- Preface to the fifth edition
- Introduction to Volume 1: The scope of public health
- Introduction to Volume 2: The methods of public health
- Introduction to Volume 3: The practice of public health
- List of contributors
- Section 1 The development of the discipline of public health
- Section 2 Determinants of health and disease
- Section 3 Public health policies
- Section 4 Public health law and ethics
- Section 5 Information systems and sources of intelligence
- Section 6 Epidemiological and biostatistical approaches
- Section 7 Social science techniques
- Section 8 Environmental and occupational health sciences
- Section 9 Major health problems
- 9.1 Gene–environment interactions and public health
- 9.2 Cardiovascular and cerebrovascular diseases
- 9.3 Neoplasms
- 9.4 Chronic obstructive pulmonary disease and asthma
- 9.5 Obesity
- 9.6 The epidemiology and prevention of diabetes mellitus
- 9.7 Public mental health
- 9.8 Dental public health
- 9.9 Musculoskeletal diseases
- 9.10 Neurologic diseases, epidemiology, and public health
- 9.11 The transmissible spongiform encephalopathies
- 9.12 Sexually transmitted infections
- 9.13 Acquired immunodeficiency syndrome
- 9.14 Tuberculosis
- 9.15 Malaria
- 9.16 Chronic hepatitis and other liver disease
- 9.17 Emerging and re-emerging infections
- Section 10 Prevention and control of public health hazards
- Section 11 Public health needs of population groups
- Section 12 Public health functions
- Index
(p. 1213) Tuberculosis
- Chapter:
- (p. 1213) Tuberculosis
- Author(s):
Dermot Maher
, Marcos Espinal
, and Mario Raviglione
- DOI:
- 10.1093/med/9780199218707.003.0071
We begin the chapter by describing the natural history of Mycobacterium tuberculosis infection. This underpins our understanding of tuberculosis epidemiology and the principles of tuberculosis control, for which the main stratagems are then briefly discussed. We continue with an historical account of the global tuberculosis epidemic as the necessary background to a description of the current burden of tuberculosis and recent trends. A brief account of tuberculosis control in the era of anti-tuberculosis chemotherapy serves as the backdrop to the development and implementation of the World Health Organization (WHO) strategy for tuberculosis control known as DOTS (a brand name derived from Directly Observed Treatment, Short-Course) and its adaptations. The next section reviews the basic principles in tuberculosis care which underpin the public health approach to tuberculosis control. We provide an assessment of the progress made towards the international targets for tuberculosis control for 2005, and then outline recent events in the evolving international response to the challenge of tuberculosis, including the development of the Stop TB Strategy and the Global Plan to implement it. We conclude with an assessment of the prospects for tuberculosis control in the future, looking forward to 2015 (the target year for the United Nations’ Millennium Development Goals) and then beyond to 2050 (the target year for the elimination of tuberculosis as a global public health problem).
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- Preface to the fifth edition
- Introduction to Volume 1: The scope of public health
- Introduction to Volume 2: The methods of public health
- Introduction to Volume 3: The practice of public health
- List of contributors
- Section 1 The development of the discipline of public health
- Section 2 Determinants of health and disease
- Section 3 Public health policies
- Section 4 Public health law and ethics
- Section 5 Information systems and sources of intelligence
- Section 6 Epidemiological and biostatistical approaches
- Section 7 Social science techniques
- Section 8 Environmental and occupational health sciences
- Section 9 Major health problems
- 9.1 Gene–environment interactions and public health
- 9.2 Cardiovascular and cerebrovascular diseases
- 9.3 Neoplasms
- 9.4 Chronic obstructive pulmonary disease and asthma
- 9.5 Obesity
- 9.6 The epidemiology and prevention of diabetes mellitus
- 9.7 Public mental health
- 9.8 Dental public health
- 9.9 Musculoskeletal diseases
- 9.10 Neurologic diseases, epidemiology, and public health
- 9.11 The transmissible spongiform encephalopathies
- 9.12 Sexually transmitted infections
- 9.13 Acquired immunodeficiency syndrome
- 9.14 Tuberculosis
- 9.15 Malaria
- 9.16 Chronic hepatitis and other liver disease
- 9.17 Emerging and re-emerging infections
- Section 10 Prevention and control of public health hazards
- Section 11 Public health needs of population groups
- Section 12 Public health functions
- Index