Control of tuberculosis in large cities in developed countries: an organizational problem
<p>Abstract</p> <p>Tuberculosis (TB) is still a serious public health issue, even in large cities in developed countries. Control of this old disease is based on complicated programs that require completion of long treatments and contact tracing. In an accompanying research article...
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| Format: | Article |
| Language: | English |
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BMC
2011-11-01
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| Series: | BMC Medicine |
| Online Access: | http://www.biomedcentral.com/1741-7015/9/127 |
| _version_ | 1818565132492472320 |
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| author | Caylà Joan A Orcau Angels |
| author_facet | Caylà Joan A Orcau Angels |
| author_sort | Caylà Joan A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Tuberculosis (TB) is still a serious public health issue, even in large cities in developed countries. Control of this old disease is based on complicated programs that require completion of long treatments and contact tracing. In an accompanying research article published in <it>BMC Public Health</it>, Bothamley and colleagues found that areas with a ratio lower than one nurse per forty notifications had increased rates with respect to TB notifications, smear-positive cases, loss to follow-up and treatment abandonment across the UK. Furthermore, in these areas there was less opportunity for directly observed therapy, assistance with complex needs, educational outreach and new-entrant screening. In this commentary, we discuss the importance of improving organizational aspects and evaluating TB control programs. According to Bothamley and colleagues, a ratio of one nurse per forty notifications is an effective method of reducing the high TB incidences observed in London and in other cities in developed countries, or to maintain the decline in incidence in cities with lower incidences. It is crucial to evaluate TB programs every year to detect gaps early.</p> <p>See related article: <url>http://www.biomedcentral.com/1471-2458/11/896</url></p> |
| first_indexed | 2024-12-14T01:37:18Z |
| format | Article |
| id | doaj.art-3e923a173d194d5ba743a6bd08d30267 |
| institution | Directory Open Access Journal |
| issn | 1741-7015 |
| language | English |
| last_indexed | 2024-12-14T01:37:18Z |
| publishDate | 2011-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj.art-3e923a173d194d5ba743a6bd08d302672022-12-21T23:21:50ZengBMCBMC Medicine1741-70152011-11-019112710.1186/1741-7015-9-127Control of tuberculosis in large cities in developed countries: an organizational problemCaylà Joan AOrcau Angels<p>Abstract</p> <p>Tuberculosis (TB) is still a serious public health issue, even in large cities in developed countries. Control of this old disease is based on complicated programs that require completion of long treatments and contact tracing. In an accompanying research article published in <it>BMC Public Health</it>, Bothamley and colleagues found that areas with a ratio lower than one nurse per forty notifications had increased rates with respect to TB notifications, smear-positive cases, loss to follow-up and treatment abandonment across the UK. Furthermore, in these areas there was less opportunity for directly observed therapy, assistance with complex needs, educational outreach and new-entrant screening. In this commentary, we discuss the importance of improving organizational aspects and evaluating TB control programs. According to Bothamley and colleagues, a ratio of one nurse per forty notifications is an effective method of reducing the high TB incidences observed in London and in other cities in developed countries, or to maintain the decline in incidence in cities with lower incidences. It is crucial to evaluate TB programs every year to detect gaps early.</p> <p>See related article: <url>http://www.biomedcentral.com/1471-2458/11/896</url></p>http://www.biomedcentral.com/1741-7015/9/127 |
| spellingShingle | Caylà Joan A Orcau Angels Control of tuberculosis in large cities in developed countries: an organizational problem BMC Medicine |
| title | Control of tuberculosis in large cities in developed countries: an organizational problem |
| title_full | Control of tuberculosis in large cities in developed countries: an organizational problem |
| title_fullStr | Control of tuberculosis in large cities in developed countries: an organizational problem |
| title_full_unstemmed | Control of tuberculosis in large cities in developed countries: an organizational problem |
| title_short | Control of tuberculosis in large cities in developed countries: an organizational problem |
| title_sort | control of tuberculosis in large cities in developed countries an organizational problem |
| url | http://www.biomedcentral.com/1741-7015/9/127 |
| work_keys_str_mv | AT caylajoana controloftuberculosisinlargecitiesindevelopedcountriesanorganizationalproblem AT orcauangels controloftuberculosisinlargecitiesindevelopedcountriesanorganizationalproblem |