柬埔寨结核病病例发现：2000–2013年病例报告数据分析

(1)

a Ϫ⬠ि⫳㒘㒛㽓໾ᑇ⋟ऎࡲ݀ᅸˈ㧆ᕟᆒ偀ሐᢝǄ

b Ϫ⬠ि⫳㒘㒛᷀ඨᆼ೑ᆊࡲ݀ᅸˈ᷀ඨᆼ䞥䖍Ǆ

c ೑ᆊ㒧ḌϢ咏亢⮙᥻ࠊЁᖗˈ᷀ඨᆼि⫳䚼ˈ䞥䖍Ǆ ᡩ〓᮹ᳳ˖2014ᑈ11᳜18᮹˗থ㸼᮹ᳳ˖2015ᑈ2᳜26᮹ doi: 10.5365/wpsar.2014.5.4.005

ⲥ

⌟ᰃϪ⬠ि⫳㒘㒛˄WHO˅㒧Ḍ᥻ࠊḚᶊ

˄DOTSㄪ⬹˅Ёⱘ5乍ḌᖗݙᆍПϔ^[1]Ǆ ᐌ㾘ⲥ⌟᭄᥂ৃ⫼Ѣ䆘Ӌ⮒⮙䋳ᢙ੠⭿ᚙ 䍟࢓ǃ⹂ᅮ䰆⊏᳡ࡵ䞡⚍Ҏ㕸ঞথ⦄┰೼ᲈথ^[2]Ǆᇍ ⲥ⌟᭄᥂ⱘ᳝ᬜ߽⫼ৃЎࠊᅮ䰆⊏ㄪ⬹ᦤկ෎⸔^[3]Ǆ

೼㒧Ḍ⮙乍ⳂЁˈЁ༂੠ഄᮍ㑻ि⫳䚼䮼ⳌѦण԰≳

䗮ˈᓎゟњֵᙃ䭓ᳳ䆄ᔩ੠᡹ਞ˄R&R˅㋏㒳^[1,2,4]Ǆ 䱣ⴔ

1994

ᑈ೑ᆊ㒧Ḍ⮙乍Ⳃⱘ䞡ᮄᅲᮑˈ᷀ඨ ᆼࡴᔎњܼ೑㒧Ḍ⮙ᐌ㾘ⲥ⌟㋏㒳^[5,6]ǄϢ݊Ҫ೑ᆊⳌ Ԑˈ᷀ඨᆼ೑ᆊ㒧Ḍ⮙乍Ⳃḍ᥂

WHO

᥼㤤ⱘᷛޚ

R&R

ḚᶊᎹ݋ˈᇍ᠔᳝⮙՟䖯㸠ⱏ䆄ᑊϡᮁ䎳䖯݊⊏⭫䖯 ሩ^[4]Ǆ᷀ඨᆼ173䅸䆚ࠄⲥ⌟Ꮉ԰ᇍѢࠊᅮ݀݅ि⫳䰆

⊏ㄪ⬹ⱘ䞡㽕ᗻˈ೼ᦤ催ഄᮍ᭄᥂ߚᵤⱘৠᯊˈϡᮁ

ᡩܹ࡯䞣ˈࡴᔎ↣ᄷᑺ᭄᥂ᬊ䲚੠ᐌ㾘ⲥ⌟ֵᙃᅮᳳ

ߚᵤǃҹঞ᭄᥂ֱᄬϢᔦḷᎹ԰^[5]Ǆ

ᴀ᭛ᇍ2000ᑈ㟇2013ᑈᳳ䯈᷀ඨᆼ೑ᆊ㑻㒧Ḍ

⮙ⲥ⌟᭄᥂ǃҹঞ2013ᑈഄᮍ㑻ⲥ⌟᭄᥂䖯㸠њ∛ᘏ ߚᵤǄ

ᮍ⊩

៥Ӏ߽⫼೑ᆊ㒧Ḍ⮙᭄᥂ᑧⱘᐌ㾘ⲥ⌟᭄᥂ᓔሩњ㒧 Ḍ⮙՟থ⦄ⱘಲ乒ᗻᦣ䗄ߚᵤǄᣝ⮙՟ߚ㉏ǃҎষব 䞣੠ഄ⧚ߚᏗ䖯㸠᭄᥂ߚᵤǄ

᷀ඨᆼ㒧Ḍ⮙⮙՟থ⦄˖ 2000–2013 ᑈ⮙՟᡹

ਞ᭄᥂ߚᵤ

Fukushi Morishita

^a

ˈ Valérie Burrus Furphy

^b

ˈ Miwako Kobayashi

^b

ˈ Nobuyuki Nishikiori

^a

ˈ Mao TanEang

^c

੠ Rajendra-Prasad Yadav

^b

䗮ֵ԰㗙˖Fukushi Morishita (e-mail: morishita.fukushi@gmail.com)Ǆ

೼᷀ඨᆼि⫳㋏㒳Ёˈ᳔෎ሖⱘᎹ԰㒘㒛Ϣ᡹

ਞऩܗ⿄Ўࡲџऎ˄Operational districtˈOD˅ࡲџ ऎ г ᰃ 㒧 Ḍ 乍 Ⳃ ⱘ ෎ ሖ ㅵ ⧚ 䚼䮼 Ǆ ↣ Ͼ ࡲ џ ऎ 䗮䖛ि⫳Ёᖗ੠ऎ㑻ए䰶Ў໻㑺180 000Ҏষᦤկعᒋ᳡

ࡵ^[7]Ǆ

ḍ᥂

WHO

᥼㤤ⱘ

R&R

᡹ਞḚᶊˈ㒧Ḍ⮙ⲥ⌟㋏㒳 ⱘᷛޚ᭄࣪᥂ᬊ䲚Ꮉ԰䞛পߚℹᅲᮑⱘㄪ⬹^[4,8]Ǆि⫳

Ёᖗሖ䴶Փ⫼ऩϾ⮙՟䆄ᔩ߫㸼ᇍ㒧Ḍ⮙՟ֵᙃ䖯㸠 ⱏ䆄Ǆ

OD

ᇍ᠔᳝⮙՟ⱏ䆄ֵᙃ䖯㸠∛ᘏˈᔶ៤

OD

㒧 Ḍ⮙ֵᙃ䆄ᔩǄ㱑✊ⳕ㑻೼᡹ਞ㋏㒳Ёг䍋ϔᅮ԰

⫼ˈԚ

OD

㑻ⱘ㒧Ḍ⮙ⱏ䆄ֵᙃᰃᔶ៤೑ᆊ㒧Ḍֵᙃ ᄷᑺ᡹ਞⱘ᭄᥂෎⸔ˈ೑ᆊ᭄᥂ᑧࣙᣀߚᑈ啘੠ᗻ߿

ⱘ⮙՟᡹ਞ᭄᥂ˈᙷ㗙⮒⮙ߚ㉏ˈ⊏⭫㒧ሔ੠ᅲ偠ᅸ

᭄᥂Ǆ

ᇍExcelḐᓣֱᄬⱘ೑ᆊ᭄᥂ᑧ䖯㸠᭄᥂∛ᘏǃߚ ᵤǃࠊ԰೒㸼Ǆ⫼QGIS 2.2䕃ӊ˄GNU General Public

License

ˈ

2013

˅ 㒬 ࠊ ᡹ ਞ থ ⮙ ⥛ ഄ ⧚ ߚ Ꮧ ഄ ೒

˄CNRs˅Ǆ

Ҏ㕸ㄯᶹ⥛ᅮНЎ↣ᑈ䖯㸠⯄⍖⠛ᰒᖂ䬰Ẕⱘ⭥

Ԑ㒧Ḍ⮙՟᭄䰸ҹܼҎষ᭄Ǆ䖭ϔᣛᷛৃ⫼Ѣᇍ㒧Ḍ

⮙՟থ⦄Ꮉ԰䖯㸠䆘ӋǄ⍖䰇⥛ᅮНЎ⯄⍖⠛䰇ᗻ᭄

䰸ҹ䖯㸠㒧Ḍ⯄⍖⠛䬰Ẕⱘᘏ᭄ˈᰃ䆘Ӌ㒧Ḍ⮙䰆⊏

乍Ⳃᰃ৺䰡Ԣথ⮙⥛ⱘ䞡㽕ᣛᷛ^[9]Ǆ

(2)

՟Ёⱘ↨՟⬅

2000

ᑈⱘ

78%

ϟ䰡ࠄ

2013

ᑈⱘ

36%

˄೒

3b

˅Ǆ

2013

ᑈˈᘏ㒧Ḍ⮙՟থ⮙⥛੠⍖䰇㚎㒧Ḍ

⮙՟থ⮙⥛ߚ߿Ў

261/10

ϛˈ

94/10

ϛ˄೒

3c

˅Ǆ

2011

㟇

2013

ᑈˈ↣ᑈᮄ⍖䰇⮙՟᡹ਞ᳔᭄催ⱘ

䛑ᰃ

45–54

ቕᑈ啘㒘˄೒4˅ǄϢཇᗻⳌ↨ˈ⬋ᗻҎ㕸

ᇸ݊ᰃ㗕ᑈ⬋ᗻⱘ᡹ਞথ⮙⥛䕗催˗ৠϔᑈ啘㒘Ёˈ

⬋ᗻথ⮙⥛޴ТЎཇᗻⱘϸס˄೒4˅Ǆ

2013

ᑈˈ

᡹ ਞ থ ⮙ ⥛ ᳔ 催 ⱘ Ў ⬋ ᗻ

65

ቕ ҹ Ϟ ᑈ 啘㒘 ˈ Ў

618/10

ϛˈᰃܼҎষ㒧Ḍ᡹ਞথ⮙⥛˄

94/10

ϛ˅

ⱘ

6

סҹϞǄ

ⳕ㑻㒧Ḍ⮙՟᡹ਞᚙމ

৘ ⳕ ᡹ ਞ থ ⮙ ⥛ Ꮒ ߿ 䕗 ໻ ˄೒

5˅ Ǆ Ң ᘏ 㒧 Ḍ ⮙ ՟

᡹ ਞ ᚙ މ ᴹ ⳟ ˈ

Mondolkiriⳕ ᡹ ਞ থ ⮙ ⥛ ᳔ Ԣ ˈ Ў 62/10ϛ˗Svay Riengⳕ߭Ў݊סˈ䖒ࠄ477/10ϛǄ

৘ⳕᮄথ㚎㒧Ḍ⮙՟Ё⍖䰇⮙՟ⱘ↨՟Ў

42.2%㟇 90.0%ϡㄝˈܼ೑߭Ў60.8%˄㸼1˅Ǆ

᷀ඨᆼ㽓࣫䚼੠ϰफ䚼᠔೼ࡲџऎⱘ᡹ਞথ⮙⥛

䕗催˄೒

6

˅˗䖭ѯഄऎҎষ⿴ᆚǃ⌕ࡼ乥㐕ˈϨϢ⋄

೑੠䍞फㄝ᥹ຸ䚏೑ҎਬᕔᴹᆚߛǄ 㗕ᑈҎ㕸㒧Ḍ᡹ਞᚙމ

2013

ᑈˈ

55

ቕҹϞ㗕ᑈҎऴᮄ⍖䰇㚎㒧Ḍ᡹ਞ᭄ⱘ

37%

Ǆ㗕ᑈ㒘੠䴲㗕ᑈ㒘˄

54

ቕঞҹϟ˅ⱘᮄ⍖䰇㚎㒧Ḍ᡹ਞথ⮙⥛ߚ߿Ў

347/10

ϛ੠

66/10

ϛǄߚⳕ

೑ᆊҎষ᭄᥂ᴹ⑤ѢϪ⬠ि⫳㒘㒛ⱘܼ⧗㒧Ḍ

⮙᭄᥂ᑧ˗ഄᮍҎষ᭄᥂ᴹ⑤Ѣ᷀ඨᆼि⫳ㅵ⧚ֵᙃ

㋏㒳Ǆߚᑈ啘੠ߚⳕⱘҎষ᭄᥂ᴹ⑤ѢҎষ᱂ᶹⱘԄ 䅵㒧ᵰǄ䞛⫼ⲂᇨỂⳌ݇㋏᭄⹂ᅮ⍖䰇⥛ϢҎ㕸ㄯᶹ

⥛ǃ៤ҎϢܓス㒧Ḍ⮙᡹ਞǃҹঞ㗕ᑈҎϢ䴲㗕ᑈҎ ⱘ㒧Ḍ⮙᡹ਞП䯈ⱘⳌ݇ᗻǄ

⬅Ѣᴀ᡹ਞাߚᵤᐌ㾘ⲥ⌟᭄᥂ˈϡᄬ೼ϾҎֵ

ᙃˈ಴ℸϡ⍝ঞӺ⧚ᅵᶹ䯂乬Ǆ

㒧ᵰ

㒧Ḍㄯᶹ⥛੠⍖䰇⥛

ܼ೑Ҏ㕸㒧Ḍㄯᶹ⥛⬅2001ᑈⱘ0.4%Ϟछࠄ2013ⱘ

1 . 1 %

ˈ 㗠 ৠ ᳳ ⍖ 䰇 ⥛ ߭ ⬅

2 8 . 9 %

ϟ 䰡 ࠄ

8 . 1 %

˄೒1˅ǄߚⳕᴹⳟˈPrey VengⳕҎ㕸ㄯᶹ⥛᳔催ˈ Ў

2.5%ˈ Ԛ ⍖ 䰇 ⥛ ᳔ Ԣ ˄ 2.7%˅ ˗ 㗠Kepⳕ ㄯ ᶹ

⥛᳔ԢˈЎ0.3%ˈԚ⍖䰇⥛ै᳔催˄17.5%˅Ǆϸ 乍 ᣛ ᷛ 䯈 ᄬ ೼ 䋳 Ⳍ ݇ ˄ Ⲃ ᇨ Ể Ⳍ ݇ ㋏ ᭄ Ў

–0.71ˈ P < 0.001˅ˈᦤ⼎㒧Ḍㄯᶹ⥛䕗Ԣⱘⳕӑ߭⍖䰇⥛Ⳍ

ᇍ䕗催ˈডПѺ✊˄೒2˅Ǆ

೑ᆊ㒧Ḍ⮙՟᡹ਞᚙމ

2000–2010

ᑈ䯈ˈ᡹ਞ⮙՟ᘏ᭄⬅

19 007

䗤⏤Ϟछ㟇

41 628

˄೒

3a

˅ˈ䖥ᑈᴹ᡹ਞ䍟㓧ˈ

2013

ᑈ᡹ਞ⮙՟

᭄

39 055

՟Ǆ㚎໪㒧Ḍ⮙੠⍖䰈㚎㒧Ḍ᡹ਞ⮙՟᭄ϡ

ᮁ Ϟ छ Ǆ

2005

ᑈ 䍋 ˈ ⍖ 䰇㚎㒧 Ḍ ⮙ ՟ ᭄ ᓔ ྟ ϟ 䰡

೒

1. 2001–2013

ᑈ᷀ඨᆼҎ㕸㒧Ḍㄯᶹ⥛Ϣ⍖䰇⥛

⊼˖Ҏ㕸ㄯᶹ⥛˖↣ᑈ䖯㸠⯄⍖⠛䬰Ẕⱘ⭥Ԑ㒧Ḍ⮙՟᭄䰸ҹᘏҎষ᭄Ǆ⍖䰇⥛˖⯄⍖⠛䰇ᗻ᭄䰸ҹ䖯㸠㒧Ḍ⯄⍖⠛䬰Ẕⱘᘏ᭄Ǆ 0.4%

1.1%

28.9%

8.1%

0%

5%

10%

15%

20%

25%

30%

35%

0.0%

0.2%

0.4%

0.6%

0.8%

1.0%

1.2%

1.4%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Smear-positivity rate (%)

Population-screening rate (%)

Year

Population-screening rate Smear-positivity rate 1.4

1.2

1.0

0.8

0.6

0.4

0.2

0.0

35

30

25

20

15

10

5

0 28.9

0.4

Ҏ㕸ㄯᶹ⥛˄˅ ⍖䰇⥛˄˅

Ҏ㕸ㄯᶹ⥛ ⍖䰇⥛

ᑈӑ

(3)

ℷⳌ݇˄ⲂᇨỂⳌ݇㋏᭄

0.79

ˈ

P < 0.001

˗೒

7

˅Ǆ 䚼 ߚ ⳕ ϸ 㒘 Ҏ 㕸 ⱘ ᡹ ਞ থ ⮙ ⥛ Ꮒ ߿ 䕗 ໻ ˈ ՟ བ

Rattanakiri

ⳕ ˈ 㗕 ᑈ 㒘 থ ⮙ ⥛ Ў

109/10

ϛ ˈ 䴲㗕 ᑈ㒘Ў

37/10

ϛ˗

Odor Meanchey

ⳕˈ㗕ᑈ㒘থ⮙⥛Ў

553/10

ϛˈ䴲㗕ᑈ㒘Ў

83/10

ϛǄ

ܓス㒧Ḍ᡹ਞᚙމ

೑ ᆊ 㒧 Ḍ ⮙ 乍 Ⳃ 䖥 ᑈ ᴹ ࡴ ᔎ њ ܓ ス㒧 Ḍ ⮙ Ⳍ ݇ ᳡

ࡵǄ2013ᑈˈ24ϾⳕЁ᳝13Ͼⳕᓔሩܓス㒧Ḍᐌ㾘

᳡ࡵˈࣙᣀ⮙՟থ⦄ǃ⮙՟ㅵ⧚ǃᆚ᥹䗑䏾੠乘䰆 ᗻ㥃⠽⊏⭫ㄝǄ2013ᑈܓス㒧Ḍ⮙᡹ਞᘏ᭄Ў6916

˄ ऴ ᠔ ᳝ ᡹ ਞ ⮙ ՟ ⱘ

17.7%

˅ ˈ ݊ Ё

87.0%

Ў 㚎

໪ 㒧 Ḍ ⮙ ˈ

12.1%

Ў ⍖ 䰈㚎㒧 Ḍ Ǆ ৘ ⳕ ⱘ ܓ ス㒧 Ḍ ऴ ᘏ 㒧 Ḍ ᡹ ਞ ⮙ ՟ ⱘ ↨ ՟ ⬅1.3%㟇

39.4%ϡ ㄝ

˄㸼2˅ ˈPailin᳔ 催 ˄

39.4%˅ ˈ ݊ ⃵ Ў Banteay Meanchey˄36.3%˅੠Battambang˄33.5%˅Ǆ

ߚⳕⱘ៤Ҏ᡹ਞথ⮙⥛੠ܓス᡹ਞথ⮙⥛П䯈ᄬ

೼ᔅⳌ݇ⲂᇨỂⳌ݇㋏᭄0.34 P < 0.107೒8ˈ ᦤ⼎৘ⳕⱘܓス੠៤Ҏ⮙՟ㄯᶹ㣗ೈ੠ⱏ䆄Ꮉ԰ᄬ೼

䕗໻ᏂᓖǄ㱑✊Siem Reapⳕ੠Svay Riengⳕⱘ៤Ҏ㒧 Ḍ᡹ਞথ⮙⥛䕗催ˈԚܓス㒧Ḍ᡹ਞথ⮙⥛ैⳌᇍ䰡 Ԣ˄೒8˅Ǆ

䅼䆎

ᇍᐌ㾘㒧Ḍⲥ⌟᭄᥂ߚᵤৢথ⦄ˈ೑ᆊሖ䴶ⱘ䰆᥻乍 Ⳃ㨑ᅲᣛᷛ೼ϡᮁ䖯ℹˈ㗠ഄᮍሖ䴶ҡᄬ೼Ꮒ䎱Ǆ

ᮄ⍖䰇㚎㒧Ḍ⮙՟ϟ䰡䇈ᯢ᷀ඨᆼ೑ᆊ㒧Ḍ䰆⊏

乍Ⳃপᕫњ䭓ᳳ៤ᬜǄ⮙՟ⱘ᡹ਞᚙމফࠄҹϟ޴ᮍ 䴶಴㋴ⱘᕅડ˖⮙՟ЏࡼㄯᶹᎹ԰ǃᅲ偠ᅸẔ⌟䋼䞣 Ϣ㛑࡯ǃR&R㋏㒳ǃ⮙՟᡹ਞ㋏㒳ҹঞ┰೼㒧Ḍথ⮙

ᚙމ^[10]Ǆ㱑✊гৃ㛑Ϣ݊ᅗ಴㋴᳝݇ˈԚ᷀ඨᆼᮄ⍖

䰇㚎㒧Ḍ⮙՟᭄ⱘϟ䰡೼ᕜ໻⿟ᑺϞᰃ⬅Ѣ೑ᆊ㒧Ḍ 䰆⊏乍Ⳃϡᮁᠽ໻DOTSⱘܼ೑㽚Ⲫ㣗ೈˈᣕ㓁ᦤ催њ 催Ӵᶧᗻ⮙՟ⱘথ⦄Ϣ⊏⭫Ǆḍ᥂2011ᑈܼ೑ᓔሩⱘ 㒧Ḍᙷ⮙ᚙމ䇗ᶹ᡹ਞˈҢ2002ࠄ2011ᑈˈܼ೑⍖

䰇㚎㒧Ḍϟ䰡њ38%^[11]ǄሑㅵҎ㕸ㄯᶹ⥛छ催ˈԚ⍖

䰇⥛ै೼ϟ䰡ˈ䖭г䖯ϔℹ䇈ᯢ⍖䰇㚎㒧Ḍথ⮙᭄೼

ⳳᅲϟ䰡Ǆ

⍖ 䰈㚎㒧 Ḍ ੠ 㚎 ໪ 㒧 Ḍ ⮙ ᡹ ਞ ᭄ ߎ ⦄ Ϟ छ ৃ Ң ⌕ 㸠 ⮙ ᄺ ੠ Ꮉ ԰ ⱘ 㾦 ᑺ ќ ҹ 㾷䞞 ˈ ܓ ス㒧 Ḍ ⮙

᳡ ࡵ ⱘ ᠽ ໻ ǃ ೼ ܼ ೑ 㣗 ೈ ݙ ᱂ ঞ 㒧 Ḍ ⮙ ᳡ ࡵ ǃ 䞛

⫼ ⿏ ࡼ ; ܝ ᴎ 䖯㸠 Ⳃ ᷛ Ҏ 㕸 ⱘ ⮙ ՟ ㄯ ᶹ ǃ ᦤ 催 ഄ ᮍ ᇍ

X

㒓 Ẕ ᶹ ੠ 㚎㒘㒛 ⌏ Ẕ ㄝ ᳡ ࡵ ⱘ ৃ ঞ ᗻ ㄝ ϔ

㋏ ߫ ಴ ㋴䛑 ৃ 㛑 ᇍ ℸ ѻ ⫳ ᕅ ડ Ǆ ⍖ 䰈㚎㒧 Ḍ ⮙ ՟

೒

2. 2013

ᑈ᷀ඨᆼ৘ⳕҎ㕸㒧Ḍㄯᶹ⥛Ϣ⍖䰇⥛ᬷ⚍೒

⊼˖Ҏ㕸ㄯᶹ⥛˖↣ᑈ䖯㸠⯄⍖⠛䬰Ẕⱘ⭥Ԑ㒧Ḍ⮙՟᭄䰸ҹᘏҎষ᭄Ǆ⍖䰇⥛˖⯄⍖⠛䰇ᗻ᭄䰸ҹ䖯㸠㒧Ḍ⯄⍖⠛䬰Ẕⱘᘏ᭄Ǆ Kep

Kompong Chhnang Odor Meachey

Pailin BaƩ ambang

Kompong Thom Kompong Speu

Banteay Meanchey Pusat Siem Reap

Takeo Kompong Som Preah Vihear

KraƟ e

Mondoulkiri

Kandal Phnom Penh

Koh Kong

Svay Rieng Stung Treng

RaƩ anakiri

Kampot

Kompong Cham

Prey Veng NaƟ onal

20

18

16

14

12

10

8

6

4

2

0

0.0 0.5 1.0 1.5 2.0 2.5 3.0

⍖䰇⥛˄˅

Ҏ㕸ㄯᶹ⥛˄˅

(4)

೒

3a. 2000–2013

ᑈ᷀ඨᆼ৘㉏㒧Ḍ⮙՟᡹ਞ᭄

0 5000 10000 15000 20000 25000 30000 35000 40000 45000

0 5000 10000 15000 20000 25000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Total case notification

Case notification by category

Year

Total New smear-positive Smear-negative Extrapulmonary Re-treatment/other

೒

3c. 2000–2013

ᑈ᷀ඨᆼ᠔᳝㉏߿㒧Ḍ⮙՟ᘏ᡹ਞথ⮙⥛ঞ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛

121 115

136 146 144

157

142 141 142

126 122

108 100 94

156 155 194

219 237

270

262 265

286 284 290

272 271 261

0 50 100 150 200 250 300 350

Rate (per 100 000 population)

New smear-positive All forms

೒3b. 2000–2013ᑈ᷀ඨᆼ৘㉏㒧Ḍ᡹ਞ⮙՟᠔ऴⱒߚ↨

0 10 20 30 40 50 60 70 80 90

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Percentage

Year

New smear-positive Smear-negative Extrapulmonary Re-treatment/other

৘㉏㒧Ḍ⮙՟᡹ਞ᭄ ᘏ⮙՟᡹ਞ᭄

ᑈӑ

ড়䅵 ᮄ⍖䰇㚎㒧Ḍ ⍖䰈㚎㒧Ḍ 㚎໪㒧Ḍ⮙ ݡ⊏⭫⮙՟݊Ҫ

ᮄ⍖䰇㚎㒧Ḍ ⍖䰈㚎㒧Ḍ 㚎໪㒧Ḍ⮙ ݡ⊏⭫⮙՟݊Ҫ

ⱒߚ↨থ⮙⥛˄ϛ˅

ᮄ⍖䰇㚎㒧Ḍ ᠔᳝㉏߿㒧Ḍ⮙՟

(5)

њࡴᔎ䋿ೄഄऎ㒧Ḍ⮙՟ㄯᶹᎹ԰ⱘ䞡㽕ᗻ^[7]Ǆ៥Ӏ

೼ഄऎሖ䴶ᇍҎ㕸ㄯᶹ⥛੠⍖䰇⥛䖯㸠ⱘ↨䕗ˈЎ⹂

ᅮ⮙՟ㄯᶹⱘⳂᷛഄऎজᦤկњ䖯ϔℹⱘখ㗗ᷛޚǄ Ҏ㕸ㄯᶹ⥛Ԣ㗠⍖䰇⥛催ⱘⳕӑҡ䳔ࡴᔎ⮙՟ㄯᶹᎹ

԰ˈҹ䰡Ԣ⍖䰇⥛Ǆ೼䖭ѯഄऎӬܜᓔሩᎹ԰ৃ⹂ֱ

⮙՟ㄯᶹᎹ԰㦋ᕫ䕗དᬜᵰǄ

2013ᑈˈ㗕ᑈ㒧Ḍ⮙՟ऴᘏ᡹ਞ⮙՟ⱘ37%ˈԢ

Ѣ2011ᑈܼ೑ᙷ⮙ᚙމ䇗ᶹⱘ⍖䰇㚎㒧ḌЁ55%Ў㗕 ᑈ⮙՟䖭ϔ᭄ؐ^[11]ˈᦤ⼎ৃ㛑ҡᄬ೼ᕜ໮㗕ᑈ⮙՟ⱘ

ⓣ䆞ⓣ᡹ǄᴀⷨおЁˈ㗕ᑈ㒘᡹ਞথ⮙⥛↨䴲㗕ᑈ㒘 Ԣⱘⳕӑˈৃ㛑ҡ᳝ᕜ໮㗕ᑈ⮙՟ⓣ䆞Ǆ಴ℸˈ೼䖭 ѯഄऎϡᮁᦤ催㗕ᑈҎⱘ㒧ḌㄯᶹᎹ԰ᇚ㦋ᕫ䕗དⱘ 䰆⊏ᬜᵰǄ

᭄ Ϟ छ ᦤ ⼎⼒ ऎ ݙ ⱘ 催 Ӵ ᶧ ᗻ 㒧 Ḍ ⮙ ⮙ ՟ ᭄ ߎ ⦄ ϟ 䰡 Ǆ 㱑 ✊ ⍖ 䰇㚎㒧 Ḍ ⮙ ՟ ᭄ ໻ ᐙ ϟ 䰡 ˈ

2011

ᑈ ⱘ ܼ ೑ 㒧 Ḍ ⮙ ᙷ ⮙ ᚙ މ 䇗 ᶹ ᰒ ⼎ ˈ ⯄ ⍖ 䰈 ᗻ Ԛ 㦠

෍ ݏ 䰇 ᗻ ˄

SNCP

˅ ⱘ ⮙ ՟ ᭄ ै Ϟ छ њ ϸ ס^[11]Ǆ 㗠

2013

ᑈˈ⍖䰈㚎㒧Ḍ᡹ਞ⮙՟᭄˄

9069

˅ԢѢ⍖

䰇㚎㒧Ḍ᡹ਞ⮙՟᭄˄

14 082

˅ˈ䇈ᯢ⦄᳝ⱘᐌ㾘䆞

ᮁҡⓣ䆞њᕜ໮

SNCP

⮙՟ǄЎᦤ催

SNCP

⮙՟ⱘ䆞ᮁ

⥛ˈ⦄᳝䆞ᮁᎹ݋ᑨ䖯㸠ᬍ䖯ˈ↨བˈ֗䖯;㒓Ẕᶹ੠

Xpert MTB/RIF

㒧Ḍߚᵱᴚ㦠Ẕ⌟ᡔᴃⱘᑓ⊯ᑨ⫼ˈᦤ 催៤ᴀᬜⲞǄ

ᇍഄऎ᡹ਞ᭄᥂ⱘߚᵤৃ᳝ࡽѢᯢ⹂ાѯഄऎৃ

㛑ᄬ೼㒧Ḍ⮙՟ⓣ䆞ǄWongㄝҎথ⦄᷀ඨᆼᆊᒁ䋿

ೄ⥛Ϣ⍖䰇㚎㒧Ḍ᡹ਞথ⮙⥛П䯈ᄬ೼䋳Ⳍ݇ˈᔎ䇗

೒4. 2011–2013ᑈ᷀ඨᆼᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙᭄ঞথ⮙⥛ᑈ啘ᗻ߿ߚᏗ

0 500 1000 1500 2000

ᮄ⍖䰇㚎㒧Ḍ⮙՟᭄

0 200 400 600 800

ᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛˄ϛ˅

2011

2012

2013

0–14 15–24 25–34 35–44 45–54 55–64 65 ቕҹϞ 0–14 15–24 25–34 35–44 45–54 55–64 65 ቕҹϞ

⬋ᗻ ཇᗻ

(6)

೒

5. 2013

ᑈ᷀ඨᆼ৘ⳕ᠔᳝㉏߿㒧Ḍ⮙՟ᘏ᡹ਞথ⮙⥛ঞᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛ߚᏗ

⊼˖♄㡆᷅⢊㸼⼎ԢѢܼ೑ᑇഛؐˈ㪱㡆᷅⢊㸼⼎催Ѣܼ೑ᑇഛؐǄ

62 79 103 128 153 160 165 182 191 197 210 212 234 236 247 251 252 277 290 307 343 399 447 477

0 50 100 150 200 250 300 350 400 450 500

Mondolkiri Rattanakiri Kratie Koh Kong Preah Vihear Kompong Thom Kompong Som Kep Kandal Strung Treng Phnom Penh Kampot Battambang Kompong Chhnang Kompong Cham Pursat Odor Meanchey Banteay Meanchey Pailan Siem Reap Kompong Speu Takeo Prey Veng Svay Reing

Case notification rate (per 100 000 population)

᠔᳝㉏߿㒧Ḍ⮙՟

ܼ೑ᑇഛؐ: 261

42 48 48 58 65 71 75 75 79 80 83 86 89 101 102 105 107 107 111 114 121 121 123 132

0 20 40 60 80 100 120 140

Rattanakiri Mondolkiri Kratie Kompong Som Koh Kong Battambang Pailin Banteay Meanchey Preah Vihear Kompong Chom Kandal Kep Phnom Penh Pursat Prey Veng Kompong Thom Stung Treng Kampot Svay Rieng Odor Meanchey Kompong Chhnang Kompong Speu Siem Reap Takeo

Case notification rate (per 100 000 population)

ᮄ⍖䰇㚎㒧Ḍ

ܼ೑ᑇഛؐ: 94

᡹ਞথ⮙⥛˄ϛ˅ ᡹ਞথ⮙⥛˄ϛ˅

㸼1. 2013ᑈ᷀ඨᆼ৘ⳕ㒧Ḍ⮙՟᡹ਞ᭄

ⳕ ᮄ⮙՟ঞ໡

থ⮙՟

ᮄথ⮙՟

໡থ⮙՟ ݡ⊏⭫⮙Ҏˈ ϡ৿໡থ⮙՟

ݡ⊏⭫⮙՟

ᘏ᭄

݊ᅗҹᕔ

᡹ਞ⮙՟

⍖䰇⮙՟ऴᮄ থ㚎㒧Ḍ⮙՟

ⱒߚ↨˄%˅

⍖䰇⮙՟ ⍖䰈⮙՟ 㚎໪㒧Ḍ

Banteay Meanchey 2038 584 460 970 24 3 27 110 55.9

Battambang 2651 836 635 1147 33 9 42 74 56.8

Kampot 1265 661 244 347 13 3 16 42 73.0

Kandal 2635 1160 550 902 23 5 28 40 67.8

Kep 78 37 11 30 0 0 0 0 77.1

Koh Kong 181 92 30 58 1 0 1 0 75.4

Kompong Cham 4233 1392 1021 1766 54 17 71 62 57.7

Kompong Chhnang 1226 638 208 374 6 0 6 19 75.4

Kompong Som 422 150 60 208 4 0 4 7 71.4

Kompong Speu 2621 950 916 739 16 2 18 61 50.9

Kompong Thom 1078 711 157 204 6 0 6 4 81.9

Kratie 374 175 77 122 0 0 0 2 69.4

Mondolkiri 47 36 4 5 2 0 2 0 90.0

National Hospital 1310 369 377 488 76 13 89 121 49.5

Odor Meanchay 583 270 78 230 5 0 5 11 77.6

Pailan City 270 73 51 145 1 0 1 12 58.9

Phnom Penh 2107 1143 383 548 33 9 42 22 74.9

Preah Vihear 275 151 66 55 3 2 5 16 69.6

Prey Veng 4345 997 863 2472 13 1 14 41 53.6

Pursat 1075 439 305 321 10 0 10 19 59.0

Rattanakiri 132 72 12 44 4 1 5 4 85.7

Siem Reap 3067 1293 707 1044 23 9 32 137 64.7

Stung Treng 251 136 19 95 1 0 1 0 87.7

Svay Rieng 2109 556 762 766 25 0 25 284 42.2

Takeo 3370 1161 1073 1123 13 0 13 150 52.0

ড়䅵 37 743 14 082 9069 14 203 389 74 463 1238 60.8

(7)

೒7. 2013ᑈ᷀ඨᆼ৘ⳕ㗕ᑈ੠䴲㗕ᑈᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛ᬷ⚍೒

⊼˖ߚᑈ啘੠ߚⳕⱘҎষ᭄᥂ᴹ⑤ѢᑈҎষ᱂ᶹᇍ2013ᑈҎষⱘԄ䅵ؐǄ 0

100 200 300 400 500 600

0 10 20 30 40 50 60 70 80 90 100

Elderly TB case notification rate (per 100 000 population)

Non-elderly TB case notification rate (per 100 000 population) KraƟ e

Mondolkiri

RaƩ anakiri

Kompong Som

Banteay Meanchey BaƩ ambang

Koh Kong

Kompong Cham Kandal

Pailin

Phnom Penh Kep

Preah Vihear Pursat

Kompong Thom Svay Rieng Kampot

Kompong Chhnang

Prey Veng

Stung Treng Kompong Speu

Takeo Siem Reap

Odor Meanchey

NaƟ onal

೒6. 2013ᑈ᷀ඨᆼ৘ࡲџऎ᠔᳝㉏߿㒧Ḍ⮙՟᡹ਞথ⮙⥛ঞᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛ߚᏗ

᠔᳝㉏߿㒧Ḍ⮙՟

<150 150–200 201–250 251–300 301–250

>350

᡹ਞথ⮙⥛

˄ϛ˅

䍞फ 㗕ᣱ

⋄೑

ᮄ⍖䰇㚎㒧Ḍ

<70 71–90 91–110 111–130

>131

᡹ਞথ⮙⥛

䍞फ ˄ϛ˅

⋄೑

㗕ᣱ

ܡ䋷ໄᯢ˖೒Ёഄඳߦߚঞᷛ䆚ϡҷ 㸼WHOᇍӏԩ೑ᆊǃഄऎǃජᏖǃ乚

ഄ៪䖍⬠ԡ㕂ⱘᗕᑺǄⱑ㒓ҷ㸼໻㟈䖍๗ˈৃ㛑ᄬ೼ϔᅮѝ䆂Ǆ

㗕ᑈ㒧Ḍ⮙՟᡹ਞথ⮙⥛˄ϛ˅

䴲㗕ᑈ㒧Ḍ⮙՟᡹ਞথ⮙⥛˄ϛ˅

(8)

ᑊ᳾৥೑ᆊ㒧Ḍ⮙䰆⊏乍Ⳃ䖯㸠᡹ਞˈᕅડњ⮙՟ⱘ

ᤩ㦋Ǆᔧ⮙՟থ⦄∈ᑇϡ䎇ᯊˈ㒧Ḍ⮙᡹ਞথ⮙᭄ᑊ ϡ㛑Ⳉ᥹ҷ㸼㒧Ḍ⮙ⱘⳳᅲথ⮙∈ᑇ^[3,7]Ǆ

೼ᕜ໮থሩЁ೑ᆊˈ㱑✊೼ⲥ⌟᭄᥂ᬊ䲚ᮍ䴶 ᡩܹњ໻䞣䌘⑤ˈԚ㒧Ḍⲥ⌟᭄᥂ⱘ߽⫼⃴ՇǄⳕ㑻 ⱘ᭄᥂ߚᵤᎹ԰ৃЎ䆒ゟ⮙՟ㄯᶹⱘⳂᷛഄऎⱘ䆘߸

ᷛޚᦤկᔎ᳝࡯ⱘ䆕᥂ˈ಴ℸ䳔ᕫࠄࡴᔎˈҢ㗠䖒ࠄ ⲥ⌟᭄᥂ⱘ᳝ᬜ߽⫼Ǆབᵰ㒳ϔ߽⫼ߚഄऎ᭄᥂੠Ҏ ষᄺ᭄᥂ˈৃᇍⳂᷛഄऎঞҎ㕸䖯㸠᳈݋䩜ᇍᗻⱘߚ ᵤˈᅲ⦄䰆⊏䌘⑤ⱘ᳝ᬜড়⧚ߚ䜡Ǆ಴ℸˈ৘㑻ⱘ᭄

᥂䋼䞣ঞㅵ⧚ᇍѢߚᵤⱘৃ䴴ᗻ੠᳝ᬜᗻᇸЎ䞡㽕Ǆ 催∈ᑇⱘ᭄᥂ᑧ䆒䅵੠㓈ᡸᎹ԰ৃҹ⹂ֱ䖯㸠ֵᙃ ⱘ㋏㒳ᔩܹ੠ߚᵤˈᑨќҹ哧ࢅǄ঺໪ˈⲥ⌟Ꮉ԰

Ёᑨ䞛⫼᭄᥂偠䆕Ꮉ݋ঞᮍ⊩ˈֱ䆕ⲥ⌟᭄᥂ⱘݙ໪

ϔ㟈ᗻ^[14]Ǆᓔথ㒬ࠊ೒㸼ⱘ߯ᮄᎹ݋ˈկ෎ሖᴎᵘ䖯㸠ᅮᳳ᭄᥂ߚᵤ੠ߚথᎹ԰ᯊՓ⫼ˈৃᦤ催乍ⳂҎਬ ᇍ᮹ᐌᎹ԰ⱘ݈䍷੠⿃ᵕᗻǄ᳔ৢˈ᠔᳝ߚᵤᎹ԰ⱘ

᳔㒜Ⳃⱘ䛑ᰃЎњ᥶㋶᭄᥂㚠ৢⱘॳ಴ˈЎࠊᅮ㸠ࡼ

ㄪ⬹ᦤկձ᥂ˈᑊ䙉ᕾᅲ䏉Ёⱘ⦄ᅲ㾘ᕟǄ

߽Ⲟކさ Ңܼ⧗㣗ೈᴹ䇈ˈܓス㒧Ḍ⮙ऴᘏ⮙՟ⱘ↨՟ৃ

Ң

3%

ࠄ

25%

ϡㄝ¹²Ǆ䗮䖛᷀ඨᆼ೑ᆊ㒧Ḍ⮙䰆⊏乍 Ⳃ䖙䗳ᠽ໻њܓス㒧Ḍ᳡ࡵˈ

2013

ᑈܓス㒧Ḍ᡹ਞ থ⮙೼ᘏ⮙՟Ё᠔ऴ↨՟ᦤ催ࠄ

17.7%

ˈ✊㗠৘ഄᄬ

೼ᏂᓖǄ৘ഄ೼ܓス㒧Ḍ⮙᠔ऴ↨՟ǃܓス㒧Ḍ᡹ਞ থ⮙⥛Ϣ៤Ҏ᡹ਞথ⮙⥛ⱘⳌ݇ᗻᮍ䴶ᄬ೼ⱘᏂᓖˈ

ৃ᳝ࡽѢ⹂ᅮાѯഄऎৃ㛑ᄬ೼䇃䆞៪ⓣ᡹ǄВ՟

ᴹ䇈ˈ៤Ҏ᡹ਞথ⮙⥛催㗠ܓス᡹ਞথ⮙⥛Ԣⱘⳕ ӑˈৃ㛑ህᄬ೼ܓス㒧Ḍ⮙՟ⱘⓣ䆞៪ⓣ᡹ǄⳂࠡˈ

᷀ඨᆼⱘ⾕ゟि⫳ᴎᵘ೼݀݅ि⫳乍ⳂЁᡂⓨⴔᛜᴹ ᛜ䞡㽕ⱘ㾦㡆ˈ಴ℸ䳔㽕ࡴ໻࡯ᑺˈࡼਬ⾕ゟᴎᵘ೼

೑ᆊ㒧Ḍ⮙ⲥ⌟㋏㒳Ёথ᣹᳈໻԰⫼Ǆܓス㒧Ḍ⮙ⱘ 䆞ᮁ䕗Ў໡ᴖˈ䳔ᇍ䇌໮䆕᥂䖯㸠䆘Ӌৢᠡ㛑԰ߎ 䆞ᮁ^[13]ˈ䚼ߚⳕӑⱘܓス㒧Ḍ᡹ਞথ⮙⥛催Ԛ៤Ҏ 㒧Ḍথ⮙⥛Ⳍᇍ䕗Ԣˈᑨ㗗㰥ᰃ৺ᄬ೼ܓス㒧Ḍ⮙՟

ⱘ䇃䆞Ǆ

ⲥ⌟᭄᥂ⱘ߽⫼᳝݊೎᳝ⱘሔ䰤ᗻǄ㱑✊೑ᆊ㒧 Ḍ⮙乍Ⳃ䗮䖛ࡴᔎ෍䆁੠ⴷᇐᇍ㒧Ḍ5 5㋏㒳䖯㸠њ ᬍ䖯ˈԚ᭄᥂ⱘৃ䴴ᗻҡᵕ໻ഄձ䌪Ѣᔧഄᴎᵘ੠Ꮉ

԰Ҏਬⱘ㛑࡯∈ᑇǄܼ೑ⱘ᭄᥂ᬊ䲚Ꮉ԰ᄬ೼⦄ᅲೄ

䲒ˈ՟བҡ䞛⫼㒌䋼㸼ḐǃҎᎹ䖯㸠᭄᥂ᔩܹˈৃ㛑䗴៤䚼ߚ᭄᥂᡹ਞϡϔ㟈Ǆ㱑✊݀ゟ੠⾕ゟᴎᵘഛখ

೒

8. 2013

ᑈ᷀ඨᆼ৘ⳕ៤Ҏ੠ܓス㒧Ḍ⮙՟᡹ਞথ⮙⥛ᬷ⚍೒

㑶⚍㸼⼎2013ᑈᐌ㾘ᓔሩњܓス㒧Ḍ᳡ࡵⱘⳕӑˈ㪱⚍㸼⼎2013ᑈ᳾ᓔሩᐌ㾘ܓス㒧Ḍ᳡ࡵⱘⳕӑǄ 0

100 200 300 400 500 600

0 100 200 300 400 500 600 700

TB case notification rate in children (per 100 000 population)

TB case notification rate in adult (per 100 000 population) Prey Veng

Pailin Banteay Meanchey

BaƩ ambang

Kompong Speu Kompong Chhnang

Odor Meachey

Takeo

Svay Rieng

Siem Reap Kompong Cham

Pursat Stung Treng Kompong Som Kandal

Phnom Penh Kampot RaƩ anakiri Koh Kong

Mondolkiri KraƟ e

Preah Vihear Kompong Thom

Kep

៤Ҏ㒧Ḍ⮙՟᡹ਞথ⮙⥛˄ϛ˅

ܓス㒧Ḍ⮙՟᡹ਞথ⮙⥛˄ϛ˅

(9)

6. Hill PS, Tan Eang M. Resistance and renewal: health sector reform and Cambodia’s national tuberculosis programme. Bulletin of the World Health Organization, 2007, 85:631–636. doi:10.2471/

BLT.06.036822 pmid:17768522

7. Wong MK et al. The association between household poverty rates and tuberculosis case notification rates in Cambodia, 2010.

Western Pacific Surveillance and Response Journal, 2013, 4:25–

33. doi:10.5365/wpsar.2013.4.1.002 pmid:23908952 8. Revised definitions and reporting framework for tuberculosis.

Geneva, World Health Organization, 2013 (http://apps.who.

int/iris/bitstream/10665/79199/1/9789241505345_eng.pdf, accessed 28 January 2015).

9. Frieden T, editor. Toman’s tuberculosis case detection, treatment and monitoring: questions and answers, Second edition. Geneva, World Health Organization, 2004 (http://

whqlibdoc.who.int/publications/2004/9241546034.pdf, accessed 28 January 2015).

10. Tuberculosis in the region of the Americas – Regional Report 2011 Epidemiology, Control and Financing. Washington, DC, Pan American Health Organization, Regional Office for the Americas of the World Health Organization, 2012 (http://www.

paho.org/hq/index.php?option=com_docman&task=doc_

view&gid=22953&Itemid=, accessed 28 January 2015).

11. Report: Second National Tuberculosis Prevalence Survey Cambodia, 2011. Phnom Penh, National Center for Tuberculosis and Leprosy Control, Ministry of Health, 2012.

12. Guidance for national tuberculosis programmes on the management of tuberculosis in children. Geneva, World Health Organization, 2006 (http://whqlibdoc.who.int/hq/2006/WHO_

HTM_TB_2006.371_eng.pdf, accessed 28 January 2015).

13. Guidance for national tuberculosis programmes on the management of tuberculosis in children, Second edition.

Geneva, World Health Organization, 2014 (http://apps.who.int/

medicinedocs/documents/s21535en/s21535en.pdf, accessed 28 January 2015).

14. Standards and benchmarks for tuberculosis surveillance and vital registration systems: checklist and user guide. Geneva, World Health Organization, 2014 (http://apps.who.int/iris/

bitstream/10665/112673/1/9789241506724_eng.pdf, accessed 28 January 2015).

䌘䞥ᴹ⑤

᮴Ǆ 㟈䇶

ᛳ䇶㒧Ḍ⮙䆞ᮁ੠⊏⭫ࠡ㒓ⱘ᷀ඨᆼएࡵᎹ԰㗙ˈᑊ

৥᷀ඨᆼ೑ᆊ੠ഄᮍ㒧Ḍ⮙䰆⊏乍ⳂⱘᎹ԰Ҏਬ೼᭄

᥂ᬊ䲚੠᡹ਞЁⱘᎼ໻䋵⤂㟈ҹ䇶ᛣǄ ᓩ⫼ᴀ᭛ഄഔ˖

Morishita F et al. Tuberculosis case finding in Cambodia:

analysis of case notification data, 2000 to 2013.

Western Pacific Surveillance and Response Journal, 2015, 6(1):15–24. doi:10.5365/wpsar.2014.5.4.005

খ㗗᭛⤂

1. The Stop TB Strategy. Building on and enhancing DOTS to meet the TB-related Millennium Development Goals. Geneva, World Health Organization, 2006 (http://www.who.int/tb/publications/2006/

stop_tb_strategy.pdf, accessed 28 January 2015).

2. Nishikiori N, Morishita F. Using tuberculosis surveillance data for informed programmatic decision-making. Western Pacific Surveillance and Response Journal, 2013, 4:1–3. doi:10.5365/

wpsar.2013.4.1.007 pmid:23908948

3. Castro KG. Tuberculosis surveillance: data for decision- making. Clinical Infectious Diseases, 2007, 44:1268–1270.

doi:10.1086/514351 pmid:17443461

4. Revised TB recording and reporting forms and registers – version 2006. Geneva, World Health Organization, 2006 (http://www.who.int/tb/err/rr_final_forms_en.pdf, accessed 28 January 2015).

5. Tuberculosis Report 2013 – Kingdom of Cambodia. Phnom Penh, National Center for Tuberculosis and Leprosy Control, Ministry of Health, 2014.