Rise of 45% in cases of drug resistant TB cases in Chhattisgarh

Source: The Hitavada      Date: 12 May 2018 13:07:41


 

Staff Reporter,

Durg,

One out of ten patients of Tuberculosis (TB) came in contact of drug-resistant (DR) TB, third stage of this disease which generally happens when patients do not complete his ninth month course of treatment as well as medication in a proper way. This clearly shows that many of TB patients across state do not take medicines or treatment properly as per the guidelines of TB treatment and because of it they are either diagnosed with drug resistant TB or fail to battle with disease and succumb to it. 

According to the report of National Anti-TB Drug Resistant Report of union ministry of health and family welfare, Chhattisgarh is home of 54000 TB patients and out of them 4503 patients cases were of DR TB. Of them, 3022 patients were of Multi Drug Resistant TB and remaining were of extensively drug resistant (XDR) TB, which is being infection by the deadliest strain of the airborne disease and resistant to all known medicines. In 2017-18, 510 patients of TB lost their life at different parts of Chhattisgarh and around 90% of them were of DR TB patients. The shocking part is that owing to lack of awareness and orthodox society, many suspected patients could not report their disease in health centre and these cases are being unreported for years.

The new data also confirm what experts have long suspected: polluted as well as crowded urban pockets provide a perfect breeding ground for the airborne infection to spread. With 120 MDR patients, capital Raipur has the highest number of such patients. Durg has the highest number of cases of MDR TB with 99 cases in last one and a half year and out of them 5 cases are of XDR. In addition, the new data show that nearly 3% of new patients and nearly 12% of previously treated patients have MDR-TB.

While this is the largest report of its kind, the figures does not reveal the national burden of DR-TB as it does not include data from patients being treated in the private sector. The report was done at designated microscopy centers (DMCs) within the laboratory network of the Revised National Tuberculosis Control Programme (RNTCP), and provides a conservative estimate of India’s actual disease burden.

‘It is important to note that patients in the report were sampled only from public health centers, and not the private sector. Since over half of all TB patients are managed in the private sector, we are still not getting a ‘national’ perspective. We know that the quality of TB care is quite poor in the private sector, and I suspect DR-TB rates are probably higher in the private as well as informal sectors. Hopefully, the next DRS can sample patients in the private sector’ said Dr. Ashok Saniyal, one of the senior medical officer who deals with TB cases in public health sector.

For better cooperation from the private sector, the government announced that doctors and pharmacists could be jailed for up to two years for failing to report new cases. The report comes as the government has prioritized identification of new cases.However, medical experts were of the view in last two years, state reported a decline in the number of TB cases owing to increase in awareness amongst people. But health activists denied all these claims and alleged that there is lack of awareness and as a result in rural areas, patients have to suffer a lot.  When contacted Dr. MR Deshpandey, state officer of TB, he refused to comment on this matter.