Historical research into tuberculosis control strategies and the implications of mortality trends in Taiwan.
نویسندگان
چکیده
SETTING Taiwan. OBJECTIVE To analyse mortality trends to determine whether government organisation structuring and activities of disease control programmes affect outcomes. DESIGN We conducted a Joinpoint regression analysis to identify changes in TB mortality trends from 1971 to 2008 in Taiwan. The annual percentage change (APC) was calculated for the time segments on either side of the Joinpoints. Mortality data were extracted from the cause-of-death registry database of the Taiwanese Department of Health. RESULTS Between 1971 and 1987, the TB mortality rate dropped from 51 per 100 000 population to 13.4/100 000; during the period 1987-2000, it dropped from 13.4 to 7/100 000, with a lower APC; and from 2000 to 2008, it fell more rapidly, from 7 to 2.2/100 000, than during the previous two stages. These turning points are associated with organisational structure changes from the Joinpoint regression analysis. CONCLUSION We found that organisational structure and availability of resources play an important role in TB control. We recommend that other countries consider these vital factors to enhance the effectiveness of their TB control programmes.
منابع مشابه
بررسی عوارض داروهای ضد سل در مبتلایان HIV
Background: Tuberculosis with high prevalence in HIV/AIDS patients is the main reason for morbidity and mortality in these patients. About one-third of patients with HIV infection have concomitant tuberculosis. Lack of appropriate infection control on many social and economic communities will impose. Comprehensive study on the effects of anti-tuberculosis drugs in patients with HIV infecti...
متن کاملAge Distribution, Trends, and Projections of Under-5 Mortality in Khorasan Razavi province:Time-Series Analyses
Background and Objectives: Investigation of child mortality is one of the most important strategies for improving children's health. The purpose of this study was to investigate the age distribution, trends, and projections of mortality in children under 5 years old in Khorasan Razavi province. Methods: The study population included under-5 mortality data from Khorasan Razavi Province durin...
متن کاملManagement Strategies to Control the COVID-19 Crisis in Masih Daneshvari Hospital, Tehran, Iran
متن کامل
Explaining Social-Economic Strategies of Urban Regeneration in Historical Contexts (Case Study: Semnan's Historical Context)
The historic core is part of the city's integrity that has not grown and worn out in the process of urban development in line with the needs of the day. In order to solve the problems caused by the phenomenon of urban burnout, several approaches have been proposed, none of which have been able to permanently eliminate or control this phenomenon. Meanwhile, the urban regeneration approach has be...
متن کاملThe Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
Background Epidemiological information on tuberculosis (TB) is required to plan control and prevention strategies and to inform service delivery systems. The aim of present study was to determine the epidemiological status of TB in Hamadan Province covering a seven-year period. Methods In this cross-sectional study all registered TB patients suffering from any form of smear-positive, smear-ne...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
دوره 15 8 شماره
صفحات -
تاریخ انتشار 2011