TUBERCULOSIS HISTORY KNOWLEDGE – THE KEY TO SUCCESS AND WARNING AGAINST MISTAKES
DOI:
https://doi.org/10.11603/1681-2786.2019.4.10954Keywords:
tuberculosis, history of tuberculosis, reform of the TB serviceAbstract
Purpose: to attract the attention of doctors to the problem of tuberculosis through knowledge of the historical past and to warn against mistakes in the future.
Materials and Methods. It is based on literary reports, official statistical reporting data, as well as our own long-term observations and studies.
Results. The article provides the most important historical data on tuberculosis both globally and in Ukraine. The statistical data on morbidity, mortality from tuberculosis, effectiveness of its treatment for decades are analyzed. Attention is drawn to unfounded misconceptions that all questions about tuberculosis have already been resolved and there are utopian predictions about its eradication as a common disease in many countries of the world. Ukraine suffered the same fate, which led to the tuberculosis epidemic (1995). Thanks to international assistance, the targeted actions of the Ukrainian government, it was possible to stop the outbreak of the epidemic. Despite successes in overcoming TB in Ukraine in recent years, there have been some strategic mistakes in the fight against this disease. Perceptions of the best international experience, its implementation on the reorganization of the TB service in Ukraine are discussed.
Conclusions. The experience of world and domestic phthisiatry allows specialists to better understand the problem of tuberculosis as a disease with its polymorphic pathomorphism and failures in the fight against it. However, strategic miscalculations are appearing, antituberculous institutions are being hurriedly closed, the number of beds and the number of TB specialists are decreasing.
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