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

00:00earlier before the rations trial we saw that it is not only one person who has TB in a family

00:07every time a person will either give a history of TB in some other member or new members keep

00:14coming with disease which means that people are having a shared environment of poverty and food

00:19insecurity so in rations trial what we wanted to show was that if we give food basket to the family

00:25members their immunity improves and new TB does not develop in the in the family because there's

00:32a shared environment of increased infection and also food insecurity so that was one thing that

00:38we showed and what I can I can say that the trial was done in a challenging time because when we

00:46started in 2019 in August within few months COVID started so it was a very challenging time where

00:55delivery of food basket became very difficult even our health workers who are doing the screening and

01:01delivering food baskets they started developing sometimes COVID or their family members were sick

01:08because of the lockdown our travel became sometimes very difficult but despite of all these challenges

01:14the team really worked hard to complete the trial during the COVID time

01:19okay so after the publication of the rations trial findings one set of findings were on the household

01:31members how we reduce the new TB in the family members and the other set of publication included the

01:39outcomes in the patients patients with tuberculosis how we reduced how we were able to reduce the

01:45mortality loss to follow-up which is a big problem in tuberculosis people don't take medicines

01:50throughout the treatment and adverse effects so these two publications caught attention and during

02:00um 2024 uh WHO decided to revise its 2013 guidelines so the 2013 guidelines of WHO on TB and nutrition

02:12they mainly focused on nutrition assessment and counseling of patients with tuberculosis and if they

02:19have severe undernutrition food support was suggested however uh new evidence was not available till the

02:27patients trial was completed so when uh rations trial findings were published in 2020-23 in 2024 we were uh we were told to attend

02:37as uh technical resource persons uh guideline development group proceedings where they decided that they

02:45will be uh revising these guidelines so uh over a period of six months there were multiple meetings and presentations

02:53where we also uh presented our findings of qualitative research uh within the rations trial so the qualitative

03:02research is really different from what was published in lancet where we give percentages and proportions and

03:09this much death or this much TB in qualitative we actually go and ask people who were part of the whole trial

03:15um so how did they perceive um so how did they perceive the food basket so it was a very positive uh feeling

03:23because the qualitative uh findings were led by a third party that is uh forum for medical ethics society

03:31so they went and talked to the patients their household members our health workers and uh what was found was that

03:40everybody invariably said that because of the food basket they were able to take these hard medicines

03:47otherwise it was very difficult for them to complete the course with such uh so many medications so

03:55ability to complete medicines because of the food basket the household members felt that they were uh they

04:01could see that their uh ability to work was better the patient started working better the health workers

04:10gave some wonderful stories of uh moving stories of how uh they were perceived by the trial participants

04:18and uh we also discussed with various you know program persons also within charcoal where people felt

04:26that finally in long term in short term definitely if we give food support uh the mortality will reduce

04:33the ability of the patients to complete treatment will will be better but over a period of

04:39time if new tb in families reduce finally our burden of tuberculosis in india will reduce and we'll be

04:47able to achieve the goal of ending tb which is which is the most important at the moment in uh our you know

04:55scheme of things

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

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