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Our Insights Blog contains posts about the ideas and methods behind our work:

by Dr. Anh Innes

作者:Anh Innes博士,Anh Innes博士是CAP-TB项目的项目总监
 

昭通位于云南省的东北角,许多世纪以来,这里的人们以传统的自然经济和煤炭开采为主业。昭通地区有很多小村庄,这些村庄依山而建,之间仅有简陋的土路连接,土路凸凹不平,蜿蜒难行。昭通东部的镇雄,是云南省129个县区中结核病发病率最高的地区。

我们近日与CAP-TB中国项目组走访了镇雄。项目组飞抵贵州后,改乘汽车,我们的车辆在浓雾包裹的山路中穿行了三个小时,终于到达了镇雄县。镇雄县是云南省最贫困的县之一,当地的主要工业产业是煤炭开采,这里拥有160万人口,其中外来务工人口和流动人口占了很大的比重。

2013年,镇雄地区有2271名结核病病例报告。其中480名患者痰涂片显示阳性,而43%的患者是已接受过治疗(或接受过部分治疗)的。这为我们敲响了警钟,因为这些患者可能已经发展为耐多药结核病(MDR-TB)。由于镇雄的医疗资源以及财政支持有限,当地仅能开展抗酸杆菌痰涂检测(AFB smear),且每年仅有30份培养基可供用于检测。这也使我们连患者耐药性(耐多药)的粗略估计数据都无法获得。

昭通地区持续高企的结核病患病率,经济发展的滞后以及交通的不便,使当地的结核病流行情况很难控制。去年,镇雄县有超过100名学生被诊断出结核病。他们住的学校宿舍很拥挤,一间教室中可以挤120名学生,三个学生共用一张课桌,这种情况对于控制结核病传染非常不利。一旦有学生在家感染了结核,那么他们很可能在学校里不断地传染给其他同学... 更多信息

来自缅甸的Ma Htet Htet Win是一名普通的女孩,她住在曼德勒市东边的蒙育瓦镇。读完7年级之后,她在一家生产零食的厂里找了份工作。

... 更多信息
by Dr. Anh Innes

本文作者Anh Innes博士是CAP-TB项目的总干事
   

  缅甸北部大部分区域为乡村,其中又有很多地区交通非常不便。这些因素使当地开展结核病/耐多药结核病防治工作面临很大的挑战。这种挑战与仰光市区由于人口密集拥挤给结核病防治工作造成的困难有很大不同。

... 更多信息
by CAP-TB

在结核病的治疗中,患者的依从性是治疗的关键,也是对抗耐多药结核病的核心。20世纪70... 更多信息

by Eric Stephan

本文作者:Eric Stephan,CAP-TB项目的智库管理的技术顾问
 

在CAP-TB项目的开展中,大家交流时常能产生一些好的点子,而将这些好的点子付诸实践,有时能起到事半功倍的效果,这让我们十分激动。我们的项目激励人们开展有创意的活动去对抗结核病及抗多药结核病。不过也别忘了,很多时候战胜疾病最好的方法就是让人们了解这种疾病。

如果一位清迈的医生在处理耐多药结核病人时遇到了难题,又或者一位昆明的社区卫生工作者发现了一个在偏远地区传播结核病知识的好办法。那我们就需要想办法帮助他们,帮助清迈的医生找到难题的解决方法,帮助昆明的社区工作者将自己传播知识的好办法分享出去,如果我们做不到的话,大好的机会就会被浪费掉。

最近一段时间,我们的团队正在围绕着一些非常有趣的新思路来开展工作。感谢新的媒体和技术——越来越普及的移动通讯设备以及覆盖面广阔的网络媒体,使得我们在培训人员以及在提供技术支持的方面有了更多选择。

举个例子,在过去,当你参加了一个结核病的培训班,几个星期后,也许班上学的东西就会被忘记。而CAP-TB正计划通过一系列月度培训,以持续了解结核病与耐多药结核病的病例情况,并对治疗中的关键性问题进行追踪。为支持这项培训,我们团队的专家们正在讨论使用类似在线调查的方式,测试人们在培训之后对培训内容的接受程度。与加州大学的一位同事联系之后,他推荐给我们一种移动通讯工具,恰好能满足我们的需求。这个软件叫做Qstream,它的内核极具创新地应用了人类记忆曲线的原理,通过间断地发送的测试题发送给学员的手机上,... 更多信息

by Dr. Anh Innes

Dr. Anh Innes is the Chief of Party of the CAP-TB Project.

 
Decades before the discovery of modern anti-tuberculosis drugs, there were just two recommended treatments for patients suffering from tuberculosis:  Sunlight and clean, dry air.  Sanitoria, facilities where patients rested amid the sunny weather and dry air, were found throughout Switzerland and Scandinavia, as well as in the Southwestern United States.  During that era, the body’s own immune system was the only arsenal to fight the disease. Without anti-tuberculosis drugs, the only hope for treating TB was for the infection to be “walled off”, with the infected tissue eventually scarring down to kill the... 更多信息

The Control and Prevention of Tuberculosis (CAP-TB) project passed an important milestone on August 1-2 as it carried out an engaging Strategic Planning meeting for the next funding year, bringing together leaders from National TB Programs, implementing partners, and project staff from Myanmar, China, and Thailand.

To review the presentations and proceedings from the meeting, click here.

The meeting allowed participants to air their national priorities and discuss statistical observations on their respective progress in combating the tuberculosis and multi-drug resistant TB that threatens... 更多信息

by CAP-TB

A patient raises a question to the group.  "I want to know: How can you adhere to the second-line treatment?  It always gives me an upset stomach." 

Another replies. "If you can bear the pain for a while, it will pass."

A third patient responds with no words. Just a rolled-eyes face of extreme skepticism.

This is not a TB patient support group in one of China's hundreds of hospitals.  This discussion is taking place on mobile phone screens. It is one of many groups of TB patients that come together to share knowledge and support on QQ, the chat and social media application that thrives in China.

These online TB groups are blossoming, and their potential is... 更多信息

by CAP-TB

In China, a new approach to spreading the word about MDR-TB.

The CAP-TB outreach team recently launched a series of visits to Kunming City’s large construction sites, giving presentations to the workers about TB and lung health. Construction sites in Kunming are an ideal place to reach workers from the “migrant and mobile” population, many of whom relocate to Kunming from other areas of China to find work. Focusing education and prevention messages to these workers -- including key information about smoking cessation, TB control and prevention, and diabetes -- reaches a marginalized group of people with decreased access to health care.