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1.
Article in Romanian | MEDLINE | ID: mdl-227041

ABSTRACT

The dynamics were studied of the tuberculous endemy in a limited area of the Cluj-Napoca District over a period of 5--16 years. An industrial environment was considered in comparison with a non-industrial one in the vicinity. The results show a marked decrease in the incidence of tuberculosis in the industrial environment (from 710 0/0000 in 1961 to 102 3/0000 in 1976), but, at the same time, it was demonstrated that morbidity due to tuberculosis is higher as compared with the non-industrial area (318 0/0000 as compared with 49 0/0000). The importance is discussed, of some particular factors of the industrial environment, such as pneumoconioses -- of which the most important are those due to silica -- which are significant risk factors for tuberculosis. A close cooperation is recommended, between enterprise physicians and pneumophtysiologists working in territorial polyclinics.


Subject(s)
Occupational Medicine , Tuberculosis, Pulmonary/prevention & control , Adolescent , Adult , Female , Humans , Male , Risk , Romania , Silicotuberculosis/prevention & control
2.
Article in Romanian | MEDLINE | ID: mdl-217059

ABSTRACT

Starting from the premise that in the methodology of tuberculosis control priority should be given to the higher risk groups, the authors tried to identify such groups and list them in the order of their priority within the district of a dispensary serving a population of about 400,000 inhabitants. On comparing the results of the detection of risk factors among the population in general with that per endangered groups it was found that the former presented a decrease (from 1.09 to 0.44 per thousand) and the latter an increase (from 0.91 to 1.5 per thousand). The 126 747 examinations for risk factors revealed a succesive increase in the detection indices as follows: 0.76 per thousand among students, 1.36 per thousand in silicogen risk enterprises, 2.07 per thousand among the workers on building sites, 2.22 per thousand among diabetics, 2.76 per thousand among contacts, 2.85 per thousand among hyperergic subjects, 3.89 per thousand among former patients no longer on the files, 4.17 per thousand among alcoholics and patients under psychical treatment, 6.01 per thousand among patients with minimal lesions and 6.82 thousand among those with sequelae.


Subject(s)
Tuberculosis, Pulmonary/prevention & control , Adolescent , Adult , Age Factors , Aged , Child , Child, Preschool , Humans , Infant , Mass Screening , Middle Aged , Mycobacterium tuberculosis/isolation & purification , Occupations , Risk , Romania , Rural Population , Students , Urban Population
3.
Article in Romanian | MEDLINE | ID: mdl-171743

ABSTRACT

Organizatoric and efficiency aspects are presented of five integral detections (the fifth presently in the final stage), carried out over a period of 14 years (1960--1973) in the territory of the anti-tuberculous dispensary of Turda. In the course of the four radiophotographic detections that have already been finally processed approximately 400.000 subjects have been examined. Mobilization was, in most of the cases, higher than 95% and the proportion of suspects was of 2--3.5%. The complex investigation of the suspects was higher than 95%. The index of detection of tuberculosis decreased severalfold (0.63% in the first investigation, 0.07% in the 4-th) when integral detections were repeated.


Subject(s)
Mass Chest X-Ray , Occupational Medicine , Evaluation Studies as Topic , Humans
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