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刚果(布拉柴维尔)是一个拥有300万人口的国家,1997年至1999年经历了战争劫难,在此之前结核病例数每年平均增长20％;2000年增长84％。这种情况已经严重影响了国家结核病规划活动。在战争之前,诊疗中心几乎登记100％的新结核病例;2000年登记降至76.19％,而结核病人数几乎翻了一番,从1999年的5125例增至2000年的9436例。新涂阳肺结核病例占45％,相比之下,战前平均为55％,战后肺外结核占30％而战前为21％。复发率没有显著变化,约为2％,而不合作率明显升高,从20％升至26％。新涂阳肺结核病例治愈率或完成治疗率仍然没有变化(70％),而战后死亡率则从6％降至1.23％。 战争导致了结核病发病率的增加,特别是在两个主要城市布拉柴维尔和黑角,农村的难民涌到了这两个城市,致使卫生工作者的劳动负荷过量。需要持续的财政支持来减少结核病在刚果居民中的传播。
The Congo (Brazzaville), a country of 3 million people, experienced a catastrophe from 1997 to 1999, with an average annual increase of 20% in the number of TB cases and an increase of 84% in 2000. This situation has seriously affected national tuberculosis programming activities. Before the war, clinics registered almost 100% of all new tuberculosis cases; their registration dropped to 76.19% in 2000, while the number of tuberculosis almost doubled from 5,125 in 1999 to 9,436 in 2000. New smear-positive tuberculosis cases accounted for 45%, compared with an average of 55% pre-war, post-war extra-pulmonary tuberculosis 30% and pre-war 21%. The recurrence rate did not change significantly, about 2%, while the non-cooperation rate increased significantly from 20% to 26%. The rates of cure or completion of new smear-positive tuberculosis remain unchanged (70%), while the post-war mortality rate has dropped from 6% to 1.23%. The war led to an increase in the incidence of tuberculosis, especially in Brazzaville and Pointe-Noire in two major cities, with the arrival of rural refugees in both cities, resulting in excessive workload for health workers. Continued financial support is needed to reduce the spread of tuberculosis among Congolese residents.