Items tagged with TB programs
At Jan Swasthya Sahyog, a rural hospital in Chhattisgarh, we see numerous cases of tuberculosis every year, but it is becoming increasingly clear that our approach to the epidemic is all wrong. We recently took care of a 22-year-old patient we will call Leela Satnami.
Governments of over 163 countries in 2015 promised to end TB by 2030; however, as the current rate of TB declines to 1.5 per cent, reports indicate that a remarkable increase of over 10 per cent of funding by 2025 globally would be required if the target is to be met by 2030. This is as the World Health Organization (WHO) recently ranked Nigeria as the country with highest cases of TB in Africa. Kehinde Osasona examines Nigeria’s precarious situation. Read his report here.
The Stop TB Partnership Secretariat organized a rapid assessment of the impact the COVID-19 pandemic and related measures have on the TB response in 20 high burden countries that represent 54% of the global TB burden, through interviews with National TB Programs (NTPs) and focal points based on a set of open-ended questions. Similarly, the Global Coalition of TB Activists (GCTA) did a worldwide survey through their network of members collecting answers from TB civil society and communities from 16 countries, with data updated regularly.
The lockdown imposed to contain Covid-19 has made it difficult for people with other diseases to access the medicines they need to survive.
Campaign to end TB in the country sidelined as healthcare workers fight to contain spread of pandemic.
News coverage of COVID-19 pandemic impact on national TB response in India:
An op-ed published in The Wire Science discusses how ‘covidisation’ of the health system in India has impacted the other 'killers', especially TB.
In the six weeks before South Africa responded its first diagnoses of COVID-19 with the start of physical distancing measures, more than 47,000 people on average there were tested for tuberculosis with the rapid and reliable Xpert diagnostic tool each week. An average of more than 3,700 of those tests identified active tuberculosis in people who could then access treatment. In the weeks that followed, as the government closed schools and restricted international travel as well as mass gatherings, before launching what Reuters news service called “one of the world’s toughest lockdowns,” restricting all but essential movement from home, and bringing public transportation to a virtual standstill, the numbers of people accessing the rapid test for tuberculosis dropped by nearly half, with an average of a little more than 24,000 tests a week. The accompanying decline in the resulting number of tuberculosis diagnoses was “less dramatic,” than the testing drop, an analysis from South Africa’s National Institute for Communicable Diseases notes, likely because people feeling sick with advanced disease were more motivated to overcome the restrictions on movement to seek care. Still tuberculosis diagnoses dropped by 33%.
These guidelines advise how to address the challenges of: TB control and successful management of all clients presenting with TB, especially those co-infected with HIV as well as early detection of drug resistant TB. The strategies laid out build on achievements of the DOTS strategy, however call for additional strategies to better address constraints and challenges in TB control. Including such efforts as: strengthening health systems, alleviating poverty and advancing human rights. Specific local aspects include improving continuity of care,ensuring equitable access to services, and improving the care of those co-infected with TB and HIV.
These guidelines outline eligibility requirements and standard of procedure for prescribing Isoniazid Preventative Therapy (IPT) given an individual's TB and HIV status in South Africa. They are updated to include the current South African mandate which no longer requires the use of the tuberculin skin test to identify HIV infected people eligible for IPT. As authorized, "all HIV-infected people showing no signs or symptoms suggestive of active TB are eligible for TB prevention therapy." Also included are recommendations for regime dosage and duration as well as when and how to start.
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