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Hunger / HDI | Public Health
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The key findings of the report titled India TB Report 2022: Coming Together to End TB Altogether (released in March 2022), which has been produced by the Ministry of Health and Family Welfare, are as follows (please click here to access): 

• As per the Global TB Report 2021, the estimated incidence of all forms of TB in India for the year 2020 was 188 per 100,000 population (129-257 per 100,000 population). 

• The total number of incident tuberculosis i.e., TB patients (new and relapse) notified during 2021 was 19,33,381 which was 19 percent higher than that of 2020 (16,28,161). The programme had been able to catch-up with the dip in TB notifications that was observed around the months when the two major covid waves happened in India.

• The estimated incidence of all forms of TB in India as per Global TB report was 456 per lakh population in 2010, 437 per lakh population in 2011, 420 per lakh population in 2012, 404 per lakh population in 2013, 350 per lakh population in 2014, 328 per lakh population in 2015, 303 per lakh population in 2016, 286 per lakh population in 2017, 276 per lakh population in 2018, 266 per lakh population in 2019, and 257 per lakh population in 2020. 

• The estimated number of Multidrug-resistant (MDR) and Extensively drug-resistant (XDR) TB cases to have been put on treatment as per the global TB report 2021 was 4 per 100,000 and 1 per 100,000 population, respectively. 

• During the pandemic, a significant reduction was observed in the total number of Drug-Resistant TB (DR-TB) patients started on treatment as compared to 2019. In 2020 and 2021, there was a reduction of 14 percent and 9 percent in the number MDR patients put on treatment as compared to the estimated numbers.

• The estimated mortality rate among all forms of TB was 37 per 100,000 population (34-40 per 100,000 population) in 2020, as per the Global TB Report 2021.

• There has been a slight increase in the mortality rate due to all forms of TB between 2019 and 2020 by 11 percent in the country. 

• In absolute numbers, the total number of estimated deaths from all forms of TB excluding HIV, for 2020 was 4.93 lakhs (4.53-5.36 lakhs) in the country, which was 13 percent higher that of the year 2019 estimate.  

• As per Nikshay, the total number of reported deaths among Drug sensitive (DS-TB) notified in 2020 was 76,002 (4.3 percent of the total notifications of 2020) which is 15.4 percent of the estimate for the country, thus emphasizing the importance of establishing a “TB Death Surveillance and Response” system in line with the maternal mortality surveillance to improve the coverage and real time resolution of lacunae including the system related factors. 

• A recent systematic review (2020) estimating the direct and indirect patient costs of drug-sensitive and drug-resistant TB care in India reports that 7 to 32 percent of among DS-TB patients and 68 percent of DR-TB were experiencing catastrophic costs for TB care in India.

• In 2021, among 21,35,830 patients diagnosed, 20,30,509 (95 percent) patients were put on treatment. 61 percent were male and 39 percent were female among the patients put on treatment.

• Among the total notification, 6 percent patients were in paediatric age group. Among 17,51,437 TB patients notified in 2020, 83 percent were successfully treated while 4 percent died during treatment.

• In 2021, 48,232 MDR/RR-TB patients were diagnosed and 43,380 (90 percent) were put on treatment. 8,455 Pre-XDR-TB, 376 XDR-TB and 13,724 H mono/poly patients were diagnosed and 7,562 (89 percent), 333 (89 percent) and 12,008 (87 percent) were put on treatment respectively.

• A total of 1939 patients were initiated on shorter oral Bdq-containing MDR/RR-TB regimen, 23,889 on longer M/XDR-TB regimen and 25,235 patients were initiated on shorter injection containing MDR-TB regimen.

• The cohort of DR-TB patients initiated on treatment in 2019 reported 57 percent treatment success rate (34,535/60,873). This includes 39,358 of patients on shorter MDR-TB regimen (inj-containing) with 59 percent treatment success rate and 1,280 of patient on longer oral regimen with 70 percent treatment success rate. This cohort also includes 11,791 patients put on old conventional MDR-TB regimen that has reported 49 percent treatment success rate.

• Available evidence and modelling studies indicate that nearly 20 percent of all TB cases in India may suffer from Diabetes Mellitus (DM). 

• Under the National Tuberculosis Elimination Programme (NTEP), in 2021, out of the 74 percent of the known tobacco usage among all TB patients, 12 percent of TB patients were reported to be tobacco users. Among those screened, 30 percent were linked to tobacco cessation services.

• Of all the notified TB patients, 95 percent know their HIV status. (Public: 96 percent, Private: 92 percent).

• Nearly 95 percent of TB Detection Centres (TDCs) have co-located HIV testing facilities.

• More than 96 percent of People Living With HIV/AIDS (PLHIV) visiting the antiretroviral therapy (ART) centres every month are screened for existing TB symptoms. 

• As per Nikshay data, the linkage of HIV-TB co-infected patients to Cotrimoxazole Preventive Therapy (CPT) and Antiretroviral Therapy in 2021 were 93 percent & 95 percent, respectively.


 

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