3年間の結核特別対策の成績からみた神戸市長田区の結核まん延状況の変化-1-住民検診および小零細企業結核検診による要医療者の発見状況
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Nagata-ku of Kobe City is a typical urban area with a population of about 210, 000 and an area of 11km<SUP>2</SUP>. The southern part of the area is noted for a center of producing chemical shoes, and the majority of factories are small in size. Moreover, many smaller enterprises are related to these factories.<BR>Kobe City showed the highest tuberculosis mortality figures in Japan, and the mortality rate from tuberculosis in Nagata-ku has been the highest or next to the highest in Kobe City. Nagata Health Center has been conducting the 3 years' special tuberculosis control programme including the mass survey for adult population and the supervison of detected cases since 1969.<BR>The results obtained are as follows:<BR>1) The rate of response to the mass survey was 52%, 65% and over 55%, respectively, in 1969, 1970 and 1971. The mass survey for smaller enterprises was done in 1971, and approximately 8, 000 were examined.<BR>2) The detection rate of tuberculosis patients was 0.89% in 1969, and it gradually reduced to 0.7% in 1970 and 0.49% in 1971. Among workers in smaller enterprises, the detection rate was 1.26%.<BR>3) The over-all detection rate was 0.74%, and the rate increased with age especially in the age groups over 50. The rate of male was 1.50%, and it increased markedly in the age groups over 40, while the rate of female was 0.49%.<BR>4) The proportion of active infectious type to the whole detected cases was 33 to 39% in the age group over 50, and it was higher in male than in female in each year.<BR>5) Among patients detected by the mass survey for general inhabitants, 34 to 52% of male patients and 20 to 31% of female patients were registered previously; in the case of workers in smaller enterprises, 12% of male case and 68% of female case were registered previously.<BR>6) Among active infectious cases detected by the mass survey for general inhabitants, 64 to 78% were not registered previously, and among those found by the survey for smaller enterprises, the proportion was 79%.<BR>7) Fifty eight to 67% of newly detected patients started treatment within 3 months after detection.<BR>8) Seventy five per cent of cases found by the survey for smaller enterprises were residents of Nagata-ku.
- 一般社団法人 日本結核病学会の論文
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- 3年間の結核特別対策の成績からみた神戸市長田区の結核まん延状況の変化-1-住民検診および小零細企業結核検診による要医療者の発見状況