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TUBERCULOSIS CONTROL IN IZMIR METROPOLIS: RESULTS IN 2004 AND PROBLEMS

TUBERCULOSIS CONTROL IN IZMIR METROPOLIS: RESULTS IN 2004 AND PROBLEMS. Dr. Onur Fevzi ERER, Dr. Önen CEYHAN, Dr. Ahmet Murat ORAL, Dr. Mehmet ÖZKAN. All people giving some help to tuberculosis control.

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TUBERCULOSIS CONTROL IN IZMIR METROPOLIS: RESULTS IN 2004 AND PROBLEMS

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  1. TUBERCULOSIS CONTROL IN IZMIR METROPOLIS: RESULTS IN 2004 AND PROBLEMS Dr. Onur Fevzi ERER, Dr. Önen CEYHAN, Dr. Ahmet Murat ORAL, Dr. Mehmet ÖZKAN All people giving some help to tuberculosis control

  2. Total number of inhabitants: 3 566 000 13 TB Dispensary (TBD), 240 Primary Health Center (PHC) 1162 TB Patients

  3. Metropolis inhabitants:2 565 000 8 TBD, 137 PHC 950 TB Patients

  4. Proportions of TB patients where diagnosed

  5. TB incidence

  6. New smear + TB

  7. TB patients in Metropolis ( n: 950)

  8. All forms of TB patients treatment results (n: 950) Pulmonary TB treatment success: %86

  9. Pulmonary TB Patients ( n: 717)

  10. New Pulmonary TB –treatment results New Pulmonary TB treatment success: %86.9

  11. Old Pulmonary TB :treatment results Old Pulmonary TB treatment success: %77.5

  12. DOT applications in Izmir Metropolis • First, Eşrefpaşa TBD started DOT applications in 2003 • DOT was became prevalent in metropolis by Izmir Provincial Health Department in 2004. • DOT was applied some district TBD as Ödemiş District TBD in 2002 and Tire District TBD in 2005 • It is aim that DOT will be begun in all district TBD at end of 2006.

  13. DOT protocol First meeting was in İzmir Provincial Health Department at 6.10.2003 Participants: • Dr. Salih Zeki Güçlü • Prof Dr. Eyüp Sabri Uçan • Dr. Şefika Mutlu • Dr. Murat Saltık • Dr. Yusuf Aldoğan • Dr. Neşe Bardakçı • Dr. İpek Çoşkunol • Dr. Vildan Gezer • Dr. Şükran Yensel • Dr. Nuray Yücetin • Dr. Alev Atasever • Dr. Enver Yalnız • Dr. Aydan Çakan • Dr. Emel Tellioğlu • Dr. Onur Fevzi Erer

  14. DOT applications in Izmir Metropolis • 12 meetings were done until Jan 2004. • Education program : • 3 days for TBD physicians • 2 days for TBD nurse , others • 2 days for PHC physicians , nurse. • 380 health workers were educated in 17 days.

  15. 8 TBD and 98 PHC put into practise in March 2004.

  16. DOT applications in Izmir Metropolis

  17. New smear (+) TB (n:466) • DOT – No DOT cure and treatment succes p> 0.05 • DOT health workers – DOT other cure p = 0.0001 • treatment succes p>0.05 • DOT health workers – No DOT cure p=0.004 treatment succesp=0.05

  18. Conclusion • Cure rates and DOT application rates were not at desired levels (cure; old: %28.9 and new: %66.9) • High rates of defaults especially in the old cases ( %13.1) • DOT rate has to increase • It has to re-evaluate that state of DOT applications by a person other than health workers

  19. Problems • Problems related with patients • Problems related with PHC • Problems related with TBD • Problems related with hospitals • Problems related with new health projects

  20. All people giving some help to tuberculosis control • All doctors, • All nurse • All health workers THANK YOU

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