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Tuberculosis is a major public health problem in India. India accounts for nearly one
third of global disease burden. Tuberculosis is a highly infectious bacterial disease.
One sputum Positive patients, if left untreated infects at least 10-15 persons in a year.
Two persons die due to TB for every three minutes in India; Nearly 3 Lakh School
going children drops school because their parents got TB, nearly one lakh women
deserted by their family because of TB. TB in not only health problem, it is social and
economic problem.
Achievements
Initially, in 2004 the Services were started in two hospitals, in very short time,
services extended to all most all hospitals in the area, won appreciation from
patients, doctors, government officials responsible for the programme, and
community leaders.
Brief note on this is enclosed.
Disease
Classification SEX
F M Total
Extra-Pulmonary 61 34 95
Pulmonary 65 126 191
126 160 286
Occupation Female Male Total
Daily wage earners 4 44 48
Home makers 75 0 75
Motor drivers/Mechanics 0 15 15
Skilled workers * 10 29 39
small business/ vendors 1 8 9
Sr Citizens 8 16 24
Students 22 14 36
white color job** 6 32 38
child 0 2 2
Total 126 160 286
*Painters, Carpenter, Musicians, Artisans, Electricians
No of
AREA Patients
Adambakkam 123
Alandur 16
Chitlapakkam 2
Egathangal 1
Guindy 3
Kelkattalai 5
kovilambakkam 10
Madipakkam 19
Muvvarrasanpet 3
Nanganallur 52
Nanmangalam 2
Pallavanthangal 16
Pallavaram 1
Puzhlithivakkam 5
Ramapuram 1
Sholinganallur 1
Trisulam 4
Ulagarm 16
Vanampet 1
Velacherry 5
Total 286
Due the success of this programme in the area the demand for the treatment
Programme is increasing. To meet the expectations, there is an urgent need to extend
and consolidate the services in the area.
To expand and consolidate the services in the area, the following steps are to taken.
• To educate public about TB and Availability of Free treatment for TB,
awareness programmes should conducted and sign boards in public places
should be placed.
• To minimise defaulter rate, frequent patient’s house visits should be
undertaken to re motivate the patients for taking treatment regularly.
Appointment of one field worker for each area of service is necessary to keep
track of patients.
• Medicines to minimise drug reaction should supplied to the poor patients to
minimise defaulter rate due to drug reactions
• Wide publicity should be given among private medical practitioners for
increasing the patients referral
• Regular training programme for paramedical staff ( due to turn of staff) should
be conducted to maintain the quality of sputum microscopy and DOTS
programme
• One laboratory with good quality microscope may be established and
qualified laboratory technicians should appointed to keep track of quality of
microscopy among private hospitals and conducting sputum microscopy
training
• Latest technique of sputum of sputum microscopy (CPC deposit method)
should be undertaken to increase improve the yield of positivity in sputum
microscopy