       Document 0055
 DOCN  M95A0055
 TI    [Could tuberculosis again be an endemic disease in Hungary? (Model study
       1968-1993)]
 DT    9510
 AU    Abraham E; Karacsonyi L; Dinya E; Fovarosi Bajcsy-Zsilinszky
       Korhaz-Rendelointezet, Budapest.
 SO    Orv Hetil. 1995 Jun 18;136(25):1329-32. Unique Identifier : AIDSLINE
       MED/95319700
 AB    The aim of this examination started in an industrial district of
       Budapest with 100,000 inhabitants in 1968, was the determination of risk
       groups of pulmonary tuberculosis and the organisation of X-ray
       screening. The initial decrease in the incidence of pulmonary
       tuberculosis stopped (between 1981 and 1993) and, a minimal increase
       could be even demonstrated in the last years. The cause of the increase
       is explained by sociological factors (the influx of refugees, growth in
       the number of homeless people and of chronic alcoholics). The authors
       propose the modernization of the preventive and exploratory medical
       work: the use of computers in the lung-screening center and the
       institutionalisation of screening aimed at risk groups of pulmonary
       tuberculosis. In the population over forty years of age 92% of 408 new
       pulmonary tuberculosis patients, emerged from risk groups between 1981
       and 1993, and only 8% from people who did not belong to the risk groups.
       The effectiveness of screening in the risk groups was 3 to 4 times
       higher than that of indiscriminate screening.
 DE    AIDS-Related Opportunistic Infections/EPIDEMIOLOGY  English Abstract
       Epidemiologic Methods  Female  History of Medicine, 20th Cent.  Human
       Hungary/EPIDEMIOLOGY  Longitudinal Studies  Male  *Mass Chest X-Ray
       Risk Factors  Tuberculosis, Pulmonary/*EPIDEMIOLOGY/HISTORY/MORTALITY/
       RADIOGRAPHY  World Health Organization  HISTORICAL ARTICLE  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

