[The control of tuberculosis patients: the current situation and perspective in Japan].
In Japan, Incidence and Death rate of tuberculosis were decreased marvelously after World War II, because of complete TB control system. But, the system are constructed to be adapted to high incidence, so it should be improved to be suitable for present situation. In Tokyo, average period of TB therapy are 10.2 month, and default rate is only 2.8%. But, default cases have severe social risk factors. Besides, this statistics cannot be collected with present TB surveillance system. Then there are some problems to improve the system. 1. How to cope with high risk patient. 2. How to evaluate the effect of TB control. 3. How to cope with default case. 4. How to consist comprehensive community TB control system. To solve these problems, 5 measures are suggested. 1. Establish systems to evaluate the quality of TB control. 2. Improvement of the technology to support patients from a viewpoint of health promotion. 3. Strengthening cooperation between hospitals and health centers. 4. Integration TB control to comprehensive community health care system. As same as TB control system made the basis of health care system in Japan, improvement of TB control system will be contribute to the progress of public health system in Japan.
Maeda
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Tokyo Metropolitan Higashikurume Health Center.
D003140:Communicable Disease Control / Q000639:trends; D005544:Forecasting; D006801:Humans; D007564:Japan; D014376:Tuberculosis / Q000517:prevention & control*