011 |
AU |
: |
Paavo Tani |
TI |
: |
Medical and social aspects of chronic pulmonary tuberculosis
in Finland. |
SO |
: |
SCAND J RES DIS 1970, 73(supp), 93-105. |
DT |
: |
Per |
AB |
: |
The present study examined certain medical and
social aspects of TB based on analysis of 630 cases selected from
1,480 patients having chronic pulmonary TB in Finland, in 1964.
The findings of the studies were: Median age of the patients was
50.2 years for men and 45.2 years for women; the duration of roentgenologic
history of TB was an average of 12.3 years and of the bacteriologic
history, 10.1 years. About 15% of close contacts (family members)
developed TB during the patients' illness. Resistance to M. TB was
found among 80% of the cases examined for it. The disease was far
advanced in 50% of the cases. Only 18% of the patients had no other
diseases and the most common concurrent afflictions were vascular
and psychiatric diseases. Two-thirds of the patients came from the
two lowest social classes. In a fairly large number of cases, neglect
of earlier therapy was encountered in the data. A comparison of
data from the present study with the corresponding situation in
Helsinki at the beginning of 1961 (which comprised of patients with
positive sputa findings for a minimum of two years) showed that
the age and sex distribution in both studies and the occurrence
of resistance to first-line drugs were almost identical. It was
concluded that at least half of the chronic pulmonary tuberculotics
could be treated to bacilli-free state and that chronic cases could
only be treated from the epidemiological point of view. When the
age structure, disability due to the lungs being affected, psychic
and additional somatic diseases were considered, little success
could be expected from rehabilitating the patients for productive
work.
|
KEYWORDS: SOCIAL ASPECTS; UK. |