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http://www.elespectador.com/noticia...s-avances-contra-tuberculosis-estan-amenazado
Spanish to English translation
Health | 17 Mar 2011 - 6:48 a.m.
Study warns that progress against tuberculosis is threatened
By: Agencia EFE
New strains of TB are becoming increasingly resistant to drugs to cure the disease.
The report, released by the medical journal "The Lancet" on the eve of World TB Day (March 24), also highlights the impact they are having other risk factors such as smoking and diabetes increase the incidence of the disease worldwide.
Tuberculosis kills 1.7 million annually to individuals and the current number of patients (about 9 million) is the highest in recorded history, according to the work coordinated by Alimuddin ZUML teachers of University College London, and Stephen Lawn , University of Cape Town (South Africa).
80% of cases occur in a total of 22 poor and emerging countries, with special emphasis on sub-Saharan Africa , where there are four out of five cases of tuberculosis associated with AIDS virus, an association with a "devastating effect" .
"Rising rates of drug-resistant tuberculosis in Eastern Europe, Asia, Africa, threatens to undermine the progress made globally with programs of tuberculosis control," the authors said.
The report notes that the main risk factors for acquiring and fully develop the disease are the AIDS virus, which multiplies by 20 the probability of having tuberculosis; living in poverty and overpopulation.
However, other elements of concern to the experts, namely "the global epidemic of diabetes and the excessively high rates of consumption of snuff in poor and emerging countries."
"These are the elements that we believe are raising the tuberculosis epidemic," said ZUML and Lawn, which ensured that diabetes multiplies by three the risk of tuberculosis and smoking multiplies it by two.
There are also many other risk factors: cancer, vitamin D deficiency, alcoholism, indoor pollution, chronic kidney problems, genetic inheritance and the use of steroids and antagonists of tumor necrosis factor (TNF ) to treat diseases such as rheumatoid arthritis.
North American studies have shown that TNF increased by 50% the risk of developing the disease in infected patients and corticosteroids should increase by 100%.
The study concludes that the main problems to overcome are the lack of affordable diagnostic tests, excessive duration of treatment, the lack of an effective vaccine, the emergence of drug resistant strains and the fragility of public health poor countries and developing countries.
Nevertheless, it is stated that "there is reason for optimism" because it is undergoing a period of research excellence for the prevention, diagnosis and treatment of disease.
But this momentum will not help, say, "if there is an important political and financial commitment to ensure that they can meet the targets of the Global Plan of the World Health Organization (WHO) 'Stop TB' for the period 2006 - 15. "
Spanish to English translation
Health | 17 Mar 2011 - 6:48 a.m.
Study warns that progress against tuberculosis is threatened
By: Agencia EFE
New strains of TB are becoming increasingly resistant to drugs to cure the disease.
The report, released by the medical journal "The Lancet" on the eve of World TB Day (March 24), also highlights the impact they are having other risk factors such as smoking and diabetes increase the incidence of the disease worldwide.
Tuberculosis kills 1.7 million annually to individuals and the current number of patients (about 9 million) is the highest in recorded history, according to the work coordinated by Alimuddin ZUML teachers of University College London, and Stephen Lawn , University of Cape Town (South Africa).
80% of cases occur in a total of 22 poor and emerging countries, with special emphasis on sub-Saharan Africa , where there are four out of five cases of tuberculosis associated with AIDS virus, an association with a "devastating effect" .
"Rising rates of drug-resistant tuberculosis in Eastern Europe, Asia, Africa, threatens to undermine the progress made globally with programs of tuberculosis control," the authors said.
The report notes that the main risk factors for acquiring and fully develop the disease are the AIDS virus, which multiplies by 20 the probability of having tuberculosis; living in poverty and overpopulation.
However, other elements of concern to the experts, namely "the global epidemic of diabetes and the excessively high rates of consumption of snuff in poor and emerging countries."
"These are the elements that we believe are raising the tuberculosis epidemic," said ZUML and Lawn, which ensured that diabetes multiplies by three the risk of tuberculosis and smoking multiplies it by two.
There are also many other risk factors: cancer, vitamin D deficiency, alcoholism, indoor pollution, chronic kidney problems, genetic inheritance and the use of steroids and antagonists of tumor necrosis factor (TNF ) to treat diseases such as rheumatoid arthritis.
North American studies have shown that TNF increased by 50% the risk of developing the disease in infected patients and corticosteroids should increase by 100%.
The study concludes that the main problems to overcome are the lack of affordable diagnostic tests, excessive duration of treatment, the lack of an effective vaccine, the emergence of drug resistant strains and the fragility of public health poor countries and developing countries.
Nevertheless, it is stated that "there is reason for optimism" because it is undergoing a period of research excellence for the prevention, diagnosis and treatment of disease.
But this momentum will not help, say, "if there is an important political and financial commitment to ensure that they can meet the targets of the Global Plan of the World Health Organization (WHO) 'Stop TB' for the period 2006 - 15. "