TUBERCULOSIS AND ITS CONTROL MEASURES FOR HOMELESS PEOPLE: IMPLEMENTATION OF CHEST X-RAY EXAMINATION FOR THREE SUCCESSIVE YEARS

  • TAKATORIGE Toshio
    Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University
  • OHSAKA Takako
    Graduate School of Human Sociology, International Buddhist University
  • YAMAMOTO Shigeru
    NPO Health Support Osaka
  • NISHIMORI Taku
    NPO Health Support Osaka
  • FUJIKAWA Takeya
    National Hospital Organization Toneyama National Hospital
  • KURODA Kenji
    School of Life and Environmental Sciences, Osaka Prefectural University
  • ISO Hiroyasu
    Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University

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Other Title
  • ホ-ムレス者の結核の実態とその対策に関わる研究―結核検診の3年間の実践から―
  • ホームレスシャ ノ ケッカク ノ ジッタイ ト ソノ タイサク ニ カカワル ケンキュウ ケッカク ケンシン ノ 3ネンカン ノ ジッセン カラ

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Abstract

[Purpose] To clarify the status of tuberculosis and its control measures for homeless people.<BR>[Object an Methods] Chest X-ray examinations were conducted for 1, 309, 1, 545, 1, 546 homeless people, annually between 2003 and 2005.<BR>[Results] Home less people with old tuberculous foci accounted for about 30%, and about 2% were judged to need immediate medical treatment. Thirty cases needed treatment in 2005, and thirteen of these twenty cases had shown healed tuberculous shadows at the previous examinations. The annual incidence rate (3/20) of tuberculosis cases among persons with Type IV (inactive) lesions in 857 participants in both 2004 and 2005 was 11. 2 times higher than the rate (8/597) among those who did not show chest X-ray abnormalities.<BR>[Conclusion] The annual incidenc e of tuberculosis among persons with Type IV lesions was higher than those who did not show chest radiographic abnormalities. It is thus necessary to establish prophylactic treatment criteria for persons with Type IV lesions by using a new method such as QFT.

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