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Drug resistant TB more severe
- Thread starter mancombseepgood
- Start date
The problem of multidrug-resistant tuberculosis may be even more severe than previously thought, experts warn.
A survey of 79 countries by the World Health Organization published in the Lancet found TB drug resistance in virtually every one.
Particularly high levels of resistance were seen in regions of the former Soviet Union and parts of China.
Scientists have recently reported an even more worrying from - extensive drug-resistant TB (XDR-TB) - which has been found among people with HIV in South Africa.
(I think bigger than aids and more deadly) + (nightmare vision: quarantine for SA and Africa!)
mancombseepgood
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Drug resistant TB is harboured in people who don't follow the guidelines for treatment and complete their OI drug courses correctly... HIV is the same - the difference is that HIV is not cureable at this stage and there are many more people on treatment at any point in time. SA patients have a poor history with adherence to medication - one of the most serious issues facing proper HIV treatment. As you can imagine - money wise - it is an issue as you cannot stop treatment once started. At around R1000 per month per person (very low compared to first world countries), government first line HIV treatment is costly. Once the virus becomes resistant to the meds (as in the case of a person who hasn't been adhering to their treatment), they move to the second line treatment at a cost of around R10 000 per month per person - not desireable (mainly because of non-generic patented drug costs). Of course if that person infects the next person or cross infects another HIV+ person, the resistant strain is passed on... Once government commits to treating a certain number of patients, that number will not go down.... so you can imagine the cost to the state when the number of second line patients increases... obviously I am not referring to the private patients.
Some of the reasons for non-adherence are side effects, challenges in keeping same daily schedule, sale of parts of the regimen for extra money (since HIV drugs are limited, not all HIV+ people can be funded by government and people sometimes sell their drugs to make extra money - of course taking part of the regimen and only taking it part time only makes the virus more resistant instead of supressing it, so you end up with two resistant people), etc. etc.
Bottom line is that this reflects very badly on the state of affairs in the SA health sector - especially public health.
Some of the reasons for non-adherence are side effects, challenges in keeping same daily schedule, sale of parts of the regimen for extra money (since HIV drugs are limited, not all HIV+ people can be funded by government and people sometimes sell their drugs to make extra money - of course taking part of the regimen and only taking it part time only makes the virus more resistant instead of supressing it, so you end up with two resistant people), etc. etc.
Bottom line is that this reflects very badly on the state of affairs in the SA health sector - especially public health.
Last edited:
DragonLogos
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You know, XTB makes bird flu look like a walk in the park, I would be very worried about this
Some of the reasons for non-adherence are side effects, challenges in keeping same daily schedule, sale of parts of the regimen for extra money (since HIV drugs are limited, not all HIV+ people can be funded by government and people sometimes sell their drugs to make extra money - of course taking part of the regimen and only taking it part time only makes the virus more resistant instead of supressing it, so you end up with two resistant people), etc. etc.
You left one out (actually the primary motivator to stay sick.) The temporary disbilility grant (there is no percentage in getting better!)
While not particular to TB (here is a little read.)
"We pointed out to Napwa that the danger of making the grant permanent is that it could encourage people to get infected - such as is the case with child grants and young women getting pregnant to receive a grant. These are serious consequences," said Mseleku.
The chief financial officer at the department of social development, Coceko Pakade, said most people received the R820 grant for medical reasons.
Aids disability grant flawed, says Napwa Oct 24 06
surely beetroot can fix this like our glorious health minister has shared with the world concerning aids, if not i am sure a shower will not harm.
anyway, my take media works off fear. bird flu? wtf? where is their bird flu. next on the fear agenda - drug resistant TB.
what next... seriously the world health organisation have been promising a killer flu for like 6 years in a row...
anyway, my take media works off fear. bird flu? wtf? where is their bird flu. next on the fear agenda - drug resistant TB.
what next... seriously the world health organisation have been promising a killer flu for like 6 years in a row...
"We pointed out to Napwa that the danger of making the grant permanent is that it could encourage people to get infected
Friend of mine works in a government hospital in the HIV program and apparently this is already happening, people deliberately infect themselves to get the grant, then stop taking their medication when their CD4 count rises above 1000 because that's when the grant gets cut off.