Statens helseundersøkelser Fra tuberkulosekamp til mangesidig epidemiologisk virksomhet

摘要: SAMMENDRAG I 1940 ble skjermbildefotografering tatt i bruk tuberkulosearbeidet. Statens opprettet 1943 for at dette helsetilbudet kunne na frem til alle. Fra 1952 var virksomheten landsdekkende. Screeningen utfort av team som besokte alle kommuner med buss eller bat. Resultatene meddelt den lokale helsetjeneste, tok seg oppfolgingen. 1962 Det sentrale tuberkuloseregister opprettet. 1969 totalundersokelsene gradvis avlost selektive tuberkuloseundersokelser. Risiko beregnet pa grunnlag resultater fra tidligere masseundersokelser, og bare personer relativt hoy risiko innbudt. Pa 1950-60-tallet undersokelsene utvidet enkelte storre epidemiologiske prosjekter. 1970-80-arene det gjennomfort omfattende kartlegginger risikofaktorer hjerte-karsykdom tre fylker, 1985 startet sakalte 40-aringsprogrammet, 1993 er landsomfattende. Alle besokes ars intervall. Ved hver runde innbys 40-42 ar undersokelse mhp. kardiovaskulaer risiko. Undersokelsene en totalpakke omfatter overvaking, forskning, undervisning forebygging ved masse- hoyrisikostrategi. 1986 navnet endret helseundersokelser. Institusjonen dag engasjert mangesidig virksomhet innenfor epidemiologi. Epidemiologisk radgivning helseopplysning spiller sentral rolle. Opp gjennom arene samlet unik datakilde burde ha vaert utnyttet mer inngaende. Bjartveit K. The National Health Screening Service: From fight against tuberculosis to many-sided epidemiological activities. Nor J Epidemiol 1997; 7 (2): 157-174. E NGLISH SUMMARY miniature chest X-ray screening was used in work. In the Mass Radiography Service established so that this health measure could be offered everyone. onwards service covered entire country. carried out by teams visiting all municipalities bus or boat. results were sent local services, which took care of follow up. Central Tuberculosis Register set total population gradually replaced selective case-finding tuberculosis. Risk calculated on basis from previous examinations, and only persons with relatively high risk invited. 1950s ‘60s some large surveys included screenings. 1970s ‘80s extensive factors cardiovascular disease three counties, so-called age-40 programme started, is nation-wide. All are visited an interval years. At each round, aged invited risk. examinations represent a package, including surveillance, research, education, prevention through mass strategy. 1996 institute’s name changed Service, today involved activity within epidemiology. Epidemiological counselling education play central role. Through years unique data source has been collected, should have utilised more extensively.