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The spatial delays of pulmonary tuberculosis PTB have been less explored. In this study, a total of , notified PTB cases were included, with median patient and diagnostic delays of 15 [interquartile range IOR , 4—35] and 2 IOR, 0—8 days, respectively.

These findings suggest that PTB delays can reveal deficiencies in public health education and the healthcare system. Also, it is essential to explore methods to shift PTB knowledge towards real changes in attitude and behavior to minimize patient delay. Addressing these issues will be crucial for improving public health outcomes related to PTB in Zhejiang Province. Tuberculosis TB leads to a huge illness and mortality globally, particularly in low- and middle-income countries 1 , 2.

Despite the recent decline in PTB notification rate due to the implementation of the End TB strategy, it remains a global public health challenge.

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