title: [Tuberculosis control in the regional health district of Mauritanian Adrar (September 1976 to September 1980)].
abstract: Two strategies toward tuberculosis control in the sanitary district of Adrar (Mauritania) are compared. From September 1976 to September 1978, tuberculosis control is centralized in few health centers where non standardized diagnosis methods are applied, with a curative and non-mobile scheme. From September 1978 to September 1980, this control is decentralized, utilizing the purposely set up preventive medicine structures which are based on one pluri -disciplinary mobile team and on sanitary agents (dél egu és sanitaires ). The comparative study indicates clearly that, during the second period, screening and monitoring of the patients is much more effective (significant decrease in the number of people no more recorded; increased number of the people either cured or presenting a favourable evolution). The author noticed in the area under investigation, that incidence of the disease did not depend upon both dwelling (urban or rural) and living conditions (nomadic or sedentary) In addition, the interest of paraclinical exams, bacilloscopy excepted, is rather inexistent in the screening of the pulmonary tuberculosis.
mesh_terms: D006801:Humans; D008435:Mauritania; D008952:Mobile Health Units; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012423:Rural Health; D014376:Tuberculosis / Q000188:drug therapy / Q000517:prevention & control*; D014504:Urban Health
vernacular_title: La lutte antituberculeuse dans la circonscription sanitaire régionale de l'Adrar mauritanien (Septembre 1976 à Septembre 1980).