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现代控制结核病流行的主要有效的武器有两个:一个是卡介苗接种,一个是化学疗法。做好结核病防治工作,主要是充分运用这两个武器。现在我谈谈化学疗法。首先,我觉得有几项原则是否应该先明确一下。第一、化学疗法应该作为公共卫生措施。化学疗法发展到今天,可以消灭传染源。目前,合理化学疗法可使初治排菌的肺结核病人的年痰菌阴转率达到100％或接近100％,复发率在1％以下。因此,在结核病防治工作中,必须把化学疗法作为一项公共卫生措施,发挥共控制社会传染的作用,而不能把它作为单纯的临床治疗手段。第二、要有科学性。一方面我们必须尊重科学,凡是科学上有充分客观根据的事物就应该相信、接受;另一方面,凡是科学上还没有充分客观根据的事物,就不应该盲目地推行。我们在这个问题上是走过弯路的。有些同志常常凭主观愿望、凭革命热情、凭想象干工
There are two main effective weapons in modern control of tuberculosis: one is BCG vaccination and the other is chemotherapy. Do a good job in tuberculosis prevention and control, mainly to make full use of these two weapons. Now I talk about chemotherapy. First of all, I think a few principles should be clarified first. First, chemotherapy should be a public health measure. Chemotherapy to today, you can eliminate the source of infection. At present, reasonable chemotherapies can make the annual sputum negative conversion rate of the newly diagnosed pulmonary tuberculosis patients reach 100% or nearly 100%, and the recurrence rate is below 1%. Therefore, in the work of tuberculosis prevention and control, we must regard the chemotherapy as a public health measure and play a role of controlling the social contagion. We should not treat it as a purely clinical treatment. Second, we must be scientific. On the one hand, we must respect science. Everything that has a sufficient objective foundation in science should be believed and accepted. On the other hand, things that are not yet scientifically fully objectively founded should not be pursued blindly. We are on this issue. Some comrades often rely on subjective desires and rely on revolutionary enthusiasm to work by imagination