Tuesday 11 April 2017

Steps for Elimination of TB

The estimated incidence of Tuberculosis in the country has been declining:
Year
Incidence (per lakh/year)
2013
228
2014
223
2015
217

Total Case Notification of Drug Sensitive TB (2014-16)
State/UT
2014
2015
2016
Andman and Nicobar Islands
738
605
534
Andhra Pradesh
106505
68922
74373
Arunachal Pradesh
2602
2779
2788
Assam
36810
39978
40851
Bihar
69519
81731
97001
Chandigarh
2926
3320
3413
Chhattisgarh
26287
35339
39484
Dadra and Nagar Haveli
411
553
552
Daman & Diu
742
414
487
Delhi
51035
59309
62706
Goa
1780
1893
1966
Gujarat
80535
109828
126665
Haryana
40393
44970
47545
Himachal Pradesh
14002
14965
14961
Jammu and Kashmir
11241
10046
9937
Jharkhand
35828
35985
39515
Karnataka
61940
64684
68462
Kerala
24856
29529
47293
Lakshadweep
23
40
23
Madhya Pradesh
96355
111317
129915
Maharashtra
148300
182974
195139
Manipur
2329
2370
2393
Meghalaya
6009
5568
4586
Mizoram
2014
2139
2205
Nagaland
3621
3504
2821
Odisha
45271
46630
43851
Puducherry
1458
1290
1421
Punjab
37700
39611
39836
Rajasthan
95199
102032
106756
Sikkim
1637
1400
1539
Tamil Nadu
82252
86729
96079
Telangana
-
40934
45003
Tripura
2541
7404
2374
Uttar Pradesh
257355
265454
297746
Uttarakhand
13735
15590
15081
West Bengal
90661
88147
89656
Total
1454610
1607983
1754957

The state level incidence for Tuberculosis has not been estimated, however the total case notified across the states in the last three years is at Annexure.
           
The total case notification for the last three years for the state of Rajasthan including that from the private sector has been 95199 in 2014, 102032 in 2015 and 106756 in 2016 respectively.
The Revised National Tuberculosis Control Programme is being implemented under the aegis of the National Health Mission with the following steps
·         strengthening and improving quality of basic TB services,
·         addressing TB HIV co-infection, other co-morbidities and MDR-TB
·         engaging with care providers both in the public and the private sector
·         targeted intervention in the vulnerable population and strengthening urban TB control along with active case finding activities
·         integrating newer molecular diagnostics for TB  in the health system (CBNAAT) for early diagnosis of MDR TB
·         leveraging of Information Communication Technology for enhancing TB notification and strengthening of monitoring.
According to the WHO Global TB Reports, the estimated proportion of Multi- Drug Resistant TB Cases in India is not increasing. The proportion of MDR cases is estimated to be in between 1.9 – 2.6 percent among new TB cases and between 11- 19 percent among retreatment cases.
However, the detection of MDR-TB/XDR-TB cases has been increasing due to availability of more diagnostic facilities for MDR TB/XDR-TB and coverage of the entire country through Programmatic Management of Drug Resistant TB under the Revised National TB Control Programme (RNTCP).
           
Cases of Multi Drug Resistant TB detected for Rajasthan for the last three years are 2050 in 2014, 1930 in 2015 and 2118 for 2016 respectively.

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Rajya Sabha here today.


Courtesy: pib.nic.in

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