[The global tuberculosis problem. An apparition from history?].
Tuberculosis is increasing, partly because of concomitant HIV-infection, but with poverty and lack of social welfare and public health services contributing substantially. Current treatment for tuberculosis has proved efficacious also in HIV-infected patients, and so far seems to have prevented increased transmission of the disease in Tanzania. Strictly controlled chemotherapy provides the only hope of preventing the emergence of multi-resistant tubercle bacilli. The World Bank has evaluated tuberculosis control as the most cost-effective form of health intervention among adults. Norway has made a substantial contribution to the development of a model for tuberculosis control in developing countries and to international mycobacterial research; and therefore has a special responsibility to meet the new challenge.
Bjune
G
G
Avdeling for vaksine, Statens Institutt for Folkehelse, Oslo.
Heldal
E
E
D000349:Africa / Q000453:epidemiology; D000569:Americas / Q000453:epidemiology; D003906:Developing Countries / Q000706:statistics & numerical data*; D004196:Disease Outbreaks / Q000266:history; D004352:Drug Resistance, Microbial; D005060:Europe / Q000453:epidemiology; D014943:Global Health; D015658:HIV Infections / Q000150:complications / Q000453:epidemiology / Q000635:transmission; D049673:History, 20th Century; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000276:immunology; D014376:Tuberculosis / Q000453:epidemiology* / Q000266:history / Q000635:transmission