India Tuberculosis 2014

[Ronan Kelly]

Dengue, TB emerge as biggest threats in Mumbai

Wednesday, 16 July 2014 - 7:55am IST | Agency: DNA
DNA Correspondent


Tuberculosis and Dengue have emerged as the largest infectious disease threats in Mumbai. Since 2008, incidences and deaths due to TB and dengue have only increased according to data collected from BMC and the state government.

Cases of tuberculosis have sharply spiked by up to 20% over the last one year. In 2012 ? 13, 36,417 cases of TB were reported in BMC and state government's hospitals, which rose to 43,664 in 2013-14. One in every six patients of TB died due to the infection.
...

http://www.dnaindia.com/mumbai/report-dengue-tb-emerge-as-biggest-threats-in-mumbai-2002514

That's approximately 7,000 TB deaths in Maharashtra - Ro

[Shiloh]

India Tuberculosis 2014

Source: http://www.ibtimes.co.in/rti-by-ngo-...figures-604568


RTI by NGO Reveals TB, Malaria Mortality in Mumbai 6 Times Higher than BMC Figures
By Soumo Ghosh
July 16, 2014 19:57 IST

A discrepancy in the number of deaths due to Tuberculosis (TB) reported by the Brihanmumbai Municipal Corporation (BMC) has been found by Praja, an NGO, with the help of information obtained via the Right to Information (RTI) Act.

This discrepancy was found by comparing BMC Health Department's figures with the "cause of death" reason shown in the death certificates, issued by the BMC themselves. BMC's health department showed that there has been a total of 1,393 deaths due to TB, in the year 2013-14.

However, Praja, in their new findings, discovered that a total of 7,127 people have died due to TB in that span of time. The number of TB deaths is around five times higher than the number of TB deaths on the records of the BMC's health department...

[Ronan Kelly]

Re: India Tuberculosis 2014

Ministry of Health and Family Welfare12-August, 2014 16:14 IST
Multi Drug Resistant TB(MDR-TB)

According to Global TB Report 2013, the estimated proportion of new notified TB cases under the Revised National Tuberculosis Control Programme (RNTCP) in India that have Multi Drug Resistant TB (MDR-TB) is 2.2 percent (21,000 in numbers) whereas that estimated proportion of re-treatment TB cases in India that have MDR-TB is 15 percent (43,000 in numbers). No new strains that are not yet known to respond to drugs have been reported under RNTCP.

Globally, many medical research activities are ongoing in the field of drug resistant tuberculosis. India considers the outcomes of this research to evolve strategies to prevent and treat drug resistant tuberculosis. For early and rapid diagnosis of drug resistant tuberculosis, new diagnostic technologies such as Line Probe Assay (LPA) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT) have been developed globally. India is using these technologies since 2012. A new drug, Bed aquiline that may be used to treat drug resistant TB developed by a foreign pharmaceutical company has completed trials for efficacy (phase II trial) and has been approved by United States Food and Drug Administration to treat drug resistant TB patients.

To understand the transmission dynamics of Mycobacterium Tuberculosis, several studies have been carried out by and are ongoing at Indian Council Medical Research, AIIMS, PD Hinduja Hospital and other medical institutions in the country. Study on Outcome of standardized treatment for patients with MDR-TB from Tamil Nadu has been conducted by National Institute for Research in TB, Chennai. Apart from these, many operational research projects are being undertaken in India, to develop operational strategies of Programmatic Management of Drug Resistant Tuberculosis (PMDT).

The Health Minister stated this in a written reply in the RajyaSabha here today.

*****


MV/BK/LK
(Release ID :108538)

http://pib.nic.in/newsite/erelease.aspx?relid=108538

[Ronan Kelly]

Re: India Tuberculosis 2014

Uttar Pradesh

'Living corpse' made 19 TB patients
Publish Date: Sat, 16 Aug 2014 06:12 PM (IST) | Updated Date: Sat, 16 Aug 2014 06:12 PM (IST)

Kaushambi: After being a victim of tuberculosis patients 19 district health department MDR (multi-drug Regd) is declared. These patients either do not respond to medication. The situation became that patients suffering from tuberculosis zombies remain alive. After a long battle with the disease are begging God to death.
The government is spending millions every year, but in the absence of monitoring patients suffering from tuberculosis, it is not getting better mileage. Health Department staff responsible for the deadly disease like tuberculosis caused by negligence is proven. Do not treat patients at the time of onset of the district has deteriorated condition of 19 patients. Six months after having the drug has no benefit to these patients, MDR has been declared. Patients and their families are very upset about the disease.
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Will examine in Lucknow
District Tuberculosis Control official inquiry report from Lucknow after the MDR drug is given to patients. This has the benefit of people suffering from the same illness.
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The district has been declared the 19 MDR patients. The condition is quite delicate. Some patients have been routed Lab Lucknow mucus investigation and treatment is started. Some patients have been sent to Lucknow to examine mucus.
-san Tripathi, District TB Control Officer

http://www.jagran.com/uttar-pradesh/kaushambi-11558181.html

[Ronan Kelly]

Re: India Tuberculosis 2014

Diseases weakening Andhra Pradesh, Telangana
TNN | Aug 28, 2014, 01.03 AM IST

The two states of Andhra Pradesh and Telangana are virtually sitting on a time bomb of communicable diseases, if the recent ?Health Status Indicators-2013' released by the Union health ministry's Central Bureau of Health Intelligence is any indication.

Topping the list is pulmonary tuberculosis (TB), with undivided AP found to be the third most affected state in the country recording 5,347 deaths after Uttar Pradesh's 8,467 and Maharashtra's 7,674 deaths in 2013. Raising further concern, the report indicated that between January and December 2013, the undivided state registered 1.03 lakh new TB patients for DOTS (directly observed treatment, short course). This is the third highest addition by any state, with the maximum number of TB additions being reported in UP (2.56 lakh) and Maharashtra (1.37 lakh) in 2013.
...

http://timesofindia.indiatimes.com/city/hyderabad/Diseases-weakening-Andhra-Pradesh-Telangana/articleshow/41031504.cms

[Ronan Kelly]

Re: India Tuberculosis 2014

Ministry of Health and Family Welfare 06-September, 2014 17:51 IST
TB a ?national emergency? says Dr Harsh Vardhan

Calls for email repository of doctors for better disease management

An email repository has been planned for establishing connectivity between the government and all doctors in the country with the objective of pooling resources to lower the disease burden. Government doctors as well as those in private practice would be covered by it.

Announcing this here today at the inauguration of the First National TB Drug Resistance Survey, Dr Harsh Vardhan, Union Health Minister, said, ?Building up an email repository would especially help in the national fight against TB, a notifiable disease. It would facilitate instant transmission of news to all health authorities, public health and healthcare providers, public health laboratories and healthcare professionals.

Dr Harsh Vardhan pointed out, ?The repository could be utilised to spread information on new medical knowledge to all doctors or the fruits of research by ICMR and other organisations. TB patients could benefit if the doctors treating them are told of effective treatment methods and protocol which they may not be aware of.?

The Minister said the survey, which would be held in collaboration with WHO and USAID, will have the largest ever sample size ?5,214?covering 120 TB units in 24 states. The patients to be surveyed are both first time and retreatment cases. Their resistance levels against 13 anti-TB drugs would be observed ? five of them first-line and eight second-line.

He stressed the international significance of the survey findings and analysis based on them would help form a better understanding of TB not only in India but all over the world. The earlier surveys were carried out in Bangladesh, Brazil and China but had smaller sample sizes and covered just four drugs.

The Minister said India accounts for 99,000 of the global burden of 390,000 multi-drug resistant (MDR) TB cases annually ? 25 percent of the total burden. The mortality associated with this form of TB is higher than drug-susceptible TB. Now, an even bigger challenge has emerged called ?Extensively drug-resistant TB? (XDR-TB).

Dr Harsh Vardhan said that the use of Information and Communication Technology will help in real time monitoring the survey. ?It has the potential to allow policymakers devise new strategies to combat MDR TB and identify the accurate channels for funds deployment.?

Recalling the first TB survey conducted in India?by Dr Arthur Lankester, the Honorary Secretary of the Medical Missionary Society of India in 1914-16 ? the Minister said, ?People would lose faith in these surveys if nothing short of time-bound, target-set programmes are launched. We did it for polio, so let us use the same energy to fight TB.?

Dr Harsh Vardhan, who also re-launched the Ministry?s media campaign on TB, said, ?Let us focus on advocacy and social mobilisation. It is another tragedy that the vast masses of people are more conscious about cancer and AIDS than TB. They should be reminded that the high incidence of TB even after a century of government programmes is a matter of national shame.?

Speaking at the occasion, Dr Nata Menabde, WHO country representative in India, stated that the survey would help stakeholders understand the epidemiology of the disease. ?A lot more will be learnt about the various anti-drug resistant TB strains from this survey which would help us devise strategies.?

Also present on the occasion were Dr Matteo Zignol of WHO?s TB Programme, Dr Nancy Godfrey, Chief of Office, USAID, Mr Lov Verma, Health Secretary, Mr C. K. Mishra, Additional Secretary in the Ministry of Health, Dr Jagdish Prasad, DG Health Services, Mr Anshu Prakash, Joint Secretary, Dr R.S. Gupta, DDG, Central TB Division, Dr K.S. Sachdeva, Additional DDG, Central TB, Division, and other senior officers from the Ministry and partner agencies.

*****



MV
(Release ID :109404)

http://pib.nic.in/newsite/erelease.aspx?relid=109404

[Ronan Kelly]

Re: India Tuberculosis 2014

Fighting India?s silent epidemic

SOUMYA SWAMINATHAN
CHAPAL MEHRA

Over 60 per cent of all Indians seek health care in the private sector according to India?s last National Family Health Survey. This undoubtedly makes the private sector the largest provider of health services in India. The government health system, though vast and well-intentioned, continues to be overburdened with multiple challenges including long waiting hours, an ageing infrastructure, limited funding and human resources. Even though parallel providers of health services, the absence of partnerships between the public and private sector has disastrous implications for patients and for disease control. A striking case study is that of TB.

With 2.2 million new cases and close to 3,00,000 deaths each year, TB is India?s silent epidemic. The 60 per cent of all TB patients who first go to the private sector receive care whose quality varies enormously, often leading to delays in diagnosis and no assurance of cure. As a result, a large proportion of these patients move ? sicker and poorer ? from one provider to another, infecting others in the process.
...

http://www.thehindu.com/opinion/op-ed/fighting-indias-silent-epidemic/article6493937.ece

[Ronan Kelly]

Re: India Tuberculosis 2014

Report on
The STATE of HEALTH of MUMBAI
July 2014

http://www.praja.org/praja_downloads/Report%20on%20The%20STATE%20of%20HEALTH%20of%20MUMBAI.pdf

There has been a 20% rise in Tuberculosis cases in the MCGM dispensaries/hospital, state hospitals and other
government dispensaries/hospital compare from 2012-2013 to 2013-14.

One in every 382 persons had tuberculosis in 2008-09. It has gone down to one in every 285 persons having
tuberculosis in 2013-14.

Fatality rate due to Tuberculosis has been one in every four cases during 2008-12. It has slightly improved to
one in every six cases in 2013-14.

Over the last six years 7768 have died every year on an average. TB if detected early and if the prescribed
treatment is taken is curable. Such a high mortality rate clearly shows that a lot needs to be done and on a
war-footing if we want to create a healthy Mumbai, else Mumbai may well become the TB capital of the
world.



From year 2010 to 2013 MCGM?s Tuberculosis Control Unit shows Tuberculosis deaths below 1400.
According to the deaths certificates of Tuberculosis issued by MCGM Public Health Department in the 24
administrative wards are always above 7000 for all years and in year 2010 deaths were 8809.

The numbers from two sources of the same department in the case of Tuberculosis do not match. It has been
observed based on various news reports, in MCGM?s publications & government?s policy documents (such as
the Economic Survey of Maharashtra) that the public health department relies only on the figures from the
MCGM?s Tuberculosis Control Unit Report and not on the figures from the death certificates that it issues to its
citizens.

[Ronan Kelly]

Re: India Tuberculosis 2014

Maharashtra

The government believed, do not die from mosquito fogging
The Economic Times | Dec 18, 2014, 08.30AM IST

Nagpur
Health Minister. Deepak Sawant, purchased for chemical fogging in Mumbai probe ordered. He admitted that 80 per cent in Mumbai to be mosquito fogging not die. This is the chemical used to be substandard.
On Wednesday, the Health Minister to discuss possible help. Sawant told the assembly that from January to November 7383 of Dengue patients were identified across the state in which 72 were killed.
He told the House that 40 patients with fever, one of the typhoid, Gestro the five, three of jaundice, 43 people died from the swine flu. DENGUE fever, typhoid, jaundice, diseases like swine flu death 67 168 164 patients have been reinforced. Between January and September 5866, died of TB, including 101 766 patients found.
Diseases caused by mosquitoes spread fast in Mumbai Dr Khan. Sawant said fogging 105 000 liters of the prominent Paul Companies Pirethrm Akstrkt Bihmsi Standing Committee approved the proposal to buy. Purchased during the investigation it was found that 80 per cent of the used chemical mosquito die not cheap.
Attention case Shashikant Shinde during motion, Jitendra Awhad and other members raised. Legislators said the company knew that the chemical to be substandard supplies, then on what basis was the decision to purchase the company. He BMC officials described the collusion of the Standing Committee and the company and demanded stern action. Replying to questions from members of the health minister ordered the probe.

http://navbharattimes.indiatimes.com/metro/mumbai/power-road-and-water/the-government-believed-do-not-die-from-mosquito-fogging/articleshow/45553062.cms