Download National T.B. Control Program

National T.B. Control Program
Rotary’s Unique Initiative Against T.B.
Presented by PP Rtn. Deepak Ramnane
Rotary Club of Koramangala
What is T.B.?
• Infectious disease transmitted by a Bacterium,
Mycobacterium tuberculosis
• Small swellings appear in the body tissues,
especially in the lungs
• It is a highly contagious disease
• 40% of the world population is infected by T.B. which
is latent.
• It is important to know the signs of T.B. and treat it in
time.
• Every minute 4 persons get TB, 3 patients put on
treatment, 1 person dies of TB
• TB is a lawless disease. It can affect child,
adolescent, adult, elderly, poor/rich, literate/illiterate.
• T.B. is completely curable yet lakhs die needlessly
from this disease every year.
Symptoms or Signs of T.B.
• Persistent cough for 2 weeks or more
specifically just after waking up
• Weight loss, fever, night sweats and
increasing weakness.
• Chest or upper back pain and shortness of
breath
• Loss of appetite
• Coughing up of blood
Methodology of controlling T.B.
•
What is DOTS? DOTS (Directly Observed Treatment, Short-course )
is the only strategy which has proven effective in controlling TB on a
mass basis. The DOTS strategy is in practice in 182 countries. India
has adapted and tested DOTS since 1993, with excellent results.
•
What is RNTCP? In 1993, a Revised National Tuberculosis Control
Programme (RNTCP) was begun, applying the principles of DOTS to
the Indian context.
DOTS is a systematic strategy which has five components
1. Political and administrative commitment
2. Good quality diagnosis
3. Good quality drugs
4. The right treatment, given in the right way
5. Systematic monitoring and accountability
The RNTCP aims at providing DOTS facilities to all sections of people
through the Public-Private Mix DOTS (PPM-DOTS) strategy
Cure
• Conduct a sputum test and x-ray to see if the patient is
infected.
• Medicines are available with government primary health
centers.
• Continued treatment for a long time is required (6-8
months)
• one feels better
• Incomplete and irregular treatment may cause MDR-TB
(Multi drug Resistance). Treatment of such TB is lengthy,
very costly and cure rate is less than 40-50%.
• Once the doctor declares the patient is cured, there is no
danger of spreading infection.
Rotary’s Initiative
• Rotary’s national committee wants all
clubs to form a committee to take up T.B.
control program.
• Each club should take up at least 5 T.B.
patients and monitor their cure.
• Alternatively, every Rotarian should take
up the treatment of one T.B. patient
Suggestions for clubs
• Clubs should immediately form a T.B. control
committee under community service.
• Identify slum areas that can be visited where
T.B. detection camps can be organised.
• Co-ordinate this activity with the primary health
center closest to the camp.
• Involve the local civil hospital and CMO (chief
medical officer).
• Follow-up on patients who test positive.
• More emphasis should be given on Information,
Education and Communication.
The following clubs have taken up TB control programs
during the year 2011-2012
List of clubs in Bangalore
• Rotary Bangalore Indiranagar
• Rotary Bangalore Koramangala
• Rotary Club of Bangalore
• Rotary Rajmahal Vilas Bangalore
• Rotary Hanumanthanagar
• Rotary Bangalore Whitefield Central
• Rotary Bangalore South Parade
List of Rural clubs
• Rotary Kolar
• Rotary Kanakapura
• Rotary Vijaypura
• Rotary Kyalanur
• Rotary Pavagada
• Rotary Ramanagaram (This club organised a massive procession/rally)
• Rotary Tumkur
• Rotary Tumkur East
• Rotary Tumkur Central
• Rotary Malavalli
May our joint efforts to control TB be
successful just as Rotary has been
recognised for controlling Polio.
Thank You!