Abstract:

Objective: To investigate the implementation of school tuberculosis prevention and control measures during the 13th Five-Year Plan for tuberculosis prevention and control, and to provide targeted suggestions and basis for optimizing school tuberculosis prevention and control strategies. Methods: A typical sampling method was used to select 33 junior high schools, 17 high schools and 6 universities in Yunnan Province to conduct on-site questionnaire surveys using the school tuberculosis prevention and control status questionnaire from January to April in 2022. Data collected was analyzed descriptively. Results: From 2015 to 2020, the proportion of schools listing tuberculosis screening in their new student admission medical examinations in non-boarding junior high schools, boarding junior high schools, high schools, and universities in Yunnan Province all continued to increase ( {\chi }_{\mathrm{t}\mathrm{r}\mathrm{e}\mathrm{n}\mathrm{d}}^2=30.292, 2.706, 20.163, and 5.121, P≤0.001, 0.097, <0.001, 0.024, respectively), from 37.93% (11/29), 1/4, 29.41% (5/17), 4/6 in 2015 to 89.66% (26/29), 3/4, 88.24% (15/17), and 6/6 in 2020. The average annual screening rates of students in middle school, high school, and university were 47.48% (31508/65948), 54.61% (32483/59485), and 99.98% (127915/127944), respectively, with statistically significant differences (χ²=83 425.379, P<0.001), and the screening rates of new students’ physical examination for tuberculosis in junior high schools, high schools all showed a yearly upward trend, rising from 24.46% (2584/10565) and 14.64% (1226/8377) in 2015 to 77.11% (8734/11326) and 93.93% (10063/10713) in 2020 ( {\chi }_{\mathrm{t}\mathrm{r}\mathrm{e}\mathrm{n}\mathrm{d}}^2=9430.664, 20362.110, respectively; All Ps<0.001). Tuberculosis detection rate in high schools and universities both rose from 81.57/100000 (1/1226) and 11.56/100000 (2/17305) in 2015 to 119.25/100000 (12/10063) and 34.37/100000 (8/23276) in 2020, respectively. Conclusion: The proportion of screening for tuberculosis in new students’ physical examinations in Yunnan Province continued to increase from 2015 to 2020, but tuberculosis epidemics still occurred from time to time, suggesting that standardized routine prevention and control measures are increasingly important, and universities in highly infected areas are still the focus of tuberculosis prevention and control efforts.

Key words: Tuberculosis, Students, Comprehensive prevention, Yunnan Province