Tuberculosis Control in India: Why are we Failing.
Date
2014-07
Authors
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Abstract
In spite of being the pioneer-leader of research into epidemiology and prevention of tuberculosis among low-income countries, India has
the highest population-based burden of tuberculosis among all nations. Children with latent tuberculosis are the pool from which adult
pulmonary tuberculosis emerges many years later. In the absence of primary prevention of infection by BCG, sociologic/behavioral
interventions must be applied to reduce air-borne transmission. In addition to maximizing passive surveillance of adult disease, pediatric
tuberculosis must also be brought under surveillance. Those with latent tuberculosis must be detected and treated to remove them from
the pool. Epidemiologically, the realistic monitoring method of tuberculosis control trajectory is documenting progressive reduction of the
short incubation period pediatric disease through surveillance, and not the reduction of long incubation period adult pulmonary
tuberculosis. Application of scientific tools for the detection and management of pediatric tuberculosis infection – latent and active –
holds the key to effective tuberculosis control.
Description
Keywords
Child, Control, India, Tuberculosis, Strategy
Citation
John T Jacob. Tuberculosis Control in India: Why are we Failing. Indian Pediatrics. 2014 July; 51(7): 523-527.