Intensive Phase for about 2 months,
in which the Fever stops,the coughing
reduces,apetite increases and
the patient gains weight. After
this the patient is not a Danger
to the society BUT HE IS STILL
Do not stop treatment after this.
Phase for about 4 to 6 more months
so that all the TB 'germs' die
and patient is TB-FREE.
If the treatment is STOPPED after
the first phase then the TB Bacteria
becomes resistent to the medicine
and patient needs to be given
higher and costlier dose of medicine
for longer period of time with
uncertainity of cure with possible
Signs of TB
Low Grade Fever
Loss of Apetite
Loss of Weight
Coughing of Blood
|How TB Spreads:
| TB is
an Air-Borne Disease .It spreads through
Over Crowded Trains
Poorly Ventilated House
TB stands for Tubercle Bacilli,
germs causing a disease called 'TUBERCULOSIS'.
In olden days it was called as
'RAJYAKSHMA', the king of disease.TB
affects Lungs, Meninges (Cover of the Brain),
Intestines, Bones, Kidneys etc.
is the first disease upsurged with this Universe
and is even today the prime killer in our country.
At anytime 20 million people
suffer from it while 3 million
people die from this dreaded disease every
year. Tuberculosis is a major killer today in
developing countries.Early detection and proper
treatment itself can substantially reduce the
spread and misery.
In recent years the T.B.
bacteria (Micobacterium tuberculosis) has
transformed into more virulent form and is becoming
resistant to number of available antibiotics.
Out of two regimes recommended by WHO, the primary
one running into 6
to 8 months while the secondary line of
treatment, which is expensive, goes for 18
months to 2 years costing Rs.
90,000 to Rs.1,50,000. Hence socially and
economically backward patients generally leave
the prescribed course of medicines half way.
|Who gets TB:
||Any one. But certain people are at
risk, like children, elderly, Alcoholics, Homeless,
Medical Workers, People suffering from AIDS, Diabetes
Anti-TB drugs are to be used for 6-9 months to completely
cure a non-resistant case. Resistant cases require
18-24 months treatment.
Usually, within 1-2 months of starting treatment,
patient starts feeling better and can resume his
normal routine. If he discontinues his treatment
at this time, he will re-activate the disease.
||Detect the patients spreading the disease and
put them under effective treatment, secondly, by
giving BCG vaccine to all children.
|How to Stop Spread
of TB by a TB Patient:
- He should take the treatment fully and regularly
- He should eat nutritious food
- He should cover his face while coughing,sneezing
- He should not spit in public places and should
spit in a spitoon and burn it off
- He should stop smoking,alcohol,tobbaco or
any other addiction
- He should not come in Close contact with anyone
till he is TB-FREE
- He should listen to his Doctor's Advice.
|Social & Economic
||Our country carries about 25% of load of all TB
patients of the world - about 10 million. Only about
30% of these go to dispensaries. Even when the disease
is detected and the patients are put under effective
treatment and cured, 2 million new patients are
added every financial year. Because of poverty and
other financial set backs, many patients start treatment
and stop prematurely, while others are not in any
position to start at all. Hence the picture is very
Government agencies cannot reach the grass root
level where NGOs play a very important role. NGOs
because of their credibility are better accepted
by the society, are doing and keep continuing to
do such yeomen work.
to fight T. B.:
||At present we have drugs
like Rifampicen, Ethambutol, Isoniazid, Pyrazinamide,
Streptomycin, Ciprofloxacin, Roxythromycin, Kanamycin,
PAS, Ethinamid, Cycloserin, Sparfloxacen.
First 5 drugs are primary ones where duration of
treatment is 6 to 9 months but is uncertain, while
rest are used in the treatment of Multiple
Drug Resistance (MDR) T.B. cases. Where duration
of treatment is 12 to 18 months.
The treatment is very expensive costing about Rs.90,000
to Rs.1,50,000 and still it is uncertain and has
few side effects as well.
Total patient's compliance is must for successful outcome.Good
personal hygiene manners (like covering mouth, not
spitting on roads etc.), maintaining surrounding
clean & BCG vaccination will help long way in
preventing T.B. from spreading.
T.B. is a disease, where patient's
active participation in the management of it is
of paramount importance.
|TB Fact File
- TB is the prime killer
in India (5,00,000 deaths per year)
- TB bacteria, not only kills
one patient, but also his whole family - economically.
- According to WHO figures,
our country carries 25% of load of total TB
patients of the world.
- 22 children of every 100
TB Patients suffer from TB.
- TB kills more women than
all the combined causes of Maternal morality.
- TB kills one million women
every year and 1,00,000 children.
|Take Home Message
- TB is almost 100% curable.
- Excellent medicine are
- Treatment must be taken
for 6 months.
- Never interrupt treatment.
- Home treatment is OK.
- TB does not run in family.
- Only TB of lungs can cause
infection to others.
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