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TB SITUATION IN DELHI
One-fifth of the global burden of TB is found in India. The disease remains an enormous
burden on patients, families, communities, and the nation. Premature death (more than
80%) is the main cause of the burden of tuberculosis, as measured in terms of disabilityadjusted life years (DALYs) lost. The most affected age group (15–54 years) is the
economically productive age. Over 70% of TB cases occur in this economically
productive age group. It is one of the leading infectious diseases causing death.
Tuberculosis is mainly a disease of the poor. The majority of its victims are migrant
labourers, slum dwellers, residents of crowded areas and pockets of urban slums in large
cities like Delhi. Poor living conditions, malnutrition, shanty housing and over crowding
are the main reasons for the spread of the disease. TB is more common amongst men.
They are more likely to default out of treatment.
Women bear the brunt of the disease more than men. They ignore the disease initially
fearing its interference in their daily chores. TB deaths among women have major
implications for child survival, economic productivity and family welfare. There is also
the fear of stigma and rejection from family members and society. It is estimated that
annually more than 100,000 women with TB are abandoned by their families. More than
300,000 children are forced to leave school every year, because their parents have TB.
DELHI STATE
Revised National Tuberculosis Control Programme (RNTCP) practicing DOTS (Directly
Observe Treatment Short Course).
Impact of DOTS from 1997 to March 2008
3,54,116 TB patients have been put on treatment since 1997 in Delhi under DOTS.
Last year alone about 49050 TB patients were put on treatment out of which 13695 were
new sputum positive infectious cases. About 86 out of 100 patients put on treatment
have been treated successfully.
Approximately 39,35,115 infections and 3,93,511 illness averted in Delhi alone. Over
67,275 precious lives saved from TB since 1997. The Case detection rate of new
infectious patients has been consistently more than 70% (in the range of 73% to 92%)
since 1999 to date. The Death rate has been consistently below 2.5%.
The Current Annual Risk of Infection (ARI) is 1.9% in the North Zone (Delhi). ARI
in urban areas (slums) is 2.2% as compared to 1.3% in rural areas.
Diagnostic facilities (188) have been established throughout the state. The number of
DOTS centers is ~580. Currently, 5 medical colleges, 181 NGOs and 46 private
practitioners (PP) are working under RNTCP under the GoI approved NGO/PP
guidelines.