TODAY -

Where Is The TB Quilt, Nay Mask ?

Shobha Shukla *

some delegates stood up wearing TB face masks to draw attention to TB continues to be the lead cause of deaths among HIV positive people during US Secretary of State Hillary Rodham Clinton speech at XIX International AIDS Conference in Washington DC
some delegates stood up wearing TB face masks to draw attention to TB continues to be the lead cause of deaths among HIV positive people during US Secretary of State Hillary Rodham Clinton speech at XIX International AIDS Conference in Washington DC



During the opening plenary session of XIX International AIDS Conference (AIDS 2012), Secretary of State of USA Hillary Rodham Clinton made a fervent appeal to end the epidemic of AIDS and hoped to be able to stop the AIDS Memorial Quilt (which has the names of all those Americans who have died of AIDS) from growing any further. It is disappointing that not one of the distinguished speakers made even a passing reference about the need to control the spread of the tuberculosis (TB) bacteria, which stalks the earth hand in hand with the HIV virus and is the biggest cause of deaths among people living with HIV (PLHIV).

Activists and health advocates however used this major opportunity to draw attention to TB/HIV by wearing face masks when Clinton was speaking. This activism has put the spotlight once again on the urgent need for better access to and research on life-saving tools and programs to fight TB/HIV.

According to the latest data, one in every four deaths among HIV positive people occur due to preventable and curable TB. No one needs to die of TB. Or HIV.

TB and HIV form a deadly combination. In 2010, 350,000 people died of HIV-associated TB. With more than one million people needing simultaneous treatment for TB and HIV, it is essential that health systems coordinate their services to provide effective care. TB is curable and should not be the leading cause of death for PLHIV. The two diseases are closely linked because TB is frequently the first opportunistic infection in PLHIV. 1.1 million people needed simultaneous treatment for both diseases in 2009 80% of them in sub-Saharan Africa.

What happened two years ago?

At the last 2010 XVIII International AIDS Conference in Vienna, the correspondents of Citizen News Service (CNS) and thousands of other delegates witnessed one of the defining moments of AIDS activism when the TB cough-in/coffin March took place. At least half a thousand people had assembled, with t-shirts, placards, cardboard coffins (no more TB deaths), stop TB handkerchiefs/ bandanas, vuvuzelas, drums, banners, and mascots to name a few. AIDS activism has been a cornerstone of AIDS conferences, but TB was on its agenda this time, as never before.

Hundreds of marchers coughed into the handkerchiefs/ bandanas intermittently and then the growing sloganeering at deafening decibels of 'When you cough, when you sneeze, cover your mouth to stop TB', "No more people living with HIV (PLHIV) dying of TB", "HIV Positive, Prevent TB", and "If a virus (HIV) and a bacteria (TB) can work so well together, then why can't we?", were among the slogans we still recollect today two years after the Vienna AIDS 2010 while we witness activists with face masks demanding more attention to TB-HIV at AIDS 2012.

Another grim reminder is the historic commitment of global leaders in TB and HIV responses to respond as never before to TB-HIV related issues. At the AIDS 2010 in Vienna, the Stop TB Partnership had signed a memorandum of understanding (MoU) with the Joint United Nations programme on HIV/AIDS (UNAIDS) to work together in improving responses to TB and HIV. Clearly not enough has been done on scaling up TB-HIV collaborative activities in order to save lives of PLHIV who die of TB - which led the delegates of AIDS 2012 to wear face masks and demand more attention to TB-HIV related issues.

Women with HIV and TB co-infection

Women living with HIV are 10 times more likely to develop TB during pregnancy than women who are HIV-negative. TB during pregnancy doubles the risk of transmission of HIV from a mother to her child. Communities are at special risk when women are ill with TB. Families lose income, and children miss out on educational opportunities.

Childhood TB and HIV co-infection

TB has been neglected in children, yet it causes suffering and death all over the world, especially in communities affected by HIV. Mortality due to TB in HIV infected children is 5 to 6 times higher than in HIV negative children.

TB and HIV hit communities hard. People with TB often suffer from discrimination, rejection and isolation. This means that people with TB are less likely to complete their treatment, putting their families and friends at risk and fuelling the development of drug-resistant forms of the disease. People with TB are often too sick to work or go to school, and this simply compounds the problems of PLHIV.

The dual HIV-TB epidemic poses a challenge for both TB and HIV efforts at all levels. Thus early diagnosis, timely initiation of treatment for both diseases and careful monitoring are essential to treat TB in PLHIV and identify HIV infection in people with TB. The main obstacles to managing patients with TB and HIV co-infection are weak coordination between TB and HIV programmes and slow integration of collaborative TB-HIV services into the general health services. These challenges often have an adverse impact on patients' treatment access and outcomes.

Let us all work together for the day when not one of us will have to don a mask, (to either draw attention to TB or to prevent the TB bacteria from spreading), or write any more names on the AIDS quilt, because no one needs to die of HIV and TB. (CNS)


* Shobha Shukla wrote this article for e-pao.net
The author is the Managing Editor of Citizen News Service (CNS). She is a J2J Fellow of National Press Foundation (NPF) USA. She is supported by the Lilly MDR-TB Partnership to report on-site on TB related issues from XIX International AIDS Conference (AIDS 2012). She has worked earlier with State Planning Institute, UP and taught physics at India's prestigious Loreto Convent.
She also authored a book on childhood TB (2012), co-authored a book (translated in three languages) "Voices from the field on childhood pneumonia" and a report on Hepatitis C and HIV treatment access issues in 2011.
Email: shobha@citizen-news.org, website: http://www.citizen-news.org
This article was webcasted on July 24 2012.



* 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
  • 71st Indian Republic Day #1 : Gallery
  • Khangminashi - VI: Gallery
  • Custodial Death
  • Golden opportunity for a Speaker
  • Khangminashi - VI, Talk Series :: Report
  • 1000 trained in Fish Processing
  • Supports agitation call by CAF & PD Labourers
  • Medical camp at Thenjang, Churachandpur
  • Peace pact signed with the NDFB
  • A better and inclusive alternative
  • Gaan-Ngai at Kakhulong #2 : Gallery
  • Chungbamlu, Chingyangba, Markila : eMing
  • Tribute Rock Concert for (L) Hegin #2 : Gallery
  • Mary Kom- Vibhushan, O Bembem- Bhushan
  • Felicitation of AMAND by Pune Municipal
  • Biotechnology Ignition Grant (only for NE)
  • Defence Academy & Naval Academy Exam
  • Condemn harassment of women IPS officer
  • On the assault of IPS Women Officer
  • Free Mock Interview Programme for UPSC
  • Replacing AR at check points
  • The way forward towards civility
  • Glass Painting by Khusbu: Gallery
  • Manipur Police Dog Squad : Gallery
  • Ethel's Wedding Journey :: Poem
  • India on 71st Republic Day
  • Supreme Court's ruling on Anti-Defection Law
  • Let the light lead to growth
  • Republic Day celebrated amid tight security
  • Angangdagi Mairen Onba :: Funga Wari
  • Day 6 : Sangai Fest #1 : Gallery
  • Public as leader in a Republic
  • 2020 :: Poem
  • Aung San Suu Kyi - 'The Lady with no Fear'
  • The endocannabinoid system in human body
  • Now CSOs started infringing to media freedom
  • Aerial- Imp to Tamenglong #2: Gallery
  • Eyek Tamba :: Learn Manipuri script
  • Pot Lannaba @ Houchongba #2 : Gallery
  • Thousands marched Happy Republic Day
  • Angel Investors Event at Imphal
  • Inner Line Permit (ILP) Demand : Timeline
  • Year review: Min of Rural Development #1
  • Upgrade Manipur Human Rights Commission
  • Autonomous councils the solution?
  • Hope for the common people
  • Chingda Satpi Engellei #4 :: eRang
  • 28th Imphal Book Fair #2 : Gallery
  • Aseismic Building Design
  • Loving Death :: Poem
  • The benefits of CAA
  • Go natural with home made scrub
  • Looking at the journey from 1972
  • The Great Security Circus
  • Hentak - Indigenous Food Festival #1 : Gallery
  • Tribute Rock Concert for (L) Hegin #1 : Gallery
  • AMWJU amends code of conduct- Jan 22 2020
  • Lalkansung - Natl Child Award for Achievement
  • Where Vultures Dare :: Poem
  • 'BJP Nagaland President got his facts wrong'
  • Decide within four weeks message from SC
  • The Statehood Day
  • Landscape of Purul, Senapati #2 : Gallery
  • Naga Peace Process, Far from being close
  • Of bibliophile & Imphal Book Fair 2020
  • Constitutional protections to specific groups #2
  • Marketing & Sales at R-Square Design
  • Driver & Director's Assistant @ R-Square
  • Marketing & Research Officer @ Amethyst
  • Heart Camp at IGAR South, Mantripukhri
  • Naga Peace Process :: News Timeline
  • Pragjyoti International Dance Festival
  • Mentality of those who man Khudengthabi
  • When you fail to control the L & O ..
  • Gaan-Ngai at Kakhulong #1 : Gallery
  • Children Adventure Sports Camp #2 : Gallery
  • Adventure Tourism in Manipur
  • Special Police Unit for NE in Delhi
  • Niagara Falls with Devaz
  • Project Coordinator @ MaolKeki Foundation
  • Reducing air pollution : Impact & prevention
  • Right time for Assam Rifles to Go Back
  • Interesting pact between KNO & NNPGs
  • Nation & Unintegrated part now bridged
  • Conservation initiatives of Hornbills #1
  • Day 3 : Sangai Fest #4 : Gallery
  • Reminiscence of legendary aerobiologist
  • A get-together to banish the boredom
  • Hear us oh God :: Poem
  • Resolutions on Naga Political Issue & CAA
  • Stop land allotment of Yaithibi Loukol
  • Wildfire at lower ridge of Shirui Kashong
  • Statehood Women's Polo : Gallery
  • Adversity of Diversity: Chow-Momo Indian
  • Harvard team with CM : Gallery
  • Workshop: Typesetting with Latex @ MU
  • The great cosmic discovery - VII
  • NPF opposed Citizenship Amendment Act
  • Of the highway brave hearts
  • 28th Imphal Book Fair #1 : Gallery
  • Winter Relief Program @Patsoi: Gallery
  • Who are Indigenous People of Manipur #7
  • 2019: Ministry of Development (DoNER)
  • Consultative meeting on Meetei ST demand
  • Beauty benefits of meditation
  • Environment conservation & mankind..
  • Of our Responsibility and our Rights
  • Imoinu Erat Thouni #2: Gallery
  • Gaan-Ngai @Chingkham Kabui Khul: Gallery
  • Condolence on demise of Mahima Khan
  • Coping with anxiety before laboratory test
  • The lonely Moon :: Poem
  • Natl Conference on chemicals sciences
  • Constitutional protections to specific groups #1
  • KASHISH, Indian LGBTQ short films
  • Drugs & manufacturing: Who are the kingpins?
  • Indigenous People must defend environment
  • Cultural @ Shirui Lily Fest #4 : Gallery
  • Children Adventure Sports Camp #1 : Gallery
  • Day 3 : Sangai Fest #3 : Gallery
  • The Killing Fields 2013-20 : News Timeline
  • Khangminashi VI, talk series : Food research
  • Can people of NE blame Centre alone for CAA
  • The City of Darkness :: Poem
  • Time for Nagas to build the future: Rio
  • Checking the statements of UG outfits
  • Restoring to the status of People's CM
  • Ibudhou Thangjing, Moirang :: 360 ø View
  • Phamsak collaboration in indigenous ambience
  • Why this relaxation of 12 yrs unless..
  • Being a chow-momo Indian; the fun side!
  • Monika Ingudam - Amb for India Volunteers
  • Petition to CM to dispose contract teachers
  • Call to curb favouritism and nepotism
  • For a better world - to our world leaders
  • Gaan-Ngai @ Ramji Kabui Khul : Gallery
  • Niti Aayog must stop plan to privatise health
  • For the future :: Poem
  • Career in Fashion Communication
  • Jobs at LMP Technology, Canchipur
  • Too many festivals in a year observation
  • What ails Chief Minister gi Haksel gi Tengbang
  • Thong Nambonbi broke apart: Gallery
  • Who are Indigenous People of Manipur #6
  • Fit India Khelo India
  • The Car Washed Shampoo :: Poem
  • Economic development : Special focus on hills
  • Climate change : Biggest challenge in 2020s
  • MAYA trainer at MAAC Imphal center
  • How about the Salt Lake Manipur Bhavan?
  • Fashion Show @ Sangai Fest #1: Gallery
  • Youth and Nation
  • Lyrics of Departing Year :: Poem
  • Forgotten elixir for youths of Manipur
  • Banknotes for sale
  • ADBU - 'Engaged University of the Year'
  • Traffic chaos - a serious problem
  • 'Nongju Ahing' :: eRang Classic Photos
  • Day 1 : Sangai Fest #5 : Gallery
  • City lights :: Poem
  • How China impacts security dynamics in NE
  • Rhythms & Aromas of NE at Ukhrul
  • Lipstick mistakes to avoid
  • Giving a fresh push to the Lim debate?
  • Thong Nambonbi is a part of our history
  • Shumang Leela Ningtham Kumhei: Gallery
  • Death Anniv- Maharaj Gambhir Singh : Gallery
  • Go develop the Hills : A live case study
  • A canal to augment Imphal City, a must !
  • The present health of Loktak Lake
  • Meiraba- 3rd in Badminton World Federation
  • After effects of CAA in North East
  • Film Policy - awaiting action
  • Arambai Langba @Kangjeibung : Gallery
  • JNIMS - Untold story #2
  • CAA is a threat to indigenous communities
  • Ukhrul auditions for Rhythms & Aromas of NE
  • A Wintry Number :: Poem
  • Career in fashion industry
  • Suspension Order issued by NPF to Kenye
  • Web Developer / Trainee at Lamjing IT
  • Cabinet approves NE Gas Pipeline Grid
  • Claiming hands in attack at JNU
  • The changing concept of patriotism
  • IM on integration, Pan Naga Hoho & others
  • Imoinu Erat Thouni #1: Gallery
  • Gaan-Ngai :: e-Pao Flash Presentation
  • Gaan-Ngai :: Read all about it
  • Asylum for select migrants.. madness ?
  • Who are Indigenous People of Manipur #5
  • Irom Roshan to exhibit humanoid robot IVALA
  • NPF Statement on CAA 2019
  • Time to focus on examinations
  • The taste of Indian democracy
  • Culturals @ Mera Houchongba #3: Gallery
  • Press Club Foundation Day: Gallery
  • A Hymn for Goddess Emoinu
  • Post-mortem of New Year Celebration
  • Shillong audition for Rhythm & Aromas of NE
  • Army Arrived at Lunch
  • Cocktail of CAB, CAA, NRC & NPR
  • A treatise on mind #3
  • Menamparampil for Journalism Award
  • Govt committed to protect indigenous people
  • Cabinet increase pension for retired journalist
  • Hiyangthau :: Funga Wari
  • Official Release of AMAND Calendar 2020
  • Happening and good cheer as career
  • Voices of the Stars :: Poem
  • Yaikhomba: Selected National Bravery Award
  • War against the English language
  • BJP : In Delhi & Manipur: Twain does not meet
  • Licypriya- Top 100 Child Prodigy: Gallery
  • A Critique of the Manipur ILP Guidelines
  • Licypriya- 100 Child Prodigies : Report
  • Critique of ILP Guidelines (Meiteilon)
  • Architectural Designer at R-Square
  • AutoCad Drafsman at R-Square
  • Crops production & Award for Manipur !
  • New Year picnic @Singda Dam : Gallery
  • Kairembikhok Women opted carpentry
  • RIST Talk -42 @MU : Mimicking nature
  • Obsessive Compulsive Disorder
  • Project Engineer at R-Square
  • Site Manager at R-Square
  • Research Officer at Amethyst
  • Jobs @ Birla Emporiums, Khurai
  • Assam looking at bygone years
  • Dec 30 : Sangai Fest #1 : Gallery
  • 'Marketing' on New Year 2020 eve: Gallery
  • Featured Front Page Photo 2019 #6: Gallery
  • X-Mas @Ukhrul, @Kpi #2 : Gallery
  • January Calendar for Year 2020 : Tools
  • X-Mas @Ukhrul, @Kpi #1 : Gallery
  • State of our state
  • Culturals @ Mera Houchongba #2: Gallery
  • Destination NE @ Vanarasi #5: Gallery
  • Mister Manipur 2019 #3 : Gallery
  • Piulong Valley, Tamenglong #1: Gallery
  • Nupi Lan Ningsing Lamjel #2: Gallery
  • Nupi Lan Day (State): Gallery
  • Brahmacharimayum Mahendra : Silpbhusan
  • Tolloi, Ukhrul :: 360 Panorama View
  • SPONSORED ADS