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Tuberculosis in India
India has approximately two to three million people infected Tuberculosis. This public health problem is the world's largest tuberculosis epidemic.
India bears a disproportionately large burden of the world's tuberculosis rates, as it resides to be the biggest health problem in India. It remains one of the largest on India's health and wellness scale. India is the highest TB burden country with World Health Organisation (WHO) statistics for 2011 giving an estimated incidence figure of 2.2 million cases of TB for India out of a global incidence of 8.7 million cases.〔TB Statistics for India. (2012). TB Facts. Retrieved April 3, 2013, from http://www.tbfacts.org/tb-statistics-india.html〕 Compared to Canada, there are about 1,600 new cases of TB every year,〔Tuberculosis - Causes, Symptoms, Treatment, Diagnosis. (2013). C-Health. Retrieved April 3, 2103, from http://chealth.canoe.ca/channel_condition_info_details.asp?disease_id=231&channel_id=1020&relation_id=71085〕 which does not largely sum up, even closely, to the amount India suffers through. Citing studies of TB-drug sales, the government now suggests the total went from being 2.2 million to 2.6 million people nationwide.〔Anand, G., & McKay, B. (2012). Awakening to Crisis, India Plans New Push Against TB. The Wall Street Journal. Retrieved April 3, 2013, from http://online.wsj.com/article/SB10001424127887324461604578193611711666432.html〕 Tuberculosis is the biggest health issue that lies around India, but what makes is worse is the newly and recently discovered global phenomenon of TDR-TB - Totally Drug-Resistant Tuberculosis. This issue of drug-resistant TB started off with MDR-TB, and moved on to XDR-TB. Gradually, the lowest but most dangerous and strongest of them all has situated itself in India as TDR-TB.
''"Within India, the Journal—using government data obtained through the Right to Information Act—has reported that India's drug-resistance rate is likely much higher than the 2% to 3% of TB cases reported to the WHO"''()
==Epidemiology==
Tuberculosis is one of India's major public health problems. According to WHO estimates, India has the world's largest tuberculosis epidemic.〔WHO. Global tuberculosis control. WHO report. WHO/HTM/TB/2006.362. Geneva: World Health Organization, 2006.〕
Many research studies have shown the effects and concerns revolving around TDR-TB, especially in India; where social and economic positions are still in progression. In Zarir Udwadia’s report originated from the Hinduja Hospital in Mumbai, India explicitly discusses the drug-resistant effects and results.〔Udwadia, Z., & Vendoti, D. (2012). Totally drug-resistant tuberculosis (TDR-TB) in India: every dark cloud has a silver lining. Journal of Epidemiology & Community Health - BMJ Journals . Retrieved April 3, 2013, from http://jech.bmj.com/content/early/2012/11/14/jech-2012-201640.extract〕 An experiment was conducted in January, 2012 on four patients to test how accurate the “new category” of TDR-TB is. These patients were given all the first-line drugs and second-line drugs that usually are prescribed to treat TB, and as a result were resistant to all. As a response, the government of India had stayed in denial, but WHO took it as a more serious matter and decided that although the patterns of drug-resistance were evident, they cannot rely on just that to create a new category of TDR-TB.
''"Paul Nunn, coordinator of WHO's STOP TB department in Geneva, described the cases as “a wake up call for countries to accelerate provision of proper care, particularly for multi drug-resistant patients”''. ()
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