Downstream
Disease prevention
• Primary: to increase the protection for: 1) contact patient from TB index patient, and 2) for DM patient from contracted TB
• Secondary: to improve case finding/early diagnosis and prompt treatment based on bidirectional screening
• Tertiary: to strengthen the treatment plan for patient with both DM and TB based on treatment interactions to limit disability of respective patient as well as to strengthen their rehabilitation
Communication
• Health information: To create health information education tools and to increase information dissemination regarding TB and DM co-epidemic among staff and community
• Behaviour change campaigns: To improve the campaign regarding to risk factors of TB and DM, such as smoking and sedentary living.
Midstream
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Program Objectives
E.
The CDC website provides ample educational information regarding tuberculosis. It gives a detail description of what Tuberculosis is, the testing used and how it works. The website also addresses the risk factors of tuberculosis and warns that traveling to countries such as Africa, Asia and Central America puts them in a higher risk of contracting TB. In addition, it provides people with preventive measures to avoid being infected. They advise against close proximity with infected, and to be cautious around people working in health care facilities, prisons, shelter or an over populate area and advise to refrain from consuming unpasteurized milk products. In addition, the Website provides Data and Statistics, which can help support previous
Tuberculosis (TB) is one of the top causes of death worldwide (WHO, 2016). In 2015, TB affected 10.4 million people and was the cause of death for 1.8 of them (WHO, 2016). TB is spread by air, what makes it contagious and dangerous. In order to prevent the spread of TB and support for individuals with TB as well as their families, the city of Toronto developed programs which are definitely based on Florence Nightingale’s theories regarding ventilation, clean air, observation of the sick and food.
This particular case study is about controlling tuberculosis (TB) in china. At the moment tuberculosis is what causes most deaths in china. The case study discusses in length about the way china took part in an intervention to attempt to control. China set about implementing this intervention by trying to revitalizing its this was done by china revitalizing its previously unsuccessful tuberculosis program and instead launch the 10 year infectious and endemic disease control project to reduce its TB epidemic (Skolnik 2012). DOTS was recommended by the World Health Organization as a TB control strategy, this basically trained health workers in how to supply medication for individuals who were diagnosed with TB. According to the World Health Organization ‘’the most cost-effective way to stop the spread of TB in communities with a high incidence is by curing it’’ Implementing the DOTS strategy secured the result that china attained a 95 percent rate of curing for people who were already diagnosed with TB, within just two years of adopting DOTS.
This study involved reviewed a program to determine the effectiveness of a program to control drug sensitive TB by improving the treatment adherence of patients. The study compared the results of a patient program involving education and counseling of the patient and family members followed by Text messages and phone calls to remind them to take medications and monitor treatment and side effects. This is compared to the WHO recommended treatment of requiring the patient to make daily visits to TB outpatient centers for drug administration.
Tuberculosis is a disease of an infectious nature caused by a bacterium known as mycobacterium tuberculosis. The disease spreads through the air. People with the disease can spread it to susceptible people through coughing, sneezing, talking or spitting. It mainly affects the lungs and other parts such as the lymph nodes and kidneys can also be affected. The symptoms for TB are fatigue, coughing, night sweats, weight loss and fever. One third of the population of the world is affected with mycobacterium tuberculosis. The rate of infection is estimated to be one person per second. About 14 million people in the world are infected with active tuberculosis. Drug resistant TB has been recorded to be a serious public health hazard in many countries. Resistant strains have developed making it difficult to treat the disease. TB has caused millions of death mainly in people living with HIV/AIDS ADDIN EN.CITE Ginsberg19981447(Ginsberg, 1998)1447144717Ginsberg, Ann M.The Tuberculosis Epidemic: Scientific Challenges and OpportunitiesPublic Health Reports (1974-)Public Health Reports (1974-)128-13611321998Association of Schools of Public Health00333549http://www.jstor.org/stable/4598234( HYPERLINK l "_ENREF_3" o "Ginsberg, 1998 #1447" Ginsberg, 1998). The World Health Organization came up with the DOTS (Directly Observed, Therapy, Short course) strategy. The approach involves diagnosing cases and treating patients with drugs for about 6-8
Active disease is diagnosed with chest x-ray, skin or blood tests and sputum smears. Cat scans and MRI’s can also be used for diagnosing. Treatment for active non-resistant TB consists of the use of a two drug therapy, generally isoniazid and rifampicin. Cure rate for this strain of TB can be over 90%. Treatment for active TB is done for a minimum of six months. As a result of individuals incompletely finishing their recommended dose of anti-tubercular
The social aspect looks at how TB affects the overall impact of health related quality of life. The global section looks at the barriers of governmental funds and treatment access in different developed versus developing countries. The environmental section explores the environmental conditions in where TB impacts socioeconomic factors, including income, education, housing, age, gender, and geographic distribution. The policy section explores the policy around the treatment of TB, providing distributions of policies (funding, allocative health policies and regulated health policies) and organized policymaking processes at the federal level that allow for the improvement of the health of the population.
Little was known about treatment and prevention of the disease at that time. It was not until 1953 that the United States began collecting data and reports on the 84,304 new cases of TB. This data could be used in research. TB was recognized as a preventable deadly disease, and a common goal to eradicate TB was adopted. Over the next 32 years, the new TB cases dropped 74%. By 1985, there were only 22,201 TB cases. History notes that law makers and public health officials became complacent and thought they had found the solution for eradicating TB. Resources for TB surveillance, prevention, and treatment options were reduced, while homeless numbers increased. This changed history as from 1985 to 1992 TB rates started to increase. Data collected from demographic regions and surveillance records show TB cases rose by 20% in those seven years to equal new 26,673 cases, and the estimated number of TB cases (old and new cases together) during that time was more than 64,000 cases. This was the last recorded peek in TB history. Since 1992, there has been a decrease of 67% in all TB cases. Studies reflect this decrease from 10.5 to 3.4 per 100,000 persons. Much credit for this continued decline is attributed to state and federal aid in addition to the state and local programs aimed at fighting TB and the helping the homeless population. Continued public education, proactive surveillance,
Amy, great presentation on TB. The presentation seemed to be very through and cover information about TB well. I appreciate this information. I used to float at the clinic that I work at and it was always intimidating when and individual would be coming into infectious disease for TB. I was not aware of the correlation between TB and AIDs, but it makes since. Many of the risk factors that you have listed did seem to be present with many of the patients that we saw for TB. Other groups that seem to have a high rate of TB are homeless people, immunocompromised individuals, and injection drug users. I was familiar with TB being more prevalent in immunocompromised individuals in general because when we gave routine immunocompromising medications a TB test had to be completed yearly. This is because Illinois and our county are at high risk.
a patient with a new case of TB can be treated at home. Others will enter the
The Primary goal of the study was to examine the distribution of DM among TB patients and explore the risk of Drug resistant TB in Diabetics who are also infected with TB in Florida, USA. The Florida department of health TB control program aims to eliminate TB in the state through TB care initiative, A Florida system of Tuberculosis care formed by partnership between the Florida Department pf Health (FDOH) and the public health system statewide to ensure availability of effective TB management program, an aim in line with the global plan to stop TB 2016-2020 adopted by WHO has a post 2015 strategy to eliminate TB as a global epidemic by 2035.
Tuberculosis (TB) is a chronic bacterial infection that affects millions of people globally. It is a contagious disease that is spread through the air, and it usually affects the lungs. It is transmitted from person to person through droplets from the respiratory tract of those who are already infected with the disease. Some who are infected with the bacteria that causes TB often exhibit no symptoms, because their immune systems stop the bacteria from growing and multiplying. Those with compromised immune systems are more susceptible to developing the full blown disease which can cause symptoms that include coughing, spitting blood, chest pains, weakness, weight loss, and fever. Tuberculosis can be treated with a six to nine month course of a combination of antibiotics. If left untreated, TB will spread and can be fatal.
The Revised National Tuberculosis Control Programme, based on the Directly Observed Treatment Short Course(DOTS), was launched as a pilot project in the year 1993 and the entire country was covered by 1997. Despite close to two decades since its implementation, there is a lack of awareness among the general public about the programme. Most of the TB patients visit private practitioners and private institutions for treatment, out of whom only a handful offer services under the programme. Another major limitation of the programme is that it is inaccesible to a large
The country dialogue led to identification of national strategies, resource available, Technical Assistance needs, and country prioritized activities for TB/HIV.
India, the second most populous country with over 1.31 billion people, has the highest burden of tuberculosis (TB) in the world, accounting for 20% of the global incidence of TB, and an even higher share of global incidence of multi–drug resistant (MDR) TB. With an estimated 2 million new cases of TB and 5, 00,000 TB-related deaths in India annually, those who got diagnosed with different forms of DR-TB were 35,385 cases but only 20,753 people started on multidrug-resistant TB (MDR-TB) treatment in 2013. The National Tuberculosis Program was launched in 1962, but suffered heavily continuing TB led mortality. Acknowledging this reality, a Revised National Tuberculosis Control Programme (RNTCP) was launched by the Government of India in 1997, however even today it does not comply with World Health Organization (WHO) recommendations.