The treatment of tuberculosis in South Korea.
South Korea's complex system of tuberculosis control has never been fully described. The prevalence of tuberculosis has dropped dramatically since 1965, partly because of farsighted governmental policy that provided low-cost, accessible tuberculosis treatment to the entire population. Within the tuberculosis control system, public and private sector entities provide a wide variety of treatment options. The National Tuberculosis Program focuses on improving cure rates for new cases, while the private sector has taken more of a role in the treatment of drug-resistant tuberculosis and other types of complicated cases. There has been a decrease in drug-resistant tuberculosis since 1980 for multiple reasons, including increased cure rates from the introduction of rifampin-based regimens, improved nutrition and living standards, and the treatment of drug-resistant cases in the private sector. Multidrug-resistant tuberculosis, however, still poses a significant threat to public health. The limited outcomes data that exist in South Korea for multidrug-resistant tuberculosis treatment suggest that cure rates are low and failure and abandonment rates are high. New public health measures are needed to improve the control of multidrug-resistant tuberculosis.
Seung
K J
KJ
Partners In Health, Boston, Massachusetts 02115, USA. kjseung@pih.org
Bai
G H
GH
Kim
S J
SJ
Lew
W J
WJ
Park
S K
SK
Kim
J Y
JY
D024881:Drug Resistance, Bacterial; D005544:Forecasting; D006291:Health Policy; D006801:Humans; D007723:Korea / Q000453:epidemiology; D009313:National Health Programs; D015995:Prevalence; D017149:Private Sector; D017150:Public Sector; D014376:Tuberculosis / Q000188:drug therapy* / Q000453:epidemiology