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DOTS IMPACT TO TUBERCULOSIS IN LITHUANIA

DOTS IMPACT TO TUBERCULOSIS IN LITHUANIA. NATIONAL TUBERCULOSIS AND INFECTIOUS DISEASE S HOSPITAL , VILNIUS, LITHUANIA E.Davidavi čienė, D.Gaidamonienė, A.Sosnovskaja, R.Steigvilienė, I.Demšienė, A.Petraškaitė, E.Aleksaitė.

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DOTS IMPACT TO TUBERCULOSIS IN LITHUANIA

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  1. DOTS IMPACT TO TUBERCULOSIS IN LITHUANIA NATIONAL TUBERCULOSIS AND INFECTIOUS DISEASES HOSPITAL, VILNIUS, LITHUANIA E.Davidavičienė, D.Gaidamonienė, A.Sosnovskaja, R.Steigvilienė, I.Demšienė, A.Petraškaitė, E.Aleksaitė

  2. THE LITHUANIA IS THE BIGGEST OF THE 3 BALTIC COUNTRIES. THE TOTAL POPULATION IS OVER 3.5 MILION. THERE ARE 10 COUNTIES AND 44 REGIONS.THE CAPITAL IS VILNIUS.

  3. MAIN REASONS FOR THE INCREASE OF TUBERCULOSIS:* SOCIAL AND ECONOMICAL CHANGES AND DETERIORATION* ECONOMICAL AND SOCIAL DETERIORATION * UNEMPLOYMENT * ALCOHOLISM * DRUG ABUSE *PATIENTS ATTITUTE TO THEIR DISEASE

  4. THE PROGRAMME OF TUBERCULOSIS CONTROL AND PROPHYLAXIS WAS APPROVED ON THE 12 th OF MARCH 1998

  5. THE MAIN PRIORITY OF TUBERCULOSIS PROGRAMME IS FOCUSED ON DOTS STRATEGY IMPLEMENTATION (5 DOTS ELEMENTS)

  6. DURING FOUR YEARS OF WORK THE NATIONAL TUBERCULOSIS CONTROL PROGRAMME OUTLOOK HAS HAD SEVERAL OBJECTIVES:* DOTS STRATEGY HAVE EXPENDED AND WILL BE COVER ALL POPULATION UNTILL 2005 YEAR;* INTEGRATION WITH PRIMARY HEALTH SECTOR IN TUBERCULOSIS CASE FOR EARLY DETECTION AND TREATMENT OF TUBERCULOSIS PATIENTS.* 14 MICROSCOPIES TUBERCULOSIS CENTRES PROVIDING PRIMARY HEALTH CARE;* THE AMBULATORY TREATMENT HAVE STRENGTHEN FOR TB PATIENTS;* STRENGHTENING SUPERVISION, MONITORING AND EVALUATION.

  7. NEW CASES AND RELAPSES OF TUBERCULOSIS IN LITHUANIA (abs.n.)

  8. INCIDENCE OF TUBERCULOSIS IN LITHUANIA (new cases and relapses)

  9. NEW CASES OF TUBERCULOSIS IN LITHUANIA (abs.n.)

  10. INCIDENCE OF TUBERCULOSIS IN LITHUANIA (new cases)

  11. NEW CASES OF PULMONARY TB IN LITHUANIA (abs.n.)

  12. INCIDENCE OF PULMONARY TB IN LITHUANIA (new cases)

  13. INCIDENCE OF CHILDREN’S TB IN LITHUANIA

  14. NEWCASES AND RELAPSES OF TUBERCULOSIS IN LITHUANIA IN 1998 (abs.n.)

  15. NEW CASES AND RELAPSES OF TUBERCULOSIS IN LITHUANIA IN 2002 (abs.n.)

  16. NEW CASES OF PULMONARY TB IN LITHUANIA IN 1998 (abs.n.)

  17. NEW CASES OF PULMONARY TB IN LITHUANIA IN 2002 (abs.n.)

  18. PULMONARY TB NEW CASES BACTERIOLOGICAL CONFIRMED

  19. MORTALITY OF TUBERCULOSIS IN LITHUANIA (abs. n.)

  20. MORTALITY OF TUBERCULOSIS IN LITHUANIA

  21. TUBERCULOSIS DETECTION METHODSIN LITHUANIA (new cases and relapses)

  22. TREATMENT OUTCOMES IN LITHUANIA IN 1998

  23. TREATMENT OUTCOMES IN LITHUANIA IN 2001

  24. CONCLUSION:DOTS IMPACT TO TUBERCULOSIS SITUATION:* INCIDENCE TB NEW CASES ARE DECREASING FROM 76,3:100.000 (1998) TO 60,4:100.000 (2002);FROM 2826 (abs.n., 1998) TO 2097 (abs.n., 2002);* TB INCIDENCE (NEW CASES AND RELAPSES) FROM 81,4:100.000 (1998) TO 69,7:100.000 (2002);FROM 3176 (abs.n., 1998) TO 2420 (abs.n., 2002)* PULMONARY TUBERCULOSIS NEW CASES BACTERIOLOGICAL CONFIRMED 1998-52%; 2002-63%

  25. * THE SUCCESS RATE OF TREATMENT IN 2000 WAS NEW CASES OF PULMONARY TUBERCULOSIS – MORE 75%, BUT SUCCESS RATE TREATMENT OF RELAPSES – ONLY 60%;* MDR TB PREVALENCE – 9% MDR TB AMONG TB NEW PATIENTS;* INTENSIVE NATIONAL TRAINING SESSIONS OF GP AND NURSES.

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