013, 35(9): 729-737.
[10] 管红云, 谭卫国,杨应周, 等. 基于深圳市电子网络督导管理系统的肺结核患者管理治疗情况分析[J]. 中国防痨杂志, 2017, 39(7): 702-707.
[11] 吕德良, 杨应周, 谭卫国, 等. 2014年深圳市学校结核病流行状况调查分析[J]. 新发传染病电子杂志, 2016, 1(1): 23-26.
[12] 叶海明, 陈文思, 胡瑞娟, 等. 深圳市福田区中学生肺结核流行病学特征分析[J]. 新发传染病电子杂志, 2017, 2(4): 234-236.
[13] 吴清芳, 徐继建, 谭卫国, 等. 深圳市结核病控制项目卫生经济学评价[J]. 中国热带医学, 2006, 6(5): 775-776.
[14] 程锦泉, 杨应周, 张丹,等. 深圳市世界银行贷款结核病控制绩效评价[J]. 中国公共卫生, 2004, 20(7): 837-839.
[15] 谭卫国, 吴清芳, 杨应周. 深圳市外来人口结核病控制现状分析[J]. 中国防痨杂志, 2001, 23(2): 99-102.
[16] 谭卫国, 杨应周. 深圳市属医院肺结核归口管理检查结果分析[J]. 中国防痨杂志, 2000, 22(4): 182-184.
[17] 杨应周, 谭卫国, 吴清芳. 深圳市肺结核病人发现模式研究[J]. 中国防痨杂志, 2003, 25(5): 289-291.
[18] 杨应周, 洪旺全. 外来人口结核病控制模式实施性研究[J]. 中国公共卫生管理, 1999, 2: 80-82.
[19] 谭卫国. 暂住人口初治涂阳肺结核的管治效果分析[J]. 实用医学杂志, 1995, 11(11): 762-763.
[20] Yu WY, Lu PX, Tan WG. Tuberculosis Control in Migrating Population[M/OL]. Springer, 2020, https://doi.org/10.1007/978-981-32-9763-0.