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Welcome to TB/HIV Research Foundation (THRF), Chiang Rai, Thailand

Welcome to TB/HIV Research Foundation (THRF), Chiang Rai, Thailand. Local Wisdom…Global Knowledge. The visit of the delegates from the European Parliamentary Forum on Population and Development (EPF) and the International Advocacy Officer to THRF - 29 January 2011 Thailand.

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Welcome to TB/HIV Research Foundation (THRF), Chiang Rai, Thailand

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  1. Welcome to TB/HIV Research Foundation (THRF), Chiang Rai, Thailand Local Wisdom…Global Knowledge The visit of the delegates from the European Parliamentary Forum on Population and Development (EPF) and the International Advocacy Officer to THRF - 29 January 2011 Thailand.

  2. Acknowledgement • The Research Institute of Tuberculosis, Anti-Tuberculosis Association (RIT/JATA) • Double barred cross seal donation of Japan • Japan Foundation for AIDS Prevention (JFAP) • Stop TB Partnership (CFCS grant) • The Mitsubishi Foundation 2

  3. Presentation outline - Knowing THRF Knowing TB and TB/HIV Knowing Chiang Rai and situations of TB and TB/HIV in Chiang Rai Challenges and opportunities for control TB and TB/HIV in Chiang Rai Empowering community and people with TB and TB/HIV * Patient volunteers": The important human resource for TB/HIV care      * Center for Sharing: Mobilizing women volunteers to support poor patients - Comments, recommendation and commitments from the delegates.

  4. Knowing TB and TB/HIV

  5. TB…one of the oldest diseases (>4,000 years)

  6. In the old daysTB was the disease of VIP Chopin, Pianist, composer Emperor Akihito Japan Nelson Mandela, former-president, South Africa

  7. India2 - China3.Indonesia4 - Nigeria5 - South Africa6 - Bangladesh7 - Ethiopia8 - Pakistan9.Philippines10 - Democratic Republic of Congo11 - Russian Federation12 - Viet Nam13 - Kenya14 - Brazil15 - United Republic of Tanzania16. Uganda17 - Zimbabwe18.Thailand19 - Mozambique20.Myanmar 21 - Cambodia22 - Afghanistan 22 countries with high TB burden in the world. (WHO, 2009)

  8. TB is transmitted by the tuberculosis patients who do not receive treatment (when coughing, sneezing, spitting, speaking)

  9. 1 untreated TB case will infect approximately 10-15 people every year TB/HIV Research Project(RIT-JATA) (an untreated TB patients who have drug-resistant strain will also transmit the resistant-strain to others) A TB patient who does not receive TB treatment The bestway to prevent TB transmission is to cure TB patients

  10. TB/HIV Research Project (RIT-JATA) The Travelling of TB Germs… TB without border

  11. TB is curable by using 4 drugs for 6-8 months http://www.textbookofbacteriology.net/tuberculosis_3.html isoniazid, rifampicin, pyrazinamide, ethambutol.

  12. Why TB/HIV? • HIV is the most powerful known risk factor for reactivating latent TB infections into TB diseases • TB is the leading cause of death in PLHIV Latent TB infection Active TB (disease) Not TB infected HIV infection (70 - 113 times risk)

  13. Knowing Chiang Rai and situations of TB and TB/HIV

  14. Thailand • Population ~ 67 million (2010) • Living with HIV ~ 610,000(2007) • HIV adult prevalence 1.4%(2007) • TB cases ~ 55,000 (2007) • TB incidence ~ 142/100,000 • ranked 18th of the 22 high burden countries (WHO 2010) Map of Thailand 14

  15. Chiang Rai Province China Vietnam Myanmar Laos • Migrants from Myanmar and Laos Chiang Rai Golden-Triangle Myanmar Bangkok Cambodia Laos Thailand • Hill-tribe population : 13% • Population ~1.3 millions • Areas 11,678 sq.kms. • (~30% mountain/forest) • 18 Districts

  16. TB/HIV Research Project (RIT-JATA) Chiang Rai province (2009) Population ~ 1.3 million Living with HIV 9922 TB notification rate 144/100,000 population HIV positive in TB patients 46% in 1998 46% 16

  17. Number of reported TB cases among Thai, hilltribes and migrants in 2000-2009

  18. Percentage of Thai, hilltribes and migrants TB patients who died during TB treatment in 2000-2009

  19. Percentage of Thai, hilltribes and migrants TB patients who dropped out from TB treatment more than 2 moths in 2000-2009

  20. Number of reported TB cases among male, female adults and children in 2000-2009

  21. Number of reported among children TB cases in 2000-2009

  22. Percentage of male adult, female adult TB patients who dropped out from TB treatment more than 2 moths in 2000-2009

  23. Number of reported TB cases with and without HIV-co infection in 2000-2009

  24. Percentage of TB cases with and without HIV-co infection who died during TB treatmentin 2000-2009

  25. Percentage of TB cases with and without HIV-co infection who dropped out from TB treatment more than 2 moths in 2000-2009

  26. Children who died during TB treatmentin Chiang Rai

  27. Children TB cases who died during TB treatment in 2000-2009

  28. Children TB cases who died during TB treatment in 2000-2009

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