TB-related technical enquiries received at the Research Institute of Tuberculosis, Japan, during COVID-19.

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2024-09-01 DOI:10.5588/pha.24.0014

M Urakawa, A Yasukawa, S Hirao, M Ota, Y Hatamoto, T Zama, Y Nagata, T Yoshiyama

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Abstract

Setting: Japan: a low-TB-burden country.

Objective: To characterise TB-related technical enquiries received in 2020-2022, and share the lessons learnt.

Design: This was a descriptive study.

Results: We received 1,898 communications, of which 1,447 (40.2 per month) were classified as technical enquiries, 34% fewer than the 2,197 enquiries received in 2017-2019. The enquiry rates were highest for Shimane (4.32/100,000 population) and Yamanashi (2.59/100,000 population) prefectures, and lowest in Ehime (0.00/100,000 population) and Yamagata (0.09/100,000 population) prefectures. The main organisations the enquirers belonged to were local governments (n = 989, 68.3%) and healthcare facilities (n = 242, 16.7%). The enquirers included medical doctors (n = 236, 16.3%), nurses (n = 814, 56.3%), and the general public (n = 141, 9.7%). The most frequent enquiries were about TB diagnosis and treatment, including laboratory diagnosis (n = 442, 30.6%), followed by the regulatory framework (n = 216, 14.9%), contact investigation (n = 151, 10.8%), and TB in foreigners (n = 112, 7.9%).

Conclusion: During the COVID-19 era, we received two-thirds of technical enquiries compared with 2017-2019, because local health offices were overwhelmed by the pandemic. Since the most frequent enquiries were about diagnosis and treatment of TB, the health ministry of Japan should maintain a few specialised TB institutions with TB physicians to provide technical assistance.

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COVID-19 期间日本结核病研究所收到的与结核病有关的技术询问。

环境日本：结核病负担较轻的国家：描述 2020-2022 年收到的结核病相关技术咨询的特点，并分享经验教训：设计：这是一项描述性研究：我们收到了 1,898 份通信，其中 1,447 份（每月 40.2 份）被归类为技术询问，比 2017-2019 年收到的 2,197 份询问减少了 34%。查询率最高的是岛根县（4.32/10 万人口）和山梨县（2.59/10 万人口），最低的是爱媛县（0.00/10 万人口）和山形县（0.09/10 万人口）。询问者所属的主要机构是地方政府（989 人，占 68.3%）和医疗机构（242 人，占 16.7%）。咨询者包括医生（n = 236，16.3%）、护士（n = 814，56.3%）和普通大众（n = 141，9.7%）。最常见的咨询内容是结核病诊断和治疗，包括实验室诊断（442 人，占 30.6%），其次是监管框架（216 人，占 14.9%）、接触调查（151 人，占 10.8%）和外国人结核病（112 人，占 7.9%）：与 2017-2019 年相比，在 COVID-19 期间，我们收到的技术咨询数量减少了三分之二，因为大流行使当地卫生局不堪重负。由于最常见的咨询是关于结核病的诊断和治疗，日本卫生部应保留一些结核病专业机构，由结核病医生提供技术援助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.