1 / 16

TUBERCULOSIS & HIV

TUBERCULOSIS & HIV. Dares CHUSRI, B.N., M.P.H. Ph.D. Candidate, CPH, Chulalongkorn University Research Fellow TB/HIV Research Project. Estimated number of adults and children infected with both HIV and TB at end 1999. Europe 132,000. W Pacific 194,000. E Mediterranean and N Africa

cara
Download Presentation

TUBERCULOSIS & HIV

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TUBERCULOSIS & HIV Dares CHUSRI, B.N., M.P.H. Ph.D. Candidate, CPH, Chulalongkorn University Research Fellow TB/HIV Research Project

  2. Estimated number of adults and childreninfected with both HIV and TB at end 1999 Europe 132,000 W Pacific 194,000 E Mediterranean and N Africa 64,000 Americas 464,000 SE Asia 2.64 million Sub-Saharan Africa 8.2 million Total: 11.7 million source: UNAIDS, WHO and TDR

  3. TB and HIV in South-East Asia Region • 38% of global burden of TB; 18% of world’s HIV Infection • 30-40% TB patients are HIV positive in selected areas • 55-70% of persons with HIV develop clinical TB • Nearly 2 million people presently co-infected with TB and HIV

  4. HIV Infection in Thailand Source: The Thai working group on HIV/AIDS Projection, June 2000

  5. Current State of the Thai Epidemic • For the year 2001 • 1,009,000 have been infected since start • 344,000 have died of AIDS • 665,000 currently living with HIV or AIDS • 26,000 new infections will occur this year • 53,000 will develop serious illness • 55,000 will die • HIV remains a serious national concern • Potential for epidemic relapse is high

  6. HIV Prevalence in New TB cases Upper North 1995 45.75% 1998 41.20% Country coverage 1996 22.30% 1998 15.43% 2000 16.70%

  7. Why TB is serious? • The TB bacillus infects 1/3 of the world’s and Thai’s population. • Everyday, more than 1,500 people die of TB in SEAR. • Within SEAR, more than 955 of TB case are found in India, Indonesia, BANGLADESH, Thailand and Myanmar. • A parallel epidemic of TB is following the AIDS pandemic.

  8. The impact of TB/HIV. • Major public health problem. -Extra burden and pressure on Hospital services. -Increase morbidity & mortality. -Premature death & ill health. -Increase medical expense. • A serious impact on socioeconomic development. -The most productive age group. • Impact on TB control. -MDR-TB have severe adverse reactions.

  9. The need to work together • TB and HIV are both disease of poverty • They affect also the young • AIDS and TB are often indistinguishable • Treatment of both is long, complicated and carries risk of resistance • Both are preventable • Both require extensive health infrastructure to support prevention, care, and support.

  10. The need to work together • Stop TB -Limit TB transmission, save the life of PLWH. • Stop TB - Make TB free environment • Stop HIV - Reduce the pool of TB population at risk • Stop HIV = Stop TB • DOTS, TB cured for all. DOTS cured HIV/TB.

  11. Strategies of HIV-TB • Early Detection of TB and Screening • Preventive Treatment (package of HIV care) • Increase accessibility to information and TB services • Readiness of health care program • Special service detoxification program • DOTS Coverage and Care • Drugs assistant program • Counseling and social services • Community network of care and empowerment • Policy support and local response

  12. Areas for Collaboration • Development of National Guidelines • Training • Prevention Education • Voluntary Counseling Testing • HIV coordinator + HIV/TB coord. • Home and Community Based Care • Research and Study • National Conference.

  13. Scopes of Accessibility • Medical services: - VCT & Screening - OI prophylaxis and treatment - ARV therapy for appropriate patients - PMCT - Specific laboratory access (CD4,VL) • Psychological support • Socioeconomic service

  14. Scope of Prevention 1. Prevention Education: Safe sex, Condom promotion 2. Stigma & Discrimination 3. Human Rights - Patient’s Rights - Partner’s Rights 4. TB Control

  15. Prevention education focus on adolescent and hard to reach group Decrease Stigma & discrimination. Patient’s Rights Partner’s rights

  16. TB/HIV Program: Issues to consider • Coordination is crucial: -Funding, human resources and infrastructure -Health education -Clinical management -Surveillance -Policy on chemoprophylaxis, BCG, HIV testing and counseling of TB patients... -Consider impact of AIDS treatment drugs (Hight Active AntiRetroviral Treatment)

More Related