MHF TOP PICKS FOR JUNE
Every month, we at the Mueller Health Foundation like to showcase interesting news and updates in the field of tuberculosis. Below are our top 3 picks for June:
- Active Screening for Pulmonary Tuberculosis Among Jail Inmates: A Mixed Method Study From Puducherry, South India
Active case finding (ACF) is crucial in the effective management of TB disease.
The researchers aimed to conduct a mixed methods study that has a quantitative
component, i.e., to actively screen prison inmates for pulmonary TB (PTB), and a
qualitative component, i.e., to know the perceptions of jail inmates towards PTB
and the stigmas associated with it. Out of all the 187 inmates screened with
cartridge-based nucleic acid amplification test (CB-NAAT) assay, 10.7% were
symptomatic for PTB. During the focus group discussion, the researchers came
across negative ideologies and stigmas associated with PTB among jail inmates.
The researchers used the same platform to clear those ideologies and
recommend frequent health education exercises even in socially ostracized
communities like jail inmates. To learn more, you can access the full paper at:
- Public Health Concerns about Tuberculosis Caused by Russia/Ukraine Conflict
According to WHO, Ukraine has the fourth‐highest Tuberculosis (TB) incidence in the European region while globally it has the fifth‐highest number of confirmed cases of extensively drug‐resistant TB. Before the Russian invasion in Ukraine several interventions have been employed to mitigate the TB epidemic in the country. However, the ongoing war has demolished meticulous efforts and subsequently worsened the situation.
DID YOU KNOW?
Given the on-going conflict between the Ukraine and Russia, we wanted to highlight some facts related to TB prevalence among refugees and displaced persons from the Ukraine with the latest available data from 2022:
- Before the occurrence of the conflict, cases of TB in the Ukraine spiked up to 30,000 annually while among those cases, 29% of all new diagnoses were MDR‐TB cases. Only 81% of the total TB cases were diagnosed and treated.
- The extent of the TB burden in Ukraine emanates from the southern and eastern regions, skewed toward the male population aged 40 years and older.
- Of the estimated 6.12 (95% CrI: 5.84 to 6.36) million Ukrainians refugees fleeing the country between February 24 and May 13, 2022, it is estimated that 5,625 people have TB.
- For internally displaced people within the Ukraine is estimated that around 8,031 people have TB based on estimates made in May 2022.
- TB and HIV disproportionately impact adult men younger than 60 years old, who may be prohibited from leaving the country under martial law restrictions.
- Researchers have estimated the prevalence of TB to be 9.19 per 10,000 Ukrainian refugees in 2022.
- Given that the Ukraine has the highest number of cases of MDR‐TB in the EU region, and given that more than 7 million people have left the country to date, managing and treating TB and MDR-TB refugees from the Ukraine should be a critical concern within the EU region and globally.