00e0000 TB and the approach needed By- Yasmin Gill
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plus Discount Code 'yashi.gillo1' 10% ETHICS, INTEGRITY & APTITUDE Complete Course on Ethics, EE integrity& Aptitude Lesson 27 Today, 6:00 PM Yasmin Gill
TB CONTROL Biggest killer disease in India, outnumbering all other infectious diseases put together -Battle against it from 1962,when National TB Programme(NTP) was launched All hope on mass BCG vaccination to prevent TB In 1978, Expanded Programme on Immunisation (EPI) began, giving BCG to all babies soon after birth and achieving more than 90% coverage .In 1993,Revised National TB Control Programme (RNTCP) was launched, offering free diagnosis and treatment for patients, rescuing them from otherwise sure death However, treatment is not prevention Prevention is essential for control Why did the NTP and the EPI fail? BCG did not protect against TB infection or adult pulmonary TB the 'infectious' form By then, RNTCP was in expansion mode & experts hoped that curing pulmonary TB might control TB
immunisation does prevent severe multi-organ TB disease in young children & must be continued but will not control TB In countries with 5-10 cases in a lakh people annually, curing TB sustains the low disease burden In India, with 200-300 cases in a lakh in a year, curing TB is essential to reduce mortality, but is not sufficient to prevent transmission By 2014-15, RNTCP was found to be very successful in reducing mortality, but failing to control TB. Why? From when a person becomes infectious to when he/she turns non-infectious by treatment, there is a gap of several weeks during which the infection saturates contacts in the vicinity Delays in care seeking and diagnosis are the result of lack of universal primary health care
Tamil Nadu pilot model True to its reputation, Tamil Nadu is planning to implement this new strategy in one revenue district If successful, it will be replicated in all other districts To ensure public participation,a missing element in the RNTCP new model will be in PPP mode Rotary movement will partner with the State government in the TB control demonstration project. Rotary will ensure the participation of all players, health and non-health in the private sector. .TB control requires the slowing down of infection, progression and transmission This requires spiralling down TB prevalence continuously, transmission, infection and progression must be addressed sim ultaneously this is the Tiruvannamalai TB mantra.
The closer one is to a pulmonary TB person, the greater the probability of catching infection We must reduce chances of transmission by insisting on cough and sneeze etiquette and refrain from spitting in the open Rotary will spearhead public education for behaviour modification, starting in all schools and continuing through to adults. Progression to TB disease from infection can be prevented by giving WHO-recommended short-term 'preventive treatment Infection is silent, but diagnosable with the tuberculin skin test (TST) Testing all people periodically is not possible Cohorts of schoolchildren (5, 10 and 15 years) can be tested and those TST positive given preventive treatment This tactic achieves three results at one go-an infected child gets preventive treatment and points to adults with undiagnosed TB in the household Finally, annual TST positive rate provides an objective measure of annual infection frequency for plotting the control trajectory.
Gratitude is the best attitude RATE, REVIEW AND RECOMMEND
World TB Day 2019 Slogan was "It's Time.." Prime Minister - End TB Summit, -TB by 2025 On September 26, 2018, the first ever UN High Level Meeting on TB declared the urgent agenda "United to end TB-an urgent global response to a global epidemic" -Rhetoric and declarations cannot control TB; a strategy of simultaneously using all biomedical and socio-behavioural interventions can Ending TB by 2025 is impossible but pulling the TB curve down by 2025 and sustaining the decline ever after is