Academic journal article Iranian Journal of Public Health

Framework for Establishment of a Comprehensive and Standardized Administration System for Prevention and Control of Tuberculosis in College Student Community in China

Academic journal article Iranian Journal of Public Health

Framework for Establishment of a Comprehensive and Standardized Administration System for Prevention and Control of Tuberculosis in College Student Community in China

Article excerpt

Introduction

Tuberculosis (TB) is distributed widely in the world. As many as 9 million cases of the active TB were estimated in 2013. Among which, 1.5 million cases died of this disease (1, 2). The TB cases in 22 countries with high TB burden accounted for 82% of the total TB cases in the world. TB is still one of the most important fatal diseases that poses the serious threat to the public health and thus, has become one of the important public health issues in the world (3, 4). China is one of the 22 countries with high TB burden. There are over 500 million people infected with M. tuberculosis in China. The TB cases account for approximately 25% of the total TB cases in the world, making TB cases in China the second place in the world (5, 6). TB cases in China are still increasing in the rate of 60.76/100,000. Thus, TB epidemic in China is extremely serious (7).

Among all the communities in society, the college student community has become the one with high TB risk. In China, because during the last two decades, almost all the universities have rapidly expanded their enrollment scales and the numbers of enrolled students in campus have been dramatically increased. Almost all the students from freshmen to senior grades in universities are living in the student dormitories. They live in dormitory rooms with high residential density where they contact each other more closely and frequently. Furthermore, the mobility of student population is very high. All these features make college student community become the one with high TB risk. In abroad, the TB rates among the college students in other countries, especially in the developing countries, are also high. For instance, a more recent study reported that among 10,036 college students in Northwest Ethiopia investigated, 36 students had TB. The TB rate among college students in Ethiopia was increased from 297.6/100000 in 2009 to 404/100000 in 2011(8). Thus, great attention should be given to the global public health issue for college students as the potentially high TB risk.

Strengthening the administration system of TB prevention and control among college students is essential to reduce TB incidence in universities. In dealing with the problems existing in the administration system of TB prevention and control in universities, the investigators in both China and other countries have conducted some studies. Certain progresses have been made in the aspects of TB prevention and control (9-11), early detection of TB patients (12-14), TB detection and warning (15-17) and health promotion (1820). However, the current studies are mainly confined to analyze or resolve the problems in certain aspects. TB prevention and control among college students in China are guided mainly by the China's Working Guidelines to the Implement of Prevention and Treatment of Tuberculosis (designated as "Guidelines" here) (21), but the Guidelines is the programmatic documents that guide the administrative work on the TB prevention and control in China in general and have a wide range of application. In term of the particular community, the "Guidelines" can only provide the frame guide but cannot take the actual difficulties in the work of TB prevention and control for college students into full consideration. For effective administration of TB prevention and control among college students in China, it is essential to construct a comprehensive and high efficient system used to standardize and guide TB prevention and control among college students in China. Therefore, this project group applied the funding for the research project "Construction of GIS-based administration system for prevention and control of tuberculosis in college students in universities in China and its application" from China's National Science Foundation, used "Guidelines" as the general guide, absorbed and referred the related experiences to construct an administrative system and achieved the standardization and informationization for the administration of TB prevention and control in college students in universities. …

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