l*h
发帖数: 4124 | 1 official source had never publicly acknowledged such a big number in the
past. in private, some say the actual number is bigger.
http://big5.chinabroadcast.cn/gate/big5/gb.cri.cn/27824/2013/03
中國5.5億人感染結核菌 一成人可能發病
2013-03-22 19:24:12 | 來源： 國際線上專稿 | 編輯：劉維靖 | 發表評論
進入論壇>>
原標題：中國5.5億人感染結核菌 一成人可能發病
國際線上報道（記者 潘瑩）24日是第18個“世界防治結核病日”，據統計，全球
每三人中就有一人感染結核，結核病是全球死亡人數最多的傳染病，每年奪去140萬人
生命。作為結核病高發國家，中國的結核病防控面臨著人口流動大和耐藥性增加等多重
嚴峻挑戰。
中國每年有5萬人死於結核病，相當於每10分鐘就有1人死亡。根據世界衛生組織的
估算，中國每年新發結核病人100萬。在結核病高負擔國家中，中國僅次於印度排在第
二位。中國疾控中心結核病預防控制中心副主任陳明亭介紹說，中國有5.5億人感染結
核，其中約有10%的人會發病。
“結核菌在人體內潛伏期達數十年，很多看起來健康的人其實已經感染結核菌，一
旦以某種情況導致免疫力發生變化就會發病，並成為又一個傳染源。”
結核病由結核桿菌引起，容易經空氣中飛沫傳播。一名傳染性肺結核病人，在一年
裏平均可以傳染10至15人。新生兒接種的卡介苗不能預防成人患病。
對於肺結核，中國實施免費診斷和免費治療政策，使得結核病死亡率在20年間下降
了80%，患病率降低了一半。但是，結核病的防控也面臨很多新的挑戰。陳明亭說，目
前流動人口結核病防控形勢不容樂觀。
“進城務工有幾個特點容易發病，集體居住，勞動強度大，生活條件差一些，更容
易發生肺結核，發生以後不是馬上得到治療，地鐵輕軌人群密集傳播起來非常快，流動
人口結核病防治面臨挑戰。”
此外，如果治療過程不規範，結核病很容易出現耐藥性。據官方估計，中國每年新發耐
多藥肺結核患者約12萬，病例數居世界首位。北京市結核病防治所屠德華教授介紹說：
“抗結核病由於不規範治療和用藥，使得結核菌發生變化，本來有效的抗菌藥物，
對變化了的結核菌失去了作用，使得耐藥結核病廣為流行。”
世界衛生組織發佈的報告顯示，耐藥結核目前正處於創紀錄的水準，世界上每十個
結核病患者中就有一個是耐藥結核病，而中國肺結核患者中對多種藥物產生耐藥性的患
者比例已達到6.8%。北京市胸科醫院馬嶼教授介紹說，越來越多的初治患者在沒有治療
之前就已經出現耐藥，防治形勢嚴峻。
“耐多藥結核治療失敗的話，很可能發展成廣泛耐藥結核病，這幾乎就像是回到了
沒有抗生素的年代，治療是非常困難的。耐多藥病人傳染性很強，如果傳染給健康人，
叫做原發性耐多藥結核，本來我們可以用6-8個月進行治療的方案將會無效，所以這是
一個很嚴重的公共衛生問題。”
耐多藥肺結核治療更困難，其療程可長達24個月，經濟負擔比普通結核病高十倍。
目前，包括耐多藥結核在內的20種大病已被納入重大疾病醫療保障，其報銷比例被提高
到7成以上。
鋻於結核病防治工作難度大的現狀，中國疾控中心結核病預防控制中心副主任陳明
亭指出，結核病防治重點應為控制傳染源，做到早發現、早診斷、早治療。對個人來說
，加強防護的最好措施是加強鍛鍊，平時注意居室通風勤洗手，如果發現早期症狀必須
儘快就醫接受規範治療。
“咳嗽咳痰，痰中帶血絲持續兩周以上就應該高度懷疑是肺結核的患者，應該到專
業的醫療機構去檢查進一步確診，如果發現了馬上進行規範化治療，對家人朋友來說是
好的保護措施。” |
W*******Y
发帖数: 283 | 2 Every time after we came back from China, my kid's pediatrics will ask us to
do the TB screening. |
L*1
发帖数: 11537 | 3 如果不知道什么是“扯蛋”，这就是例子。
70年代后出生的，基本上都接种了，难道作者不相信预防接种有效？还5.5亿人，中国
总共多少人？ |
l*h
发帖数: 4124 | 4 please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
those who died from TB.
most small group studies showed more than 2/3 in China are infected.
【在 L*1 的大作中提到】
: 如果不知道什么是“扯蛋”，这就是例子。
: 70年代后出生的，基本上都接种了，难道作者不相信预防接种有效？还5.5亿人，中国
: 总共多少人？
|
A*****a
发帖数: 52743 | 5 你的数字没什么说服力。
中国
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
|
k******e
发帖数: 8870 | 6 could you please kindly post the links to those small group studies? thx.
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
|
l*h
发帖数: 4124 | 7 you can do your own research, seriously. go to some professional resources.
【在 k******e 的大作中提到】
: could you please kindly post the links to those small group studies? thx.
|
l*h
发帖数: 4124 | 8 tell this to those thousands died from TB.
last year the Chinese government gave WHO a much smaller number, so WHO made
a summation that the worldwide infection total was 600 million. what a nice
slap! now the disease control of China acknowledge there are 550 million in
China alone.
【在 A*****a 的大作中提到】
: 你的数字没什么说服力。
:
: 中国
|
A*****a
发帖数: 52743 | 9 能理解你的情绪，即便你说的是事实，你到目前为止还没有举出什么令人信服的证据。
made
nice
in
【在 l*h 的大作中提到】
: tell this to those thousands died from TB.
: last year the Chinese government gave WHO a much smaller number, so WHO made
: a summation that the worldwide infection total was 600 million. what a nice
: slap! now the disease control of China acknowledge there are 550 million in
: China alone.
|
l*h
发帖数: 4124 | 10 you can call up health officials at provincial level.
another shocking piece of number you will find is the percentage of illegal
drug users in the population.
【在 k******e 的大作中提到】
: could you please kindly post the links to those small group studies? thx.
|
|
|
l*h
发帖数: 4124 | 11 you can call up health officials at provincial level.
another shocking piece of number you will find is the percentage of illegal
drug users in the population. you can give it a guess at the number from
Shanghai, i will let you know whether you are close.
【在 A*****a 的大作中提到】
: 能理解你的情绪，即便你说的是事实，你到目前为止还没有举出什么令人信服的证据。
:
: made
: nice
: in
|
A*****a
发帖数: 52743 | 12 Not interested. If you like this issue, then bring up to a professional
level. At that level, there might be something worth a discussion.
illegal
据。
【在 l*h 的大作中提到】
: you can call up health officials at provincial level.
: another shocking piece of number you will find is the percentage of illegal
: drug users in the population. you can give it a guess at the number from
: Shanghai, i will let you know whether you are close.
|
l*h
发帖数: 4124 | 13 if you are not interested, how dare you say my numbers were not reliable?
you have a screwed mind!
【在 A*****a 的大作中提到】
: Not interested. If you like this issue, then bring up to a professional
: level. At that level, there might be something worth a discussion.
:
: illegal
: 据。
|
A*****a
发帖数: 52743 | 14 This doesn't help your argument at all.
【在 l*h 的大作中提到】
: if you are not interested, how dare you say my numbers were not reliable?
: you have a screwed mind!
|
k******e
发帖数: 8870 | 15 since u brought up this issue, it might be more professional for you to
provide some professional resource to prove yourself. a link to the WHO
summation will satisfy that. other while, u r just wasting ur time to post
those articles and discussion by just beating around the bush.
made
nice
in
【在 l*h 的大作中提到】
: tell this to those thousands died from TB.
: last year the Chinese government gave WHO a much smaller number, so WHO made
: a summation that the worldwide infection total was 600 million. what a nice
: slap! now the disease control of China acknowledge there are 550 million in
: China alone.
|
k******e
发帖数: 8870 | 16 ok, here is my research on the WHO factsheet on TB and i didn't see the
number you mentioned in the original post. so if possible, please share your
research so that others won't be misled by people like me.
http://www.who.int/tb/publications/2011/factsheet_tb_2011.pdf
【在 l*h 的大作中提到】
: you can do your own research, seriously. go to some professional resources.
|
l*h
发帖数: 4124 | 17 talk to any ID specialists, ask them whether WHO still has any credibility
on TB and hepatitis B stats because these two groups are controlled by China.
your
【在 k******e 的大作中提到】
: ok, here is my research on the WHO factsheet on TB and i didn't see the
: number you mentioned in the original post. so if possible, please share your
: research so that others won't be misled by people like me.
: http://www.who.int/tb/publications/2011/factsheet_tb_2011.pdf
|
l*h
发帖数: 4124 | 18 You guys simply feel the world is crumpling when the communist officials lie
to a lesser extent than before. "what I am going to do? these international
enemies are attacking our great health system."
【在 k******e 的大作中提到】
: since u brought up this issue, it might be more professional for you to
: provide some professional resource to prove yourself. a link to the WHO
: summation will satisfy that. other while, u r just wasting ur time to post
: those articles and discussion by just beating around the bush.
:
: made
: nice
: in
|
l*h
发帖数: 4124 | 19 official source had never publicly acknowledged such a big number in the
past. in private, some say the actual number is bigger.
http://big5.chinabroadcast.cn/gate/big5/gb.cri.cn/27824/2013/03
中國5.5億人感染結核菌 一成人可能發病
2013-03-22 19:24:12 | 來源： 國際線上專稿 | 編輯：劉維靖 | 發表評論
進入論壇>>
原標題：中國5.5億人感染結核菌 一成人可能發病
國際線上報道（記者 潘瑩）24日是第18個“世界防治結核病日”，據統計，全球
每三人中就有一人感染結核，結核病是全球死亡人數最多的傳染病，每年奪去140萬人
生命。作為結核病高發國家，中國的結核病防控面臨著人口流動大和耐藥性增加等多重
嚴峻挑戰。
中國每年有5萬人死於結核病，相當於每10分鐘就有1人死亡。根據世界衛生組織的
估算，中國每年新發結核病人100萬。在結核病高負擔國家中，中國僅次於印度排在第
二位。中國疾控中心結核病預防控制中心副主任陳明亭介紹說，中國有5.5億人感染結
核，其中約有10%的人會發病。
“結核菌在人體內潛伏期達數十年，很多看起來健康的人其實已經感染結核菌，一
旦以某種情況導致免疫力發生變化就會發病，並成為又一個傳染源。”
結核病由結核桿菌引起，容易經空氣中飛沫傳播。一名傳染性肺結核病人，在一年
裏平均可以傳染10至15人。新生兒接種的卡介苗不能預防成人患病。
對於肺結核，中國實施免費診斷和免費治療政策，使得結核病死亡率在20年間下降
了80%，患病率降低了一半。但是，結核病的防控也面臨很多新的挑戰。陳明亭說，目
前流動人口結核病防控形勢不容樂觀。
“進城務工有幾個特點容易發病，集體居住，勞動強度大，生活條件差一些，更容
易發生肺結核，發生以後不是馬上得到治療，地鐵輕軌人群密集傳播起來非常快，流動
人口結核病防治面臨挑戰。”
此外，如果治療過程不規範，結核病很容易出現耐藥性。據官方估計，中國每年新發耐
多藥肺結核患者約12萬，病例數居世界首位。北京市結核病防治所屠德華教授介紹說：
“抗結核病由於不規範治療和用藥，使得結核菌發生變化，本來有效的抗菌藥物，
對變化了的結核菌失去了作用，使得耐藥結核病廣為流行。”
世界衛生組織發佈的報告顯示，耐藥結核目前正處於創紀錄的水準，世界上每十個
結核病患者中就有一個是耐藥結核病，而中國肺結核患者中對多種藥物產生耐藥性的患
者比例已達到6.8%。北京市胸科醫院馬嶼教授介紹說，越來越多的初治患者在沒有治療
之前就已經出現耐藥，防治形勢嚴峻。
“耐多藥結核治療失敗的話，很可能發展成廣泛耐藥結核病，這幾乎就像是回到了
沒有抗生素的年代，治療是非常困難的。耐多藥病人傳染性很強，如果傳染給健康人，
叫做原發性耐多藥結核，本來我們可以用6-8個月進行治療的方案將會無效，所以這是
一個很嚴重的公共衛生問題。”
耐多藥肺結核治療更困難，其療程可長達24個月，經濟負擔比普通結核病高十倍。
目前，包括耐多藥結核在內的20種大病已被納入重大疾病醫療保障，其報銷比例被提高
到7成以上。
鋻於結核病防治工作難度大的現狀，中國疾控中心結核病預防控制中心副主任陳明
亭指出，結核病防治重點應為控制傳染源，做到早發現、早診斷、早治療。對個人來說
，加強防護的最好措施是加強鍛鍊，平時注意居室通風勤洗手，如果發現早期症狀必須
儘快就醫接受規範治療。
“咳嗽咳痰，痰中帶血絲持續兩周以上就應該高度懷疑是肺結核的患者，應該到專
業的醫療機構去檢查進一步確診，如果發現了馬上進行規範化治療，對家人朋友來說是
好的保護措施。” |
W*******Y
发帖数: 283 | 20 Every time after we came back from China, my kid's pediatrics will ask us to
do the TB screening. |
|
|
L*1
发帖数: 11537 | 21 如果不知道什么是“扯蛋”，这就是例子。
70年代后出生的，基本上都接种了，难道作者不相信预防接种有效？还5.5亿人，中国
总共多少人？ |
l*h
发帖数: 4124 | 22 please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
those who died from TB.
most small group studies showed more than 2/3 in China are infected.
【在 L*1 的大作中提到】
: 如果不知道什么是“扯蛋”，这就是例子。
: 70年代后出生的，基本上都接种了，难道作者不相信预防接种有效？还5.5亿人，中国
: 总共多少人？
|
A*****a
发帖数: 52743 | 23 你的数字没什么说服力。
中国
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
|
k******e
发帖数: 8870 | 24 could you please kindly post the links to those small group studies? thx.
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
|
l*h
发帖数: 4124 | 25 you can do your own research, seriously. go to some professional resources.
【在 k******e 的大作中提到】
: could you please kindly post the links to those small group studies? thx.
|
l*h
发帖数: 4124 | 26 tell this to those thousands died from TB.
last year the Chinese government gave WHO a much smaller number, so WHO made
a summation that the worldwide infection total was 600 million. what a nice
slap! now the disease control of China acknowledge there are 550 million in
China alone.
【在 A*****a 的大作中提到】
: 你的数字没什么说服力。
:
: 中国
|
A*****a
发帖数: 52743 | 27 能理解你的情绪，即便你说的是事实，你到目前为止还没有举出什么令人信服的证据。
made
nice
in
【在 l*h 的大作中提到】
: tell this to those thousands died from TB.
: last year the Chinese government gave WHO a much smaller number, so WHO made
: a summation that the worldwide infection total was 600 million. what a nice
: slap! now the disease control of China acknowledge there are 550 million in
: China alone.
|
l*h
发帖数: 4124 | 28 you can call up health officials at provincial level.
another shocking piece of number you will find is the percentage of illegal
drug users in the population.
【在 k******e 的大作中提到】
: could you please kindly post the links to those small group studies? thx.
|
l*h
发帖数: 4124 | 29 you can call up health officials at provincial level.
another shocking piece of number you will find is the percentage of illegal
drug users in the population. you can give it a guess at the number from
Shanghai, i will let you know whether you are close.
【在 A*****a 的大作中提到】
: 能理解你的情绪，即便你说的是事实，你到目前为止还没有举出什么令人信服的证据。
:
: made
: nice
: in
|
A*****a
发帖数: 52743 | 30 Not interested. If you like this issue, then bring up to a professional
level. At that level, there might be something worth a discussion.
illegal
据。
【在 l*h 的大作中提到】
: you can call up health officials at provincial level.
: another shocking piece of number you will find is the percentage of illegal
: drug users in the population. you can give it a guess at the number from
: Shanghai, i will let you know whether you are close.
|
|
|
l*h
发帖数: 4124 | 31 if you are not interested, how dare you say my numbers were not reliable?
you have a screwed mind!
【在 A*****a 的大作中提到】
: Not interested. If you like this issue, then bring up to a professional
: level. At that level, there might be something worth a discussion.
:
: illegal
: 据。
|
A*****a
发帖数: 52743 | 32 This doesn't help your argument at all.
【在 l*h 的大作中提到】
: if you are not interested, how dare you say my numbers were not reliable?
: you have a screwed mind!
|
k******e
发帖数: 8870 | 33 since u brought up this issue, it might be more professional for you to
provide some professional resource to prove yourself. a link to the WHO
summation will satisfy that. other while, u r just wasting ur time to post
those articles and discussion by just beating around the bush.
made
nice
in
【在 l*h 的大作中提到】
: tell this to those thousands died from TB.
: last year the Chinese government gave WHO a much smaller number, so WHO made
: a summation that the worldwide infection total was 600 million. what a nice
: slap! now the disease control of China acknowledge there are 550 million in
: China alone.
|
k******e
发帖数: 8870 | 34 ok, here is my research on the WHO factsheet on TB and i didn't see the
number you mentioned in the original post. so if possible, please share your
research so that others won't be misled by people like me.
http://www.who.int/tb/publications/2011/factsheet_tb_2011.pdf
【在 l*h 的大作中提到】
: you can do your own research, seriously. go to some professional resources.
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l*h
发帖数: 4124 | 35 talk to any ID specialists, ask them whether WHO still has any credibility
on TB and hepatitis B stats because these two groups are controlled by China.
your
【在 k******e 的大作中提到】
: ok, here is my research on the WHO factsheet on TB and i didn't see the
: number you mentioned in the original post. so if possible, please share your
: research so that others won't be misled by people like me.
: http://www.who.int/tb/publications/2011/factsheet_tb_2011.pdf
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l*h
发帖数: 4124 | 36 You guys simply feel the world is crumpling when the communist officials lie
to a lesser extent than before. "what I am going to do? these international
enemies are attacking our great health system."
【在 k******e 的大作中提到】
: since u brought up this issue, it might be more professional for you to
: provide some professional resource to prove yourself. a link to the WHO
: summation will satisfy that. other while, u r just wasting ur time to post
: those articles and discussion by just beating around the bush.
:
: made
: nice
: in
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l*h
发帖数: 4124 | |
k**o
发帖数: 15334 | 38 No, they show up as positive because they have been vaccinated.
I show up as positive on all TB tests, I had to always get chest xray
to pass medical in the US. But I don't have TB, I have been vaccinated.
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
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m**********r
发帖数: 2099 | 39 在美国，你这种情况认为体内还有潜伏结核菌。
【在 k**o 的大作中提到】
: No, they show up as positive because they have been vaccinated.
: I show up as positive on all TB tests, I had to always get chest xray
: to pass medical in the US. But I don't have TB, I have been vaccinated.
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l*h
发帖数: 4124 | |
|
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k**o
发帖数: 15334 | 41 No, they show up as positive because they have been vaccinated.
I show up as positive on all TB tests, I had to always get chest xray
to pass medical in the US. But I don't have TB, I have been vaccinated.
【在 l*h 的大作中提到】
: please go to somewhere else to 扯 your own 蛋. tell your "预防接种有效" to
: those who died from TB.
: most small group studies showed more than 2/3 in China are infected.
|
m**********r
发帖数: 2099 | 42 在美国，你这种情况认为体内还有潜伏结核菌。
【在 k**o 的大作中提到】
: No, they show up as positive because they have been vaccinated.
: I show up as positive on all TB tests, I had to always get chest xray
: to pass medical in the US. But I don't have TB, I have been vaccinated.
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