2007–2012年越南结核病例报告数据

(1)

a 䍞फ೑ᆊ㒧Ḍ⮙乍Ⳃˈ䍞फ⊇ݙǄ

b ೑䰙䰆⮼੠㚎⮙㘨ড়Ӯᑨ⫼ⷨおЁᖗˈ⊩೑Ꮘ咢Ǆ

c WHO偏䍞फҷ㸼໘ˈ䍞फ⊇ݙǄ

ᡩ〓᮹ᳳ˖2014ᑈ4᳜27᮹˗থ㸼᮹ᳳ˖2015ᑈ2᳜9᮹ doi: 10.5365/wpsar.2014.5.2.005

䍞

^{फ ݅ ᳝}11 145Ͼ⼒ऎˈሙ⇥㑺9गϛ^{6 3}^{Ͼ ⳕ ˈ} ^{7 0 0}^[1]^{Ͼ ऎ ੠}Ǆ㒧Ḍ⮙

˄TuberculosisˈTB˅ҡ✊ᰃᓩ䍋䍞फথ

⮙੠⅏ѵⱘЏ㽕ॳ಴Ǆ೼ܼ⧗22Ͼ㒧Ḍ⮙催䋳ᢙ೑

ᆊЁˈ䍞फᥦৡ㄀12ԡ^[2]Ǆ2012ᑈˈԄ䅵TBথ⮙⥛

Ў147/10ϛ˄৿Ҏ㉏ܡ⭿㔎䱋⮙↦˄HIV˅䰇ᗻҎ 㕸˅˗TB/HIVঠ䞡ᛳᶧᙷ⮙⥛Ў218/10ϛ˗⅏ѵ⥛

˄ϡ৿HIVᛳᶧ㗙˅Ў20/10ϛǄHIV䰇ᗻҎ㕸ЁTBথ

⮙⥛Ԅ䅵Ў10/10ϛ^[2]Ǆ

䍞 फ ೑ ᆊ 㒧 Ḍ ⮙ ᥻ ࠊ 乍 Ⳃ Ѣ1986ᑈ ਃ ࡼ ˈ 1992ᑈᓔྟᅲᮑܼ⿟ⲥⴷⷁ⿟࣪⭫˄DOTS˅ㄪ⬹ˈ

೼2000ᑈᯊDOTS㽚Ⲫ⥛䖒ࠄ100%^[3]Ǆ䍞फTB⬉ᄤ

ֵ࣪ᙃㅵ⧚㋏㒳˄VITIMES˅Ѣ2009ᑈᓎゟˈৃ䗮䖛㔥㒰ᬊ䲚㒧Ḍ⮙⮙՟ㄯᶹǃ⮙՟᡹ਞ੠⮙՟⊏⭫㒧ᵰ ㄝ⮙՟᭄᥂Ǆ᭄᥂ᴹ⑤ࣙᣀ㒌䋼᡹ਞǃ⦄᳝⊼ݠ⫼᠋

੠ᅲ偠ᅸ᡹ਞǄVITIMES䗮䖛ϸϾ䰊↉ᅲᮑ˖㄀ϔ䰊

↉Ўⳕ㑻↣ᄷᑺҢऎ㑻ᬊ䲚㒌䋼᡹ਞ䖯㸠᭄᥂∛ᘏ˗

㄀Ѡ䰊↉Ўऎ㑻ᔩܹ⮙՟ϾḜֵᙃǄ㄀ϔ䰊↉Ꮉ԰

ᏆѢ2010ᑈ೼᠔᳝63Ͼⳕᅠ៤ᅲᮑ˗㄀Ѡ䰊↉ᇚѢ 2015ᑈ೼ܼ೑㣗ೈݙ㽚ⲪᅲᮑǄ

ᴀ᡹ਞⱘⳂⱘᰃᇍ2007ᑈ㟇2012ᑈ䍞फ᠔᳝㒧 Ḍ⮙՟੠ᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ᡹ਞথ⮙⥛䖯㸠䆘Ӌˈ ᑊ䖯㸠ᑈ啘ǃᗻ߿੠⊏⭫㒧ሔⱘ∛ᘏߚᵤǄ

ᮍ⊩

䆹ᦣ䗄ᗻⷨお䞛⫼2007ᑈ㟇2012ᑈ೑ᆊ㒧Ḍ⮙᥻ࠊ 乍Ⳃᐌ㾘ᬊ䲚ⱘⲥ⌟᭄᥂ˈᇍ৘ऎ㑻ᔩܹVTIMES㋏㒳 ⱘ∛ᘏ᡹ਞᣝᑈ啘ǃᗻ߿ǃ⊏⭫㒧ሔ䖯㸠ߚ㒘ߚᵤǄ

2007–2012 ᑈ䍞फ㒧Ḍ⮙՟᡹ਞ᭄᥂

Nguyen Viet Nhung^aˈNguyen Binh Hoa^abˈPham Huyen Khanh^c੠Cornelia Hennig^c

䗮䆃԰㗙˖Nguyen Bin Hoa ˄e-mail˖[email protected]˅Ǆ

᭄ ᥂ 䕀 ᔩ ܹEpiDataˈ ߽ ⫼Excel੠EpiData Version 2.2http://www.epidata.dk䖯㸠ߚᵤǄ䗮䖛 वᮍẔ偠ᇍᵘ៤↨䖯㸠↨䕗ˈᑊ䞛⫼Poisonಲᔦᇍ⮙

՟᡹ਞ⥛䖯㸠Ẕ偠Ǆᇍᵘ៤↨ⱘ⚍Ԅ䅵ؐ⫼95%ৃֵ

ऎ䯈㸼⼎Ǆ

㒧Ḍ⮙⮙՟ⱘߚ㉏ᣝ✻೑䰙㒧Ḍ⮙᥻ࠊᅮН˄ׂ

䅶⠜˅䖯㸠⬠ᅮ^[4]Ǆ⭥Ԑ㒧Ḍ⮙՟䰇ᗻ⥛ᰃᣛ᠔᳝⭥

Ԑ㒧Ḍ⮙՟Ё⯄⍖⠛䬰Ẕ䰇ᗻⱘ⮙՟↨՟Ǆ

㒧ᵰ

㒧Ḍ⮙՟

2007ᑈ㟇2012ᑈ䯈ˈ݅4 243 630՟⭥Ԑ㒧Ḍ⮙՟䖯㸠њ⯄⍖⠛䬰Ẕㄯᶹˈ݊Ё368 5948.7%Ў⍖䰇⮙

՟Ǆ䖯㸠䬰Ẕㄯᶹⱘ⮙՟Ң2007ᑈⱘ666 947՟Ϟछ ࠄ2012ᑈⱘ768 449՟ˈ㗠䰇ᗻ⥛ै⬅ᑈⱘ ᰒ㨫ϟ䰡ࠄ2012ⱘ7.8%P<0.001

೒

1

Ǆ

೼᡹ਞⱘ598 877՟㒧Ḍ⮙՟˄᠔᳝㉏ൟ˅Ё˖

313 225՟52.3%Ўᮄ⍖䰇㚎㒧Ḍˈ120 769՟

20.2%Ў⯄⍖䰈ᗻˈ115 450՟19.3%Ў㚎㒧Ḍ

⮙ˈ49 433՟8.3%ЎᏆ⊏⭫ݡথ⮙ⱘ⮙՟Ǆᮄ⍖䰇㚎㒧Ḍ⮙՟᠔ऴ↨՟Ң2007ᑈⱘ55.4%ϟ䰡㟇2012 ᑈⱘ49.1%P<0.001˗ϢПⳌডˈᏆ⊏⭫ݡথ⮙ⱘ

⮙ ՟ ↨ ՟ Ң 2 0 0 7ᑈ ⱘ7 . 8 %Ϟ छ ࠄ2 0 1 2ᑈ ⱘ8.7%P<0.001 ˈ ⯄ ⍖ 䰈 ᗻ ⱘ ᮄ থ ⮙ ՟ ↨ ՟ Ң 2007ᑈⱘ17.8%Ϟछࠄ2012ᑈⱘ22.4%P<0.001ˈ

೒2Ǆ㱑✊ⷨおᳳ䯈↣ᑈⱘ㒧Ḍ⮙՟ᘏ᡹ਞথ⮙⥛Ⳍ ᇍᑇ〇˄114-117/10ϛˈP=0.749˅ˈԚᮄ⍖䰇㚎㒧

(2)

Ḍ⮙՟⬅2007ᑈⱘ65/10ϛϟ䰡ࠄ2012ᑈⱘ57/10ϛ P < 0.001ˈ೒3Ǆ

ᮄ⍖䰇㚎㒧Ḍ⮙՟

2007ᑈ㟇2012ᑈ䯈ˈᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘᑈᑇഛ᡹

ਞথ⮙⥛Ў60.4/10ϛ95%ৃֵऎ䯈60.2–60.6Ǆ ᑈ啘߿⮙՟᡹ਞথ⮙⥛䱣ⴔᑈ啘๲໻㗠Ϟछˈ0–14ቕ 㒘Ў0.5/10ϛ95%ৃֵऎ䯈0.5–0.6ˈ65ቕҹϞ㒘 Ў162.9/10ϛ95%ৃֵऎ䯈161.6–164.2㸼1

2007ᑈ㟇2012ᑈ䯈ˈ᠔᳝ᑈ啘㒘ⱘᮄ⍖䰇㚎㒧 Ḍ⮙՟᡹ਞথ⮙⥛ഛᰒ㨫ϟ䰡pؐഛ< 0.05Ǆ䰸⬋ᗻ 0–14ቕ㒘P = 0.324੠ཇᗻ15–24ቕ㒘˄P = 0.353˅

೒2. 2007–2010ᑈ䍞फ㒧Ḍ⮙՟ߚ㉏ᵘ៤

EPTB㚎໪㒧Ḍ⮙˗NSPˈᮄ⍖䰇㒧Ḍ⮙՟Ǆ

೒1. 2007–2012ᑈ䍞फᓔሩ⯄Ẕⱘ⭥Ԑ㒧Ḍ⮙՟᭄ˈ⍖䰇⮙՟᭄ঞ䰇ᗻ⥛*

* 䰇ᗻ⥛˖ᰃᣛ⭥Ԑ㒧Ḍ⮙՟Ё䗮䖛⯄⍖⠛䬰Ẕਜ䰇ᗻⱘ⮙՟᠔ऴ↨՟Ǆ

9.4 9.1 9.0 8.7 8.3 7.8

0 5 10 15 20

0 200,000 400,000 600,000 800,000 1,000,000

2007 2008 2009 2010 2011 2012

䰇ᗻ⥛䰇ᗻ⥛

⮙՟᭄⮙՟᭄

ᑈӑ ᑈӑ

∷Ẕ⊛⇼ૃ∛଀ᢙ ᶓ㒑∛଀ᢙ 㒑ᕈ₸

1 000 000

800 000

600 000

400 000

200 000

0

55.4 54.2 52.2 52.7 50.5 49.1 52.3

7.8 7.6 8.3 8.5 8.6 8.7 8.3

17.8 19.3 19.9 19.7 21.6 22.4 20.2

19.0 18.9 19.6 19.1 19.3 19.7 19.3

0%

20%

40%

60%

80%

100%

2007 2008 2009 2010 2011 2012 ว䅵

ⱒߚ↨ⱒߚ↨

ᑈӑ ᑈӑ

EPTB

ᶓ ᕈ ᴦ⭫อౣথ∛

NSP

೒3. 2007–2012ᑈ䍞फ㒧Ḍ⮙՟˄᠔᳝㉏ൟ˅੠ᮄ⍖

䰇㚎㒧Ḍ⮙՟ⱘ᡹ਞথ⮙⥛˄10ϛ˅

65 63 60 60 58 57

117 116 114 114 114 117

0 20 40 60 80 100 120 140

2007 2008 2009 2010 2011 2012

᡹ਞথ⮙⥛˄᡹ਞথ⮙⥛˄/10ϛ˅ϛ˅

ᑈӑ ᑈӑ

ᣂᶓ㒑∛଀ ᚲ᦭㉏ဳ∛଀

(3)

ҹϞ㒘ㄝಯϾᑈ啘㒘ⱘᑈ啘߿⬋ཇᗻ߿↨ԐТ䗤ᑈϞ छˈ㗠݊ᅗᑈ啘㒘ⱘᑈ啘߿⬋ཇᗻ߿↨߭Ⳍᇍ〇ᅮ៪

䗤ᑈϟ䰡㸼2Ǆ

2012ᑈ৘ⳕ᡹ਞⱘᮄ⍖䰇㚎㒧Ḍ⮙՟থ⮙⥛ᰒ

⼎ˈϔ㠀ᴹ䇈फᮍⳕӑⱘ᡹ਞথ⮙⥛㽕催Ѣ࣫ᮍⳕӑ

೒5Ǆ

໪ˈ⬋ཇᗻⱘ৘ᑈ啘㒘⮙՟᡹ਞথ⮙⥛ഛ᳝᠔ϟ䰡Ǆ

✊㗠ˈཇᗻ0–14ቕ㒘ⱘ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛ᰒ 㨫ϞछP<0.001ˈ೒4Ǆ

ᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ⬋ཇᗻ߿↨⬅2007ᑈⱘ2.85 Ϟछࠄ2012ᑈⱘ3.02Ǆ៥Ӏ㾖ᆳࠄϔϾ⦄䈵˖೼ⷨお

ᳳ䯈ˈ35–44ቕ㒘ǃ45–54ቕ㒘ǃ55–64ቕ㒘੠65ቕ

㸼1. 2007–2012ᑈ䍞फϡৠᑈ啘㒘ঞᗻ߿ⱘᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘᑈഛ᡹ਞথ⮙⥛

ᑈ啘㒘ቕ

ড়䅵 ⬋ᗻ ཇᗻ

᡹ਞথ⮙⥛

˄/10ϛ˅ 95%ৃֵऎ䯈 ᡹ਞথ⮙⥛

˄/10ϛ˅ 95%ৃֵऎ䯈

0–14 0.5 0.5 0.6 0.5 0.4 0.5 0.6 0.5 0.6

15–24 32.4 32.1 32.8 40.2 39.7 40.8 24.4 23.9 24.8

25–34 67.3 66.8 67.9 101.2 100.2 102.2 34.0 33.5 34.6

35–44 75.0 74.4 75.6 123.6 122.5 124.7 26.8 26.2 27.3

45–54 97.6 96.9 98.4 165.0 163.6 166.5 34.9 34.2 35.5

55–64 133.7 132.5 134.9 218.9 216.6 221.3 61.4 60.3 62.6

65ቕঞҹϞ 162.9 161.6 164.2 260.3 257.7 263.0 97.9 96.6 99.3

ড়䅵 60.4 60.2 60.6 90.7 90.3 91.1 30.8 30.5 31.0

೒4. 2007–2012ᑈ*䍞फϡৠᑈ啘㒘ঞᗻ߿ⱘᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ᡹ਞথ⮙⥛

* Ў᠔᳝ᑈ啘㒘ⱘPؐЎ< 0.05ˈ䰸њ⬋ᗻᑈ啘0–14ቕ㒘˄p = 0.324˅ˈཇᗻ15–24ቕᑈ啘㒘˄p = 0.353 ˅Ǆ 0.0

20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0 200.0

2007 2008 2009 2010 2011 2012

᡹ਞথ⮙⥛˄᡹ਞথ⮙⥛˄/10ϛ˅ϛ˅ 0–14

15–24 25–34 35–44 45–54 55–64 65ቕ෸એ਄

ว䅵

⬋ᗻ ཇᗻ

0.0 50.0 100.0 150.0 200.0 250.0 300.0 350.0

2007 2008 2009 2010 2011 2012

᡹ਞথ⮙⥛˄᡹ਞথ⮙⥛˄/10ϛ˅ϛ˅

0.0 50.0 100.0 150.0 200.0 250.0 300.0 350.0

2007 2008 2009 2010 2011 2012

(4)

㸼2. 2007–2012ᑈ䍞फᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘᑈ啘߿⬋ཇᗻ߿↨

ᑈ啘㒘ቕ 2007 2008 2009 2010 2011 2012 ড়䅵

0–14 0.8 0.7 0.8 1.0 0.9 0.6 0.8

15–24 1.8 1.6 1.6 1.7 1.6 1.6 1.6

25–34 3.2 3.1 3.0 2.9 2.9 2.7 3.0

35–44 4.4 4.6 4.6 4.7 4.7 4.8 4.6

45–54 4.3 4.6 4.6 4.9 5.0 5.3 4.7

55–64 3.2 3.3 3.5 3.7 3.8 3.9 3.6

65ቕঞҹϞ 2.5 2.6 2.7 2.6 2.8 2.6 2.7

ড়䅵 2.9 2.9 2.9 3.0 3.1 3.0 3.0

೒5. 2007–2012ᑈ䍞फᮄ⍖䰇㒧Ḍ⮙՟ⱘߚⳕ᡹ਞথ⮙⥛

Ё೑

᷀ඨᆼ 㗕ᣱ

0 40 80 160 240 320

Miles

᡹ਞথ⮙⥛˄ϛ˅

< 25 25–50 51–75 76–100

> 100

ܡ䋷ໄᯢ˖೒Ёഄඳߦߚ ঞᷛ䆚ϡҷ㸼WHOᇍӏ ԩ೑ᆊǃഄऎǃජᏖǃ乚

ഄ៪䖍⬠ԡ㕂ⱘᗕᑺǄⱑ 㒓ҷ㸼໻㟈䖍๗ˈৃ㛑ᄬ

೼ϔᅮѝ䆂Ǆ

(5)

ᦤ催ˈHIV-TBঠ䞡ᛳᶧᙷ㗙ⱘ↨՟⬅2007ᑈⱘ8%ϟ 䰡ࠄ2012ᑈⱘ7%^[2]Ǆ⬉ᄤֵ࣪ᙃ᡹ਞ㋏㒳ⱘ⮙՟᡹

ਞᎹ԰ϡᮁࡴᔎǄḍ᥂2013ᑈ1᳜Ϫ⬠ि⫳㒘㒛ᇍ㒧 Ḍ⮙ⱘ᳔ᮄԄ䅵ˈ䍞फⱘ㒧Ḍ⮙⮒⮙䋳ᢙ↣ᑈᇚϟ䰡 2.6%ˈᙷ⮙⥛੠⅏ѵ⥛↣ᑈߚ߿ϟ䰡4%੠5%^[5]Ǆ

ᴀⷨおথ⦄ˈ䍞फⱘᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙

⥛䱣ᑈ啘๲ࡴ㗠ⳌᑨϞछˈ䖭⾡ᚙމ೼݊ᅗᕜ໮೑ᆊ

г᳝᡹䘧^[3,6]Ǆ䍞फ೼2006-2007ᑈ䯈ᓔሩⱘ佪⃵ܼ೑

㒧Ḍᙷ⮙ᚙމ䇗ᶹᰒ⼎ˈ㛌⠛ᓖᐌǃ䭓ᳳઇ⯄੠㒧Ḍ 㦠Ẕ䰇ᗻⱘ↨՟Ϣᑈ啘๲ࡴᄬ೼ᕜᔎⱘ݇㘨ˈϨ݋᳝

㒳䅵ᄺᛣН^[6]ǄᴀⷨおЁˈ2012ᑈञ᭄ҹϞⱘᮄ⍖䰇㚎㒧Ḍ⮙՟Ў45ቕঞҹϞҎ㕸ǄⳌডⱘᰃˈ45ቕঞҹ ϞҎ㕸೼ᘏҎষЁ᠔ऴ↨՟ҙЎ28%^[7]Ǆ

ϡৠᯊ䯈ⱘҎষᄺব࣪ৃ㛑ᕅડ㒧Ḍ⮙՟ⱘ᡹

ਞথ⮙ᚙމ^[8]Ǆ䍞फⱘҎষᄺ᭄᥂ᰒ⼎ˈ45ቕঞҹϞ Ҏ㕸೼ᘏҎষЁ᠔ऴ↨՟ˈ⬅2007ᑈⱘ25%Ϟछࠄ 2012ⱘ28%^[7]Ǆ⬅Ѣ催ᑈ啘㒘Ҏ㕸ⱘ㒧Ḍ᡹ਞথ⮙⥛

䕗催ˈ಴ℸ催ᑈ啘㒘Ҏ㕸ⱘ๲ࡴৃ㛑ᇐ㟈㒧Ḍ⮙ⱘᘏ ԧ᡹ਞϟ䰡ᚙމԢѢ乘ᳳˈ㗠ᑈ䕏Ҏ㕸ⱘ㒧Ḍ᡹ਞথ

⮙⥛㱑ԢˈԚ݊೼ᘏҎষЁ᠔ऴ↨՟г䕗ᇣǄ

Ў᥻ࠊҎষᄺ಴㋴ⱘᕅડˈ៥Ӏᣝᯊ䯈ᇍᑈ啘 ߚ㒘䖯㸠ᮄ⍖䰇㚎㒧Ḍ⮙՟ߚᵤǄϢ2007ᑈⳌ↨ˈ 䰸⬋ᗻ0–14ቕ㒘੠ཇᗻ15–24ቕ㒘໪ˈ2012ᑈ᠔᳝

ᑈ啘㒘ⱘ⮙՟᡹ਞথ⮙⥛ഛ᳝ᰒ㨫ϟ䰡Ǆ䖭ϔ㒧ᵰϢ 1997–2004ᑈ䯈ⱘ䇗ᶹ㒧ᵰ᳝᠔ϡৠˈᔧᯊ᠔᳝ᑈ啘㒘থ⮙⥛ഛϟ䰡ˈԚ䴦ᑈ⬋ᗻ15–35ቕ㒘ߎ⦄Ϟछ^[9]Ǆ ᴀⷨおЁˈܓス೼ᮄ⍖䰇㚎㒧Ḍ⮙՟Ёⱘ↨՟㽕 ԢѢ݊ᅗԢᬊܹ೑ᆊܓス^[10]Ǆ䖭ৃ㛑ᰃ⬅ѢܓスЁ⍖

㱑✊ܓスᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ㒱ᇍ᭄Ң2008ᑈ ⱘ84՟Ϟछࠄ2012ᑈⱘ142՟ˈԚ2007ᑈ㟇2012ᑈ 䯈ˈ0–14ቕ㒘ܓス೼᠔᳝ᮄ⍖䰇㚎㒧Ḍ⮙՟Ё᠔ऴ↨

՟0.2%ҡ✊ᕜԢǄ

ᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ⊏⭫㒧ሔ

2007ᑈ㟇2012ᑈ䯈ˈ৘ᑈⱘᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘ

⊏ᛜ⥛䛑ֱᣕ೼催∈ᑇ˄85%ҹϞ˅˗Ԛ๲䭓ϡᖿ

˄2007˖89.8%ˈ2012˖91.1%˅ϨᏂ߿ϡᰒ㨫

˄P=0.089ˈ೒6˅Ǆ6ᑈ䯈ⱘᑈᑇഛ⊏ᛜ⥛90.3%Ǆ

⮙՟Ё݊ᅗ⊏⭫㒧ሔⱘ↨՟೼6ᑈ䯈ⱘᑇഛؐߚ߿Ў˖

ᅠ៤⭫⿟2.0%ˈ⅏ѵ3.0%ˈ⊏⭫༅䋹1.1%ˈᬒᓗ⊏

⭫1.7%ˈ⮙՟䕀ߎ1.9%Ǆ

䅼䆎

䍞 फ ೑ ᆊ 㒧 Ḍ ⮙ ᥻ ࠊ 乍 Ⳃ ⱘ ᭄ ᥂ ᰒ ⼎ ˈ2007ᑈ 㟇 2012ᑈᳳ䯈ˈܼ೑㒧Ḍ⮙⮙՟ⱘᘏ᡹ਞথ⮙⥛䕗Ў〇 ᅮˈ೼114/10ϛ㟇117/10ϛП䯈˗ᮄ⍖䰇㚎㒧Ḍ⮙՟

᡹ਞ⿡᳝ϟ䰡ˈ⬅2007ᑈⱘ65/10ϛϟ䰡ࠄ2012ᑈⱘ

57/10ϛǄᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞথ⮙⥛ⱘϟ䰡ᰃ৺ড

᯴њ㒧Ḍᛳᶧ⮙՟г೼ⳳᅲϟ䰡ˈҡ✊᳝ᕙ㋏㒳ഄಲ ㄨǄⷨおᳳ䯈ˈ䖯㸠⯄Ẕⱘ⭥Ԑ㒧Ḍᙷ㗙᭄䞣䗤ᑈϞ छˈ⯄Ẕ䰇ᗻ⥛ै⬅9.4%ϟ䰡㟇7.8%Ǆ೼䖭↉ᯊ䯈 ݙˈ䍞फ೑ᆊ㒧Ḍ⮙᥻ࠊ乍Ⳃࡼਬњ乍Ⳃ໪ऩԡⱘ⾕

ゟ੠݀ゟᴎᵘˈࡴᔎњ㒧Ḍᙷ㗙ⱘㄯᶹথ⦄Ꮉ԰˗ᦤ 催㛌⠛䆞ᮁ᳡ࡵৃঞᗻঞ䋼䞣˗ࡴᔎᇍأ䖰ഄऎᙷ㗙 ⱘ䰆᥻Ꮉ԰˗ҹঞᓔሩعᒋ׵ᇐǃ亢䰽≳䗮੠⼒Ӯࡼ

ਬ⌏ࡼǄ䍞फ೑ᆊ㒧Ḍ⮙᥻ࠊ乍Ⳃ䖬೼ⲥ⣅ݙᓔሩ㒧 Ḍ䰆⊏⌏ࡼˈⲥ⣅ݙ㒧Ḍ᳡ࡵᴎᵘҢ2007ᑈⱘ24ᆊ๲

ࡴࠄ2012ᑈⱘ51ᆊǄ঺໪ˈ⯄ẔᎹ԰ⱘ⊏⭫г೼䗤ᑈ

೒6. 2007–2012ᑈ䍞फᮄ⍖䰇㒧Ḍ⮙՟ⱘ⊏⭫㒧ሔ

89.8 89.2 90.0 90.6 90.8 91.1

2.3 2.4 2.1 2.0 1.6 1.7

3.3 3.3 3.2 2.9 2.8 2.6

1.0 1.1 1.1 1.1 1.2 1.1

1.6 1.8 1.6 1.7 1.7 1.8

2.1 2.2 2.0 1.7 1.8 1.6

75%

80%

85%

90%

95%

100%

2007 2008 2009 2010 2011 2012

ⱒߚ↨ⱒߚ↨

ᑈӑ ᑈӑ

∛଀䕀಴

᡼ᑱᴦ⭫

ᴦ⭫ᄬ䋹 ᱫ੢

ቢᚑ⭫⒟

ᴦᗡ

(6)

߽Ⲟކさ

᮴Ǆ 䌘䞥ᴹ⑤

᮴Ǆ 㟈䇶

ᴀ᭛԰㗙৥䍞फ೑ᆊ㒧Ḍ⮙᥻ࠊ乍Ⳃˈᇸ݊ᰃ᭄᥂ㅵ

⧚㒘ⱘᎹ԰Ҏਬ㸼⼎ᛳ䇶Ǆ ᓩ⫼ᴀ᭛ഄഔ˖

Nguyen NV et al. Tuberculosis case notification data in Viet Nam, 2007 to 2012. Western Pacific Surveillance and Response Journal, 2014, 5(4):7–14. doi:10.5365/

wpsar.2014.5.2.005

খ㗗᭛⤂

1. General Statistics Office. Ha Noi, Government of Viet Nam, 2014 (http://www.gso.gov.vn/default.aspx?tabid=386&idmid=3&Item ID=14154, accessed 18 December 2014).

2. Global tuberculosis report 2013. Geneva, World Health Organization, 2013 (http://apps.who.int/iris/

bitstream/10665/91355/1/9789241564656_eng.pdf, accessed 18 December 2014).

3. Huong NT et al. Establishment and development of the National Tuberculosis Control Programme in Viet Nam. International Journal of Tuberculosis and Lung Disease, 2005, 9:151–156.

pmid:15732733

4. World Health Organization, International Union Against Tuberculosis and Lung Disease, Royal Netherlands Tuberculosis Association. Revised international definitions in tuberculosis control. International Journal of Tuberculosis and Lung Disease, 2001, 5:213–215. pmid:11326818

5. Bloss E et al. Evaluation of TB surveillance in Viet Nam. Mission report, 14–18 January 2013.

6. Hoa NB et al. National survey of tuberculosis prevalence in Viet Nam. Bulletin of the World Health Organization, 2010, 88:273–280. doi:10.2471/BLT.09.067801 pmid:

20431791

7. Population pyramid, Viet Nam 2012. Belgium, Cooperation Exchange Training, 2014 (http://www.coopami.org/en/countries/

other_countries/vietnam/country_description/index.htm, accessed 18 December 2014).

8. Hiatt T, Nishikiori N. Epidemiology and control of tuberculosis in the Western Pacific Region: analysis of 2012 case notification data.

Western Pacific Surveillance and Response Journal, 2014, 5:25–

34. doi:10.5365/wpsar.2014.5.1.013 pmid:24734214 9. Vree M et al. Tuberculosis trends, Vietnam. Emerging Infectious

Diseases, 2007, 13:796–797. doi:10.3201/eid1305.060904 pmid:18044050

䰇㚎㒧Ḍ⮙՟ϟ䰡៪ߎ⦄њܓス⮙՟ⓣ᡹Ǆ಴ℸˈ㞾 2012ᑈ䍋ˈ䍞फ೑ᆊ㒧Ḍ⮙᥻ࠊ乍ⳂࡴᔎњܓスЁ㒧 Ḍⱘ䆞ᮁ੠᡹ਞᎹ԰ˈᔎ࣪њ៤Ҏ㒧Ḍ⮙՟ⱘܓスᆚ ߛ᥹㾺㗙ⱘথ⦄੠ㄯᶹǄ

ⷨおথ⦄ˈ⍖䰇㚎㒧Ḍ᡹ਞ⮙՟ⱘ⬋ཇᗻ߿↨

⬅2007ᑈⱘ2.85:1Ϟछࠄ2012ᑈⱘ3.02:1ˈ䖭ϔ

∈ᑇ䖰催Ѣ22Ͼ㒧Ḍ⮙催䋳ᢙ೑ᆊ1.9:1ǃϪ⬠ि

⫳㒘㒛㽓໾ᑇऎඳ2.4:1੠ܼ⧗᭄᥂^[2]Ǆ 2006–2007ᑈ䍞फܼ೑㒧Ḍᙷ⮙ᚙމ䇗ᶹ᡹ਞˈᮄ⍖

䰇㚎㒧Ḍ⮙՟ⱘ⬋ཇᗻ߿↨Ў4.8:1ˈ㦠䰇㚎㒧Ḍ⮙՟

ⱘ⬋ཇᗻ߿↨Ў4.6:1^[6]ǄϢҹᕔⷨおⱘ㒧ᵰ㉏Ԑˈᴀ

ⷨお᭄᥂гᬃᣕ⬋ཇᗻ߿Ҏ㕸ⱘ㒧Ḍথ⮙⥛ᄬ೼ᅲ䰙 Ꮒᓖˈ㗠䖭ϔᏂᓖϡᰃ⬅⬋ཇҎ㕸ᇍ䆞ᮁ੠⊏⭫᳡ࡵ

ⱘৃঞᗻϡৠᓩ䍋ⱘ^[11]ǄПܼࠡ೑㒧Ḍᙷ⮙ᚙމ䇗ᶹ ⱘ⬋ཇᗻ߿↨᭄᥂↨ᴀⷨお᳈催ˈৃ㛑ᰃ಴Ў⬋ᗻ⮙

՟ⱘথ⦄੠ㄯᶹ䕗Ԣᓩ䍋ⱘǄᇍ㒧ḌЁ⬋ᗻᙷ⮙↨՟

催ⱘ঺໪ϔϾৃ㛑ⱘ㾷䞞ᰃˈ⬋ᗻЁ਌⚳ⱘ↨՟䖰催 Ѣཇᗻ^[12]Ǆḍ᥂Ϫ⬠ि⫳㒘㒛2008ᑈ᡹ਞˈ䍞फཇᗻ Ё਌⚳㗙ऴˈ⬋ᗻЁ਌⚳㗙ऴ44%ˈϨ⬋ᗻЁ↣໽

਌⚳ⱘ↨՟Ў^[13]Ǆ݊ᅗॳ಴䖬ৃ㛑᳝ˈ⬋ᗻⱘHIV ᛳᶧ↨՟催Ѣཇᗻ^[14]ˈ佂䜦↨՟᳈催^[15]Ǆᇍ⬋ཇ⮙՟

ⱘ⌕㸠⮙ᄺᏂᓖҡ䳔䖯㸠䖯ϔℹⷨおˈ᥶㋶ॳ಴ᑊᦤ 催⬋ᗻЁⱘ㒧Ḍ⮙՟থ⦄∈ᑇǄ

ᴀⷨおߚᵤ෎ѢVITIMESⱘ᡹ਞ᭄᥂Ǆ㟇Ѣߚᵤ 㒧ᵰᰃ৺㛑໳ড᯴䍞फ㒧Ḍ⮙ⱘ⌕㸠⮙ᄺⳳᅲᚙމˈ ձ䌪Ѣⲥ⌟㋏㒳ⱘ᡹ਞ䋼䞣ǃҹঞ೑ᆊ㒧Ḍ⮙᥻ࠊ乍 Ⳃ೼⼒ऎЁথ⦄੠⊏⭫㒧Ḍ⮙՟ⱘ㛑࡯∈ᑇǄ䍞फⱘ 㒧Ḍ⮙ⲥ⌟㋏㒳᳒䖯㸠䖛䆘Ӌˈ䅸Ў䆹㋏㒳䖤㸠㡃 དˈԚҡ᳝䚼ߚ䯂乬䳔㽕ᦤ催^[5]Ǆ佪ܜˈ೑ᆊ㒧Ḍ⮙

᥻ࠊ乍Ⳃҙ䞛䲚ᮄ⍖䰇㚎㒧Ḍ⮙՟ⱘᗻ߿੠ᑈ啘ֵ

ᙃˈ݊Ҫ⮙՟ⱘᑈ啘੠ᗻ߿ֵᙃᇮ᳾䞛䲚Ǆ݊⃵ˈᑊ 䴲᠔᳝ⱘ݀ゟ੠⾕ゟए⭫ᴎᵘഛ৥೑ᆊ㒧Ḍ⮙᥻ࠊ乍 Ⳃ᡹ਞ᭄᥂ˈᇐ㟈᡹ਞᄬ೼ⓣ⋲ˈ՟བܓス㒧Ḍ⮙⮙

՟ৃ㛑ᄬ೼ⓣ᡹Ǆݡ⃵ˈVITIMES䖬᳾೼᠔᳝ऎ㑻䖯㸠 ᅲᮑˈᅲ⦄᠔᳝⮙՟ⱘϾḜ᭄᥂ᬊ䲚ˈⷨお᠔⫼ⱘ᭄

᥂ᴹ㞾ऎ㑻ⱘ∛ᘏ᡹ਞˈߚᵤᄬ೼䰤ࠊǄ㒧Ḍ⮙ֵᙃ

㋏㒳ᑨ䖯ϔℹᕫࠄࡴᔎˈᦤ催᭄᥂䋼䞣੠䴲乍Ⳃऩԡ ⱘ᡹ਞ㽚Ⲫ⥛Ǆ

ሑㅵᄬ೼ҹϞϡ䎇ˈᴀ᡹ਞҡ✊ᰒ⼎೼2007ᑈ 㟇2012ᑈᳳ䯈ˈ೼䍞फⱘ㒧Ḍ⮙ㄯẔ᭄䞣ᦤ催ⱘᚙމ ϟˈᮄ⍖䰇㚎㒧Ḍ⮙՟᡹ਞߎ⦄ϟ䰡Ǆ⍖䰇㚎㒧Ḍ⮙

՟᡹ਞথ⮙⥛䱣ᑈ啘๲ࡴ㗠ᰒ㨫छ催ˈ⬋ཇথ⮙ᗻ߿

↨ԢѢ2007ᑈ᭄᥂ৃ㛑䇈ᯢ⬋ᗻ⮙՟ⱘথ⦄ϢㄯᶹԢ ѢཇᗻǄⷨお㒧ᵰᰒ⼎ˈ೑ᆊ㒧Ḍ⮙᥻ࠊ乍Ⳃࡴᔎ⮙

՟থ⦄ⱘᎹ԰পᕫ៤ᬜǄҡ䳔ᓔሩ䖯ϔℹⷨおҹᦤ催䴦ᑈ⬋ᗻҎ㕸੠ܓスⱘ⮙՟থ⦄Ꮉ԰Ǆ

(7)

13. WHO report on the global tobacco epidemic, 2008. Geneva, World Health Organization, 2008 (http://www.who.int/

tobacco/mpower/mpower_report_full_2008.pdf, accessed 18 December 2014).

14. Thanh DH et al. HIV infection among tuberculosis patients in Viet Nam: prevalence and impact on tuberculosis notification rates. International Journal of Tuberculosis and Lung Disease, 2010, 14:986–993. pmid :20626943

15. Global status report on alcohol and health 2011. Geneva, World Health Organization, 2011 (http://www.who.int/substance_abuse/

publications/global_alcohol_report/msbgsruprofiles.pdf, accessed 18 December 2014).

10. Marais BJ et al. The burden of childhood tuberculosis and the accuracy of community-based surveillance data. International Journal of Tuberculosis and Lung Disease, 2006, 10:259–263.

pmid:16562704

11. Rieder HL. Epidemiologic basis of tuberculosis control. Paris, International Union Against Tuberculosis and Lung Disease, 1999.

12. Holmes CB, Hausler H, Nunn P. A review of sex differences in the epidemiology of tuberculosis. International Journal of Tuberculosis and Lung Disease, 1998, 2:96–104. pmid:9562118