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首页> 外文期刊>Conflict and Health >“Impact of and response to increased tuberculosis prevalence among Syrian refugees compared with Jordanian tuberculosis prevalence: case study of a tuberculosis public health strategy”
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“Impact of and response to increased tuberculosis prevalence among Syrian refugees compared with Jordanian tuberculosis prevalence: case study of a tuberculosis public health strategy”

机译：“与约旦结核病患病率相比，叙利亚难民中结核病患病率增加的影响和对策：结核病公共卫生策略的案例研究”

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Introduction By the summer of 2014, the Syrian crisis resulted in a regional humanitarian emergency with 2.9 million refugees, including 608,000 in Jordan. These refugees access United Nations High Commissioner for Refugees (UNHCR)-sponsored clinics or Jordan Ministry of Health clinics, including tuberculosis diagnosis and treatment. Tuberculosis care in Syria has deteriorated with destroyed health infrastructure and drug supply chain. Syrian refugees may have undiagnosed tuberculosis; therefore, the UNHCR, the International Organization for Migration (IOM), the National Tuberculosis Program (NTP), and the Centers for Disease Control and Prevention developed the Public Health Strategy for Tuberculosis among Syrian Refugees in Jordan. This case study presents that strategy, its impact, and recommendations for other neighboring countries. Case description UNHCR determined that World Health Organization (WHO) criteria for implementing a tuberculosis program in an emergency were met for the Syrian refugees in Jordan. Jordan NTP assessed their tuberculosis program and found that access to Syrian refugees was the one component of their program missing. Therefore, a strategy for tuberculosis control among Syrian refugees was developed. Since that development through work with IOM, UNHCR, and NTP, tuberculosis case detection among Syrian refugees is almost 40 % greater (74 cases/12 months or 1.01/100,000 monthly through June 2014 vs. 56 cases/16 months or 0.73/100,000 monthly through June 2013) using estimated population figures; more than two fold the 2012 Jordan tuberculosis incidence. Additionally, the WHO objective of curing ≥85 % of newly identified infectious tuberculosis cases was met among Syrian refugees. Discussion and evaluation Tuberculosis (TB) rates among displaced persons are high, but increased detection is possible. High TB rates were found among Syrian refugees through active screening and will probably persist as the Syrian crisis continues. Active screening can detect tuberculosis early and reduce risk for transmission. However, this strategy needs sustainable funding to continue and all activities have not been realized. Conclusions Initial assessment found that tuberculosis among Syrian refugees was at a high incidence rate. Through partnership, a cohesive Jordanian tuberculosis strategy was developed for Syrian refugees and it has potential to inform treatment and control efforts for other regional countries impacted by the Syrian crisis.
机译：引言到2014年夏天，叙利亚危机导致区域人道主义紧急情况，有290万难民，其中约608,000难民在约旦。这些难民可进入联合国难民事务高级专员办事处（UNHCR）赞助的诊所或约旦卫生部的诊所，包括结核病的诊断和治疗。随着卫生基础设施和药品供应链的破坏，叙利亚的结核病护理工作日趋恶化。叙利亚难民可能患有未经诊断的结核病;因此，难民署，国际移民组织（IOM），国家结核病规划署（NTP）和疾病控制与预防中心制定了约旦叙利亚难民中结核病公共卫生战略。本案例研究介绍了该策略，其影响以及对其他邻国的建议。案例描述难民署确定，在约旦的叙利亚难民符合世界卫生组织（世卫组织）在紧急情况下实施结核病规划的标准。约旦NTP对他们的结核病规划进行了评估，发现与叙利亚难民的接触是他们失踪的方案之一。因此，制定了在叙利亚难民中控制结核病的战略。自从与IOM，难民署和NTP合作发展以来，叙利亚难民中发现结核病的病例几乎增加了40％（截至2014年6月，结核病例为74例/ 12个月或每月1.01 / 100,000，而56例/ 16个月或每月0.73 / 100,000到2013年6月），使用估算的人口数据; 2012年约旦结核病发病率是目前的两倍多。此外，世卫组织的目标是治愈叙利亚难民中治愈≥85％的新发现的传染病病例。讨论与评估流离失所者中的结核病（TB）发生率很高，但可能会增加发现率。通过积极筛查在叙利亚难民中发现了很高的结核病发病率，而且随着叙利亚危机的继续，结核病率可能还会持续下去。主动筛查可以及早发现结核病并降低传播风险。但是，该战略需要可持续的资金来继续进行，所有活动尚未实现。结论初步评估发现，叙利亚难民中的结核病发病率很高。通过伙伴关系，为叙利亚难民制定了一项具有凝聚力的约旦结核病战略，它有潜力为受叙利亚危机影响的其他区域国家提供治疗和控制工作的信息。

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