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India Tuberculosis (TB) Report 2024

Posted 21 May 2024

3 min read

Why in the news? 

Union Ministry of Health and Family Welfare released India TB Report 2024.

Major Findings of the Report

  • Notified TB patients: 25.52 lakh TB patients in 2023 (increase from 24.22 lakh cases in 2022).
  • Reporting of cases: ~67% reporting being done by the public sector and ~33%) from private sector.
  • Treatment Success rate among notified Drug-Resistant TB (DR-TB): 65%
  • Achievements:
    • Target of initiating treatment in 95% of patients diagnosed with the infection was achieved in 2023.
    • Decline in Incidence of TB (new cases emerging each year): 16% in comparison to 2015
    • Reduction in mortality: 18% in comparison to 2015
    • Increase in proportion of notified TB patients receiving financial support through Direct Benefit Transfer: 70% (against a target of 90% by 2023)

About Tuberculosis

  • It is an infectious disease caused by bacillus Mycobacterium tuberculosis bacteria which most often affects lungs and is known as pulmonary TB.
    • Extrapulmonary TB is the TB which affects other areas of the body. (e.g. gastrointestinal TB, skeletal TB, liver TB)
  • Transmission:  By air when an infected person coughs, speaks, laughs, sings, or sneezes.
  • Common symptoms: Prolonged cough (sometimes with blood), chest pain, weakness, fatigue, weight loss, fever, night sweats.
  • Tests for Identification:  Xpert MTB, RIF Ultra and Truenat assays.
  • Treatment:  Tuberculosis is preventable and curable.
    • Most common medications include isoniazid, rifampin, ethambutol, pyrazinamide,  streptomycin etc.
    • Bacillle Calmette-Guerin (BCG) vaccine is also available for its prevention.
  • Drug-Resistant TB are Tuberculosis that doesn’t respond to standard drugs. 

Way Forward

  • Enable Early Detection by increasing the use of chest X-ray, strengthening of referral networksfor better screening of patients.
  • Precise Treatment Categorization such as resistance status of TB at the beginning of diagnosis can help in assigning appropriate treatment regimens.
  • Long-term and sustained treatment should be ensured by regular follow-ups and considering portability of treatment.
  • Nutritional Support to patients (E.g. a 2023 Lancet study found that nutritional support in a 'RATIONS' trial in Jharkhand reduced the risk of death in lung TB patients).
  • Dynamic Notification System for improved notification system to capture real-time TB data.
  • Decentralizing TB service delivery to the level of “Ayushman Arogya Mandirs”.
    • E.g., TB-WIN platform was launched in India for registration of the Adult BCG Vaccination beneficiaries.
  • Increase Investment can lead to better outcomes. 
    • As per WHO study, for every dollar spent on screening of TB, there is potential benefit of $39.

India’s Initiatives

  • The National Tuberculosis Elimination Programme (NTEP): Aims to reduce TB burden by 2025, five years ahead of global target of 2030.
  • Pradhan Mantri TB Mukt Bharat Abhiyan: Launched toprovide additional patient support, augment community involvement and leverage Corporate Social Responsibility (CSR) activities.
  • Nikshay Poshan Yojana: It has been launched to provide for financial incentive of Rs 500 for TB patients registered on Nikshay Portal.
  • National TB Call Centre – Ni-kshay SAMPARK: To address patients’ queries related to TB and providing tele-counseling on treatment.
  • TB Mukt Panchayat Initiative: Aims to empower Panchayati Raj Institutions to understand TB issues, take necessary actions.
  • Tribal TB Initiative:  To address TB among the tribal communities of India.
  • Mission Indradhanush: BCG vaccine is provided under the mission.

WHO Initiative

  • #ENDTB Strategy with goals of-
    • 95% reduction by 2035 in number of TB deaths compared with 2015.
    • 90% reduction by 2035 in TB incidence rate compared with 2015.
    • Zero TB-affected families facing catastrophic costs due to TB by 2035.
  • TB vaccine accelerator Council: To facilitate the development, testing, authorization, and use of new TB vaccines.

 

 

 

  • Tags :
  • TB
  • Drug-Resistant TB
  • Bacillle Calmette-Guerin (BCG)
  • The National Tuberculosis Elimination Programme (NTEP)
  • Nikshay Poshan Yojana
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