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Community Support Crucial in Fight Against Tuberculosis
TB kills nearly 2 million people every year, 98% of whom are in the developing world.
TB is the leading cause of death among people living with HIV; and nearly one third of all reported cases are TB/HIV co-infection. TB accounts for almost 20% of all deaths and 26% of all preventable deaths in the age group of 15 to 49 years the most economically productive age group.
Africa has a very disproportionate burden of TB. It is home to 12% of the worlds population but 30% of the worlds burden of TB. 9 of the 22 high burden countries are situated in Africa alone.
Sincere community involvement at all stages is thus crucial in the fight against this deadly disease-- right from the development of new treatments to making them available to those in need of them.
The impact of TB is not confined to the patient alone; illness of an adult can affect the quality of children's lives as well. TB contributes to the socioeconomic deprivation of families and communities, resulting in increased poverty and persistent hopelessness. Weak health systems and inadequate resources are compounding the problem and necessitating community based programmes to tackle the issue.
According to Dr Jeremiah Chakaya, Chair of the Stop TB Partnership's DOTS Expansion Working Group, community participation is at the core of the success of the TB DOTS programme. Health personnel need the help of community care givers in ensuring that the patient does not default from the regimen of completing the full six-month course of treatment, typically involving four drugs. Else, patients might develop drug resistant TB, and in turn create a significantly large pool of infected people.
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