ಟಿಬಿಗೆ ಡಬ್ಲ್ಯುಹೆಚ್​​ಒನಿಂದ ಹೊಸ ಚಿಕಿತ್ಸಾ ಮಾರ್ಗಸೂಚಿ: ಮಂಗಳೂರಿನ ವೈದ್ಯ ದಂಪತಿ ರಿಸರ್ಚ್​ಗೆ ಸಿಕ್ಕಿತು ಮಾನ್ಯತೆ

ETVBHARAT

ಮಂಗಳೂರಿನ ವೈದ್ಯ ದಂಪತಿ ರಿಸರ್ಚ್​ನಿಂದ ಪ್ರೇರಣೆಗೊಂಡು ಡಬ್ಲ್ಯುಹೆಚ್​​ಒ ಟಿಬಿಗೆ ಹೊಸ ಚಿಕಿತ್ಸಾ ಮಾರ್ಗಸೂಚಿ ಬಿಡುಗಡೆ ಮಾಡಿದೆ.

Transcript

00:00usually the one of the problems in controlling tb and preventing tb has been a very narrow

00:05you know concept of the disease so as you know tb is an infectious disease if somebody has lung tb

00:12then he can cough and transmit the organisms to somebody else but it is important to know that tb

00:19the infection alone is not enough to produce a disease so if i get infected from a person with tb

00:26most of the people with a normal immune system are able to control that infection and not develop

00:34the disease only 10 percent of people who are infected develop the disease over a lifetime

00:39so obviously it is not infection alone which is important for production of disease but the

00:43immunity of the person and when you're talking about a country immunity of the population and one

00:50of the key factors in the immunity of a population which is the most important factor also is adequate

00:55nutrition so tb was very common in west in europe in 19th century when there was a lot of poverty

01:03overcrowding and under nutrition but as you see this graph in uk you and other countries of europe

01:12the level of tb cases dramatically declined even before any drug for tb or any vaccine had been

01:19developed so even without drugs or vaccine there was a decline in the number of cases of tb

01:25and this gives us important information how did this occur and we know that from the data is that

01:31during this period there was improvement in the wages improvement in the nutrition and intakes of

01:37people and because of better immunity tb automatically declined so if you're talking of tb control in

01:43india we have to link it to the uh general health status of the people including the level of nutrition

01:49and in this actually it is it is very good that in india we have a national food security act because

01:54of which everybody is getting a minimum of rice and wheat every month from the government but

02:01this rice alone is not you know enough for nutrition overall so if there was something like a low cost

02:07pulses available in the pds you would find a dramatic impact on the level of tb in india so

02:14uh that is one kind of implication of our trial so uh whether it is in individual families or the whole

02:22community with tb we have to control these social factors most importantly again nutrition state uh

02:28karnataka we have about 60 000 patients with tb being diagnosed every year and i think we have a fairly

02:37robust functioning public health system and now a good network of diagnostic labs also

02:42using the molecular diagnostic facilities uh but the challenges again are that in karnataka still there

02:49are about seven percent death rate amongst these tv patients so amongst about 60 000 we are still losing

02:57about uh 4 800 odd patients every year and i think again the rations trial is uh you know can be useful

03:06in reducing tv mortality and improving the outcomes so uh in karnataka i think the government is already

03:13conscious about food they are giving a little diversified food basket with pulses also so i think

03:19if tv patients are specifically you know targeted apart from the cash transfer that is already occurring

03:25that would be a big step forward and you would see an impact i would also like to mention that national

03:30institute of epidemiology in chennai is doing a very good program in tamil nadu called tn kit

03:37and now because of the resistance trial findings also what we found also and what they have found is

03:41that when you take the weight and height of a patient and do simple measurements like you know if

03:46the person is able to stand or not and what is his uh oxygen saturation etc so sick patients if they are

03:53identified early and then transferred to the government hospital like any other for example

03:57covert also there was somebody's breathless and somebody has got low uh you know oxygen levels

04:03he's transferred same way for tv patients also identifying high risk patients based on their

04:09weight and height and their uh general performance status so tn kit program has been implemented now

04:15across tamil nadu they are screening all patients with these uh you know measures like weight and height and

04:21uh oxygen levels their 20 to 30 percent mortality has come down so these are simple things which can

04:29be done they don't require new technology just little orientation of the public health system

04:34and together we should we should all work towards decreasing this uh um you know number of patients dying of

04:41tb why it is personally distressing is as a doctor even one person who dies who could have prevented from

04:47dying it is something uh you know important for us so such large numbers uh when we are losing patients

04:53and tb deaths are very unfortunate because most of the patients with tb who are developing tb in india

04:58are in the economically productive age group 18 to 49 50 years of age they are the bread winners of the

05:04family so when the family member with tb dies it has a long lasting permanent impact on the families

05:11you know whole uh generations so i think every patient with tb should get this kind of nutritional

05:16assessment and should get this nutritional support whether it's in karnataka or in other states

05:22but karnataka is again we are in a good situation regarding the public health system and i think

05:27this would be something that can be done in karnataka and across the country

05:32the it is not a costly drug it is not being given for lifelong it is only given for six months

05:36but it can truly make a big difference and it is appreciated as dr madhi said by the patient

05:42and by the community so uh as i said patients with tb often suffer a lot of weight loss and

05:51the average weight of indian patients is quite low compared to other countries

05:54and this nutritional status has a very important you know risk for other things for example the tb

06:02the risk of dying increases two to fourfold if you are underweight also the chances of developing

06:07adverse effects which are serious to drugs increases four to five times if you have a

06:13body weight which is low also chances of developing disease again after cure so studies have found that

06:21if you remain underweight at the end of treatment your chances of developing recurrent tb are also

06:26three to four times higher so if we want our patients to improve during treatment

06:32without any adverse effects and return to their normal function you know to their normal work

06:38then this nutrition support is very very crucial part of their treatment

ಟಿಬಿಗೆ ಡಬ್ಲ್ಯುಹೆಚ್ಒನಿಂದ ಹೊಸ ಚಿಕಿತ್ಸಾ ಮಾರ್ಗಸೂಚಿ: ಮಂಗಳೂರಿನ ವೈದ್ಯ ದಂಪತಿ ರಿಸರ್ಚ್ಗೆ ಸಿಕ್ಕಿತು ಮಾನ್ಯತೆ

Category

Transcript

Be the first to comment

Recommended

Category

Transcript

Be the first to comment

Recommended

ಟಿಬಿಗೆ ಡಬ್ಲ್ಯುಹೆಚ್ಒನಿಂದ ಹೊಸ ಚಿಕಿತ್ಸಾ ಮಾರ್ಗಸೂಚಿ: ಮಂಗಳೂರಿನ ವೈದ್ಯ ದಂಪತಿ ರಿಸರ್ಚ್ಗೆ ಸಿಕ್ಕಿತು ಮಾನ್ಯತೆ