TODAY -

What has TB got to do in an AIDS Conference ?

Shobha Shukla *

What has TB got to do in an AIDS Conference?



Well almost everything. Tuberculosis (TB) remains the most common AIDS-defining illness and the leading cause of death in people living with HIV (PLHIV) with 1 in 5 HIV-associated deaths in 2012 attributed to TB. At least one third of the 35.3 million living PLHIV worldwide are infected with latent TB. An estimated 1.1 million (13%) of the 8.6 million people who developed TB in 2012 were HIV-positive too.

According to the Revised National TB Control Programme (RNTCP) Annual Report 2014: "India accounts for about 10% of the global burden of HIV-associated TB and every year 42000 people die of TB among TB/HIV coinfected patients. RNTCP has endorsed the policy of prioritizing to offer rapid molecular test to all presumptive TB cases among PLHIV for early diagnosis of TB."

Stressing upon his country’s commitment to working with governments in the region to strengthen health systems for tackling all diseases, including HIV and TB, Australia's Deputy High Commissioner to India, Bernard Philip, told Citizen News Service (CNS) that, "The Australian Government promotes proven, cost-effective interventions to reduce the burden of TB, by improving primary health care, promoting an effective public health approach to TB management, and by boosting TB detection. Drug resistant TB and TB-HIV co-infection are difficult and complex problems, and we need improved surveillance, detection, diagnosis and treatment in order to fight them effectively."

He also informed that, “As a symbol of the Australian Government’s strong commitment to funding research which can aid global efforts to tackle this disease, it has also supported vital TB research in India through the Australia India Strategic Research Fund (AISRF) by putting more than $A2.3 million into a joint project between the Commonwealth Scientific & Industrial Research Organization (CSIRO), in Australia, and the Council of Scientific and Industrial Research, in India, to investigate point-of-care diagnostic tools for TB.”

The impact resulting from enormous investment made into HIV is being undermined by a disease that is both preventable and curable. Hence it is imperative that there is programmatic intergration of the strategies aimed at controlling the two diseases so as to drastically reduce HIV-associated TB deaths.

Speaking to CNS about integration of services for care and control of TB and HIV, Dr Mario Raviglione, Director, World Health Organization (WHO) Global Tuberculosis Programme, said that, “The post-2015 new global TB strategy of the WHO reinforces, amongst other things, that instead of two vertical and straight programmes that do not talk to each other, there have to be close linkages between AIDS programme and TB programme in such a way that it guarantees a one stop point-of-care to those who are in need. The new strategy reiterates the philosophy of proper patient centric care –that every single individual has the right to proper diagnosis, treatment, support and counselling. HIV is prominently expressed in this strategy and lists special measures that need to be taken for TB patients who also suffer from HIV.”

While expressing his happiness about the prominence which events on ‘TB associated with HIV’ have been given in the forthcoming XX International AIDS Conference (AIDS 2014) in Melbourne, Dr Raviglione lamented that for decades TB had been relatively underplayed or ignored in the HIV/AIDS community. It is only since the past 3-4 years that there has been more awareness of the fact that TB is the number one killer of PLHIV. And yet, even now, surprisingly a large majority of people, when they speak about HIV/AIDS, ignore the fact that one fifth of PLHIV may eventually die of TB which is preventable and curable, regardless of the person being HIV positive or not.

In fact, the WHO data shows that less than 50% of the 1.1 million estimated HIV-positive incident TB cases were identified in 2012 while only 28% of the estimated TB/HIV cases received antiretroviral therapy (ART). More than 80% of countries still do not report providing IPT (isoniazid preventive therapy) to eligible people living with HIV.

Dr Raviglione expressed his astonishment that, “ART is still not automatically provided to those PLHIV who have TB. This is one of the most important recommendations we are making when we talk about integration of services between TB and HIV. A TB programme should automatically test TB patients for HIV. Once a person with TB is screened for HIV and found positive he/she should automatically be put on ART. We will save many lives in this way. Also as soon a person tests positive for HIV he/she should be offered TB testing and potential prophylaxis for TB should be made automatically. It is heartening to note that there has been a significant increase in the past decade on this intervention with as many as 90% TB patients being tested for HIV in some parts of Africa.”

He also promoted the use of new diagnostic technologies such as GeneXpert MTB/RIF for more efficient and timely detection of HIV-associated TB and multi-drug resistant TB (MDR-TB). The geneXpert is of great use for proper and rapid diagnosis of TB as well as MDR-TB especially in PLHIV because TB in them is more difficult to diagnose as compared to non HIV patients. If the test shows rifampicin resistance, treatment for MDR-TB can be started immediately, thus giving a big benefit in terms of timely management of the disease.

Dr Raviglione emphasized upon the importance of disseminating correct information about TB associated with HIV. He said, “Perhaps the HIV/AIDS community is not fully aware of the big risk TB poses to them. PLHIV are already immuno-suppressed and having TB makes them more vulnerable to other life threatening infections. People need to be more informed about this. So if more and more people, especially the caregivers of PLHIV and TB patients, get the correct information through conferences like AIDS 2014, then they will not take TB lightly and understand the importance of early ART in PLHIV co-infected with TB. If the message is clear and well disseminated then we will be doing our job.”


* Shobha Shukla, Citizen News Service (CNS) wrote this article for e-pao.net
The author is the Managing Editor of Citizen News Service - CNS. She is reporting from the XX International AIDS Conference (AIDS 2014) with support from the World Health Organization (WHO) Global Tuberculosis Programme. She is a J2J Fellow of National Press Foundation (NPF) USA and received her editing training in Singapore. She has earlier worked with State Planning Institute, UP and taught physics at India's prestigious Loreto Convent. She also co-authored and edited publications on gender justice, childhood TB, childhood pneumonia, Hepatitis C Virus and HIV, and MDR-TB. Email: shobha@citizen-news.org, website: www.citizen-news.org
This article was posted on July 19, 2014.


* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Mera Houchongba @Kangla #2: Gallery
  • An Appeal to NNPGs and NSCN (IM)
  • Inclusion of Manipur Nagas are irrelevant
  • Cry of a Dying River - 97 :: Poem
  • An Act of Remembrance & Political Debate
  • Corps that abuse human rights are threat
  • Oils to make winter skin glow
  • Gorkha Youth Summit
  • Ghost of 1994 continues to haunt MPSC
  • Significance of Oct 18 in Manipur history
  • Akhunba Takhellei #1 :: eRang
  • Ngamhao, Dimrei, Lansinganglu : eMing
  • A Lesson from a Long Peace Talk
  • Nobel Economics Prize 2019
  • World Blind Walk at ADBU
  • Dismay over relentless journo-murders
  • Trashing a pact with Govt
  • Of Women : today & tomorrow
  • NSCN (I-M) on choice before Nagas
  • Chayom Thupki (Meetei Philosophy) #12
  • Shirui Lily Fest - Inauguration : Gallery
  • 'Unethical act of few Orgs of a community'
  • In defence of ancestral land and freedom
  • Not just twin but triple demands of NSCN-IM
  • Govt College Teachers' Assn : GBM
  • The Killing Fields 2013-19 : News Timeline
  • 'Constitution can be pursued post solution'
  • Pressing need for sanity to prevail
  • Forgotten pledge - a reminder
  • 123rd Lamyanba Irabot #3 : Gallery
  • May all the roads lead to Ukhrul ..
  • AMAND Cultural @Pune #2 : Gallery
  • Naga Flag & Constitution is our Identity
  • Global Handwashing Day
  • Gwangju Prize for Human Rights: Nominate
  • German program for women entrepreneurs
  • Raising the integration bogey, again
  • October 15 and the GoI
  • NTC calls for solution within scheduled time
  • Naga peace talks deadlocked
  • Pot Lannaba : Houchongba #1: Gallery
  • IM & Govt against freedom fighters
  • Wijaidin Pamai @Intl Fashion Week Goa
  • SheChef Season 2, Shirui Lily Festival 2019
  • Crazy for the hole :: Poem
  • Intl Classical Manipuri Dance Festival
  • Putting a check on single use plastic
  • Harvesting the green gold
  • Mera Houchongba @Kangla #1: Gallery
  • Mera Houchongba festival
  • Intl Day for Disaster Risk Reduction
  • Understanding JAM for bright career
  • For you, I gave up everything : Poem
  • Paranoia of Beauty: A Corporate Brainwash
  • Naga Peace Process :: News Timeline
  • Opening NE to outside world: Challenges ..
  • Contested Identity Along Myanmar Border
  • NNPGs mandated for solution: Isak
  • Wont walk path of capitulated peace: IM
  • 3-month deadline ..unacceptable: Hoho
  • Manipur Street in Manchester & Shirui Lily
  • A glimpse of Shirui Flower : Gallery
  • World within a World
  • Face of RaDiant Group
  • For the Common People :: Poem
  • Heart Camp at Senapati District Hospital
  • NDPP is 'verba non facta' : NPF
  • Swindling of Public Money
  • Bor khoiramba @Hiyangthang #2 : Gallery
  • World Tourism Day @Noney #3 : Gallery
  • World Mental Health Awareness Week 2019
  • Manipur lost legacy- Merger Agreement #2
  • My aquamarine :: Poem
  • Rice for beauty
  • Stand off over flag and constitution
  • Suicide - Western docs, Psychologists...
  • Naga wont accept alien doc. as constitution
  • Manipuri Calendar 2020 :: Download
  • AMAND Cultural @Pune #1 : Gallery
  • Inner Line Permit (ILP) Demand : Timeline
  • NE Message of Cleaninness at Delhi
  • Research Support Officer @ Amethyst
  • 8th AGM/Annual Cultural of AMAND, Pune
  • Peace & conflicts studies as a career
  • College student leaders learn leadership
  • Reaffirming stand of 2016 unity
  • Mr. Chief Minister, clean the dirt...
  • Nongdol Leima @ JNMDA #2 : Gallery
  • Haloi Taret: Dangerous Beauty....
  • Difficult days ahead for Muivah
  • Manipur from Independence to Merger #3
  • World Mental Health Day, 2019
  • Traditional DJ
  • Cry of a Dying River - 96 :: Poem
  • ..district to State level : Shirui Lily Festival
  • Something is still not right
  • Chothe Achui Lin festival #2
  • Heritage Park @Sangai Fest #3: Gallery
  • Are we being bullied with same fake news?
  • Hard facts about the betrail
  • World Animal Day 2019
  • Academic Entrepreneurship at MU #2
  • Nagas of Nagaland : Drawing the divide
  • ... Manipur needs strategic change
  • World Tourism Day @Noney #2 : Gallery
  • ST status is to save indigenous community
  • Sangai festival and tourism multiplier
  • Governance, Gender & Environment :: Book
  • Now Your Hair :: Poem
  • Neiphiu Rio's myopic belief on ILP : NPF
  • Probe into maladministration of hospital
  • Taking high moral stand: Begone moral cop
  • Bor khoiramba @Hiyangthang #1 : Gallery
  • Manipur lost legacy- Merger Agreement #1
  • Sikkim Dance @Sangai Fest: Gallery
  • World Habitat Day: A celebration for home
  • For Your Eyes Only :: Poem
  • No School bag day in Manipur
  • Making ban on single use plastic effective
  • New CAB clause to protect NE : HM
  • NNPGs ready to conclude talks: Kitovi
  • 123rd Lamyanba Irabot #2 : Gallery
  • Ngangom Chaoba : Natyabhusan
  • Ganja economics, Jai Bholenath !
  • Soul Sister :: Poem
  • Leap of faith on wings of Prayer
  • Counselling: Children in Conflict with Law
  • Caution for the cocksure
  • CAB Protest @Khwairamband : Gallery
  • Manipuri Women & Crime Against them
  • Toward exploring a better future for youth
  • I happily cry :: Poem
  • NE Students' Culturals at Pondicherry
  • Beauty benefits of banana
  • Heart Camp at District Hospital, Chandel
  • Contained but final word yet to be said
  • Smart idea, bumbling idealists
  • Chingda Satpi Engellei #2 :: eRang
  • Facts & Opinions: Integration of Naga Area
  • Licypriya : Earth Day Network 'Rising Star'
  • Cry of a Dying River - 95 :: Poem
  • Khangminashi - V at Ibotonsana Hr Sec
  • Academic Entrepreneurship at MU #1
  • Vote BJP but protest: CAB Indecisive stand
  • Significance of Manipuri proverbs
  • Hathei Phanit (Chilli) #2: Gallery
  • Naga insurgency & peace condition #2
  • World River Day, 2019
  • Half Brother :: Poem
  • Youth Essay Contest: May 18 Memorial
  • Michelle Salam : Top Ten Cake Masters
  • Internal tussle within the Government
  • The humility of MK Gandhi & Manipur
  • Bhagyachandra Death Anniv @WB : Gallery
  • Why dont Manipur forget Merger Agreement
  • Let us celebrate Non Violence Day
  • Looking Forward to a Sexy Evening : Poem
  • Observance of Senior Citizen's Day
  • Turmeric in beauty care
  • Artists for NH7 Weekender, Meghalaya
  • Parking madness at commercial centres
  • Demise of a dream
  • 123rd Lamyanba Irabot #1 : Gallery
  • International Day Of Older Persons, 1 Oct
  • Licypriya : India Peace Prize : Gallery
  • Irabot the poet of the working class
  • October Calendar for Year 2019 : Tools
  • Licypriya Kangujam : India Peace Prize 2019
  • ST status demand for Meiteis widening rift
  • Certificate Course on Neuropsychology
  • Lining up stand against CAB
  • Remembering Lamyanba & his politics
  • Irabot Day & the practice of volunteerism
  • Lamyanba Hijam Irawat :: Read articles
  • Around India in 60 days
  • Nungleiband Massacre: Diary of Editor
  • Judo: Rishikanta, Roshibina, Kalpana
  • Heart of an empowering woman : Poem
  • Imphal Peace Museum: Best Design Award
  • Engaging with the young minds
  • Lai Khutsangbi & female power
  • Naga liberty or forced disintegration..
  • Irabot's letter to Assembly: 18 Oct 1948
  • Monika Ingudam: Natl Youth Icon Award
  • Heart Camp at District Hospital, Ukhrul
  • Swacchata Hi Seva at Lakoipat
  • Let 'tree' that was cut, be the last
  • World Tourism Day @Noney #1 : Gallery
  • Where All The Flowers Gone? #2: Gallery
  • The resurgence of Hijam Irabot
  • Naga insurgency & peace condition #1
  • World Heart Day 2019
  • Judo: L Sushila; M Bidyashori, T Inunganbi
  • Counselling: Children in Conflict with Law
  • Looking to increase revenue collection
  • Adapting with the changing time
  • Inamma - Film Scenes #1 :: eRang
  • Heritage Park @Sangai Fest #2: Gallery
  • Cry of a Dying River - 94 :: Poem
  • Reject false solutions to climate crisis
  • Career in Mass Communication
  • Ideals of Lamyanba Irawat
  • Laurels for Th Brinda, Ng Touthang
  • Performances to watch at NH7 Weekender
  • Protest in NE against CAB starting Oct 3
  • Bamboo bus shelter model developed
  • Noney to host World Tourism Day
  • Drought and the drainage issues
  • Marangwon @Kangkhui Khullen: Gallery
  • The flavor of Utsav Tarpon
  • Urgent Need to Reconsider Naga History
  • A woman :: Poem
  • Human Papilloma Virus & women's health
  • Meeting the Enemy at Nathu La
  • 'Outburst' of Thuingaleng Muivah
  • Concerns for media persons
  • Ibudhou Thangjing Haraoba #5 : Gallery
  • Licypriya Climate March @Angola :Gallery
  • Featured Front Page Photo 2019 #4: Gallery
  • Licypriya Climate March at Luanda :: Report
  • Kartal Cholom @ Sangai Fest : Gallery
  • Lady E-Rickshaw driver inspires women..
  • Culture Students Foundation Day : Gallery
  • Eyek Tamba :: Learn Manipuri script
  • Book published on Irabot Day: Download
  • Where All The Flowers Gone? #1: Gallery
  • BCIM Corridor & China New Transportation
  • Alzheimer's Awareness Month
  • Cry of a Dying River - 93 :: Poem
  • Rally & Youth's Voice on Climate Change
  • Guwahati to Bangkok : Direct Flight
  • Stringent traffic rules in place
  • Time for immediate solution to climate crisis
  • Traditional Dress of Hmar : Gallery
  • Licypriya @UNESCO Forum, Angola: Gallery
  • 46th AMWJU Foundation Day : Gallery
  • Heikru Hidongba #2 : Gallery
  • 48th Foundation Day of RIMS : Gallery
  • Chaklam Khongchat Numit #4: Gallery
  • Mukna - indigenous game : Gallery
  • Babysana's last rites performed: Gallery
  • Tolloi, Ukhrul :: 360 Panorama View
  • SPONSORED ADS