[Epidemiologic state of tuberculosis in Poland in 1975. II. Morbidity].
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Biomedical subjects
Publications and source records attributed to J Leowski.
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After the second World War a marked improvement of the epidemiological situation in the field of tuberculosis has been achieved in Poland. In 1952 the incidence of tuberculosis amounted to 490 per 1000 000 of the population; the prevalence to 1400. The mortality rate was 105.8 in 1950. In 1974 the incidence rate has been reduced to 81.4 (among them 49.4 excretors of tubercle bacilli), the prevalence rate was only 248.9 (among them 78.3 with excretion of tubercle bacilli and 11.7 with chronic tuberculosis--persons excreting tubercle bacilli for more than 2 years). The mortality rate from tuberculosis amounted to 13.8 at this time. The most sensible reduction of all indices was found among children 0-14 years old. Tuberculosis in Poland is still a problem of medico-social importance in adults and before all in old people, being that part of the population in past times only in a low degree vaccinated or revaccinated and in a higher degree exposed to severe infections with tubercle bacilli. The comprehensive complex programme of tuberculosis control passed by the Sejm of the Polish People's Republic, includes three approaches since 1960: the epidemiological, the integrating and the phthisiopneumological direction. Prerequisites for the scheduled realisation of the programme are the case-finding as early as possible, the quick and correct diagnosis and the immediate onset of a specific treatment, further on the dispensary care of all contacts of the patient (his surroundings) and optimal prophylactic measures against tuberculosis.
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