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Resource centre on India's rural distress
 
 

1m Indian TB patients fall off radar every year -Malathy Iyer

-The Times of India

MUMBAI: A close-up of India's tuberculosis epidemic shows, for the first time, how a million of the now 2.8 million TB patients go 'missing' or never show up in the Revised National TB Control Programme.

Almost 28% of the patients don't have access a government TB centre and around half a million patients either never complete their long diagnostic process or medical treatment, found a joint study by Indian and US scientists published in PLOS Medicine on Tuesday. The 'missing' patients are important because each patient with active TB can infect 10-15 other people within a year.

Experts from the Indian Council of Medical Research and Harvard University, among others, found that only 39% of all TB patients in India managed a one-year recurrence-free survival.

Using the 'cascade of care' statistical model that helped health economists around the world fine-tune the HIV care programme,

"We estimated that of about 2.7 million prevalent TB patients in India in 2013, only 72% managed to reach government TB health facilities,'' said the study's main author Dr Ramnath Subbaraman from Harvard Medical School told TOI. At every progressive step, the number of patients kept shrinking. At the stage of seeking successful diagnosis, the 72% had reduced to 60%. Finally, only 53% of the 2.7 million started TB treatment at these centres. Worse, only 45% of WHO's estimated number of patients completed treatment.

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