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1997-2006 Yuxi City tuberculosis situation and the outcome of that


. 3.2 The full implementation of the project, to promote DOTS strategy to promote the work of TB cases that started in 2002 in Yuxi City, World Bank / UK grants, assistance to TB control programs in Japan in 2003, DOTS coverage of the city, the project adopted a set of modern technology strategy and measures of TB is scientific, effective and feasible. Project uses the widely publicized, for smear-positive patients with free examination and treatment policies, through the quality control of sputum smear, regular blind re-examination, training of laboratory personnel and other measures to make full use of medical and health service network, the maximum found in tuberculosis patients to improve the level of pulmonary tuberculosis patients found. Rate of TB patients newly registered 31.8/10 million in 1997 rose to 41.4/10 million in 2006; registration rate of new smear positive pulmonary tuberculosis 9.9/10 million in 1997 rose to 26,[link widoczny dla zalogowanych], 2006 .9/10 million smear-positive TB cases accounted for active pulmonary tuberculosis cases increased from 31.3% in 1997 to 65 in 2006. O%. 3.3 The construction of the whole organization, personnel stability is the TB detection, treatment and management of the foundation of Yuxi City, from 1997 to the treatment management of patients found that the performance indicators are in decline, the CDC in 2001 as the reform of personnel instability , the work index dropped to a minimum target line 1O years, working in a relatively lagging behind the situation, the registration rate was only 18.2%, Making retroactive claims rate of 53.6%, while the registration rate of new smear positive patients are only 4.3/10 million, the cure rate was 62.8%. Requirements of 3.4, treatment and outcome of TB control strategies in the modern (DOTS) under the management of the family through the medical staff or training staff (volunteers) were directly observed medication management,[link widoczny dla zalogowanych], effective use of intermittent short regimen of infectious TB patients free treatment, effectively improve the cure rate of patients with infectious tuberculosis. 1O years, since 2002 the implementation of the strategy, new tuberculosis patients in treatment and outcome of circumstances over the previous 5 years 4 years has been significantly improved,[link widoczny dla zalogowanych], the cure rate was 85.1% in 2003, up 85% of WHO technical requirements requirements, especially in 2005 reached 93.1%, to cure a large number of new infectious TB patients, as ���ƴ�ȾԴ to reduce the spread of people taking to the proper role. Weak 3.5 TB prevention and treatment of MDR-TB,[link widoczny dla zalogowanych], TB / HIV co-infection in TB control and prevention and treatment of the floating population is the most important of TB control 3 major problems. And Yuxi City in these 3 aspects are more prominent, in addition to human resource shortage TB, comprehensive out-patient, healthy bundle of economic indicators to help reduce the TB prevention and control quality and quantity; rural end of the weak anti-TB network, the geographical environment specificity, management supervision to patients has led to great difficulties, 1O years, 55 cases of management treatment of missing cases,[link widoczny dla zalogowanych], loss rate was 2.8%. Yuxi City anti-TB work is still a long way to go. 1O years, the city seize the Continue to further implement the Government's commitment, stable professional team, according to the implementation of centralized management, extensive missionary work, to promote DOTS strategy, and improve the quality DOTS expansion and DOTS, TB control will be 4
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