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1.
What is tuberculosis?
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Tuberculosis
(TB) is an infectious disease caused by a bacterium, Mycobacterium
tuberculosis.
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2. How is tuberculosis caused?
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TB
is spread through the air by a person suffering from TB. A single patient can
infect 10 or more people in a year.
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3. What are the symptoms of tuberculosis?
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Common symptoms of tuberculosis are:
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Cough for three weeks or more,
sometimes with blood-streaked sputum
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Fever, especially at night
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Weight loss
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Loss of appetite
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4. Benefits
of DOTS/ Why DOTS?
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More than doubles the
accuracy of TB diagnosis.
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Its success rate is up
to 95%.
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It prevents the spread
of tuberculosis by prioritizing sputum positive patients for diagnosis and
treatment, thus reducing the incidence and prevalence of TB.
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It helps in alleviating
poverty by saving lives, reducing the duration of illness and preventing new
infectious cases.
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It improves the quality
of care and removes stigma.
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It prevents treatment
failure and the emergence of MDR-TB by ensuring patient adherence to treatment
and uninterrupted supply of anti -TB drugs.
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It lends credence to TB
control efforts and the health system.
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5. What is DOTS being implemented?
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DOTS strategy is in practice in more than 180 countries. By March 2006, India
has extended DOTS to the entire country. |
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6.
What is the RNTCP?
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RNTCP is Revised National Tuberculosis Control Programme (RNTCP) applying the
principles of DOTS to the Indian context.
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7. How many people die from TB in India every year?
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| TB
is one of the leading causes of mortality in india. It kills more than 300,000
people in India every year. |
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8.
Which is the strongest risk factor for tuberculosis among adults and how does
it affects the spread of TB?
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| The
Human Immunodeficiency Virus (HIV, the virus that causes AIDS) is the strongest
risk factor for tuberculosis among adults. Tuberculosis is one of the earliest
opportunistic diseases to develop amongst persons infected with HIV. HIV
debilitates the immune system increasing the vulnerability to TB and increasing
the risk of progression from TB infection to TB disease. An HIV positive person
is six times (50-60% life time risk) more likely of developing TB disease once
infected with TB bacilli, as compared to an HIV negative person, who has a 10%
life-time risk. |
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9.
Can tuberculosis be cured in HIV co-infection?
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| Tuberculosis
can be cured, even among HIV-infected persons. TB treatment with DOTS reduces
the morbidity and mortality among people living with HIV. |
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10. For how long must tuberculosis treatment be taken?
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Tuberculosis
treatment requires at least 6 months of treatment.
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11. What is Multi-drug-resistant tuberculosis?
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| Multi-drug-resistant
tuberculosis (MDR TB) is caused by strains of the tuberculosis bacteria
resistant to the two most effective anti-tuberculosis drugs available -
isoniazid and rifampicin. MDR TB can only be diagnosed in a specialized
laboratory. |
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12. What is the duration of treatment of
Multi-drug-resistant tuberculosis?
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| Multi-drug-resistant
Tuberculosis requires at least 18-24 months of treatment with medicines which
are 100 times more expensive and often highly toxic. |