As mentioned in the previous section, high TB notification rates in Hong Kong every year reveals the severity, reported statistics from CHP (CHP, 2016). Though there are decreasing TB notification cases, TB still puts pressure on Hong Kong’s citizens. In 1939, around 4,500 TB deaths report before the invasion by Japan, which made TB become a notifiable disease (DH, 2006). During the World War II, the unstable social conditions, poor nutrition, and serious overcrowding in Hong Kong increased the number of cases who died from TB (DH, 2006). As a result, with the influx of refugee from Mainland China, TB became the top killer in Hong Kong (DH, 2006). In 1940-1950, the Hong Kong Government and the Hong Kong Anti-Tuberculosis Association created plans for TB control services, after the development in anti-TB drugs and provided services for TB patients (DH, 2006). TB notification rate and death rate of Hong Kong reached its peak in 1951-1952 when prevention and treatment of TB was not yet commonly use (CHP, 2016). Afterwards, the usage of streptomycin and the BCG injection to newborn babies and schoolchildren decreased the amount of notification rate and death rate (DH, 2006). However, some TB patients had difficulties to complete the anti-TB treatment. Therefore, Directly Observed Treatment (DOT) was considered. The death rate of TB dropped dynamically to less than 1,500 cases after the usage of the DOT in 1970 (WHO, 2016). After 21st century, the new cases of TB dropped to less
The essay will have brief discussion on the case study, tuberculosis will be defined and critically analyzed, also there will be an investigation on why tuberculosis was so active in china, a discussion of why it was so important to reduce the cases of TB, education of the Chinese and health workers, the importance of having knowledge of TB and finally
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
TB is an unevenly spread disease due to structural violence and cultural arrangements present in today’s society. These unnatural causes create a social and medical barrier that makes TB more
Tuberculosis (TB) is an infectious killer worldwide. However, over 95% of TB deaths occur in developing countries (WHO). TB is found to be a curable disease when appropriate medications and treatment are taken. Using the biomedical system is not sufficient to eradicate TB because medical interventions will fail if social determinates aren’t taken into considerations. The biomedical system is a key component in diminishing TB because it allows for diagnosis and control. Social determinants of health play a huge role in shaping one’s health. Three main social determinants that acts as a barrier in curing and preventing TB are income, food insecurity and access to health care.
Tuberculosis, the white plague as used to be called once upon a time is still one of the deadliest bacterial killers affecting almost all parts, all corners of the globe. Though successful anti-tubercular antibiotic regimens and effective vaccine are available for decades and being used in the battle against Koch’s bacillus, Mycobacterium tuberculosis, the causative agent of this chronic multi organ granulomatous disease, our strand in the battle continuously seems to be in the losing side. Moreover the increasing prevalence of HIV-AIDS and diabetes mellitus is being proved to be providing predisposition to tuberculosis. As witnessed by the WHO, which has estimated that, in the year 2012, 8.6 million people have developed tuberculosis and 1.3 million have died of the disease including 320000 deaths of HIV-TB co-infected people (Global tuberculosis report 2013. World Health Organization; 2013). Long term antibiotic therapy and that too associated with several side effects and discomforts have diminished patient compliance with the anti-tubercular chemotherapy. This fact in turn has raised the new deadlier MDR-TB and XDR-TB strains. The whole scenario is a matter of panic and questioning the effectiveness of anti-tubercular antibiotics, immunologic efficacy of century old BCG vaccine and all other medical advents.
According to the World Health Organization, tuberculosis (TB) is the number two killer worldwide due to a single infectious agent (WHO, 2017). In 2015, 10.4 million new cases have been identified and 1.8 million people have died from this disease (WHO, 2017). TB is caused by the bacteria Mycobacterium TB, and the majority of TB deaths occur in low and middle-income countries. This disease is curable and preventable, but the lack of access to proper healthcare and medication administration makes it a concern for the most of the world’s population. TB is an airborne disease that can transmit when an infected person coughs, sneezes, spits, laughs, or talks. The majority of TB cases can be cured when the right medications are available and
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,
In an era where we consider the improvement of technology as the key to overcoming most a finding of diseases. Tuberculosis disease has been in existence for years; the ancient plague of tuberculosis continues to spread throughout population and countries. Beyond any other infectious disease. “In 2013, 9 million people around the world became sick with TB disease. There were around 1.5 million TB-related deaths worldwide (Kim, Shakow, Castro, Vande, & Farmer, 2015).” With all the technology improvement and drugs we still struggle to manage this deadly disease. Between 18th and19th century tuberculosis spread and reaches its maximal growth in urban and industrial environment of the united states and Europe. During that time in the Western
The Lancet is a high-qualified journal platform of medical sciences in the world. It aims to provide accurate medical researches and reports for professionals and amateurs who are interested in Medicine and the interfering area. This qualitative study explores the efforts Chinese government had made in the disease control programs and the public health systems in order to achieve the global target of tuberculosis control. The outcome of the commitment to tuberculosis control was evaluated through the 2000 national tuberculosis survey conducted throughout China. It’s concluded that China made great progress on the health plan after 1990s but still needs to emphasize on both the health program and the control system to reach their goal for preventing
Tuberculosis (TB), which infects one-third of the world population, is a disease with one of the highest mortality rates in the world (Centers for Disease Control and Prevention, 2016a). It is reported that there is an approximately low TB occurrence in nations that have the highest income and middle income; however, there are specific communities such as homeless, poor people and lawbreakers in these countries that have the highest TB incidence (Gärden et al., 2013). Therefore, public health policies about preventing and treating tuberculosis in the marginalized and disfavoured groups have never failed to get social attention. The city of Toronto has been applying Nightingale’s theory of ensuring ventilation and warming, maintaining the cleanliness, and reinforcing the observing of the sick to develop a TB program in order to diminish the spreading and impacts of TB as well as to enhance the support for displaced, disciplinary communities.
TB rates and incidences have remained high, with an estimated rate of 9,000,000 new cases of TB worldwide and 1.7 million deaths per year. The incidence rate of TB in Japan is high with 21 cases per 100,000 people in 2010 than many other developed countries, yet the treatments are being provided by a health care provider. (Shimamura et al, 2013). The nation of Brazil occupies the 22nd place in the ranking of the 22 countries with the highest incidence of TB (Ministerio et al 2012). Tuberculosis treatment is very expensive. Direct costs for treatment (including drugs, diagnostics, case management, hospitalization, etc.) of MDR TB averaged $150,000 per case (in 2014 dollars), compared with $17,000 to treat drug-susceptible TB (CDC 2015).
The Japanese Tuberculosis Surveillance Centre (2016) takes the statistic of the Patient Delay. The term “Patient delay” refers to time interval from the awareness of symptoms to first contact with a medical institution and it is two months or longer. This statistic indicates that roughly one in fifth of active TB patients were not diagnosed and they led their life involuntarily with an opportunity to sprinkle TB bacteria to others within the period (Oomori, et al., 2005). In addition, the age group between 45 and 49 was the highest in all ages for the patient delay (it was 45%), the second highest was two age groups between 35 and 39, and between 55 and 59 (it was about 35%). In other words, over one in three in the most productive populations cause the patient delay (The Tuberculosis Surveillance Centre,
Tuberculosis is among the fatal diseases that are spread through the air. It’s contagious, meaning that it spreads from one infected individual to another, and at times it spreads very fast. In addition to being contagious, the disease is an opportunist infection as it takes advantage of those with weak defense mechanism, and especially the ones with terminal diseases like HIV and AIDS. Tuberculosis is therefore among the major concerns for the World Health Organization due to its contagious nature (World Health Organization 1).
In the present study being knowledgeable about TB was associated with shorter patient delay. This affirms other studies that showed that gaps in knowledge on transmission, treatment, and prevention leads to diagnostic and treatment delays among people living with TB [8, 14, 25, 26]. Similarly a study done in Ethiopia, found that lack of awareness on TB contributed to late presentation of suspected TB patient in the health facility [27]. The current study revealed that majority(68.8%) of the patients had poor level of TB Knowledge and only 19% of the respondents thought that early treatment was important in the control of TB. This is despite the fact that this were patients who were already on treatment and ought to have received TB education on TB at the health facility. This implies that the TB knowledge at the community level is even poorer. The respondents had misconceptions on the cause and prevention of TB. They attributed the cause of TB to factors such as smoking, drinking alcohol, exposure to cold air, dust, hard labour and sharing utensils with TB patients. Similarly, a sizeable number (5%) of respondents thought that TB was
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.