Academic journal article Bulletin of the World Health Organization

First Requirement for Control of Multidrug-Resistant TB: Realism. (Round Table Discussion)

Academic journal article Bulletin of the World Health Organization

First Requirement for Control of Multidrug-Resistant TB: Realism. (Round Table Discussion)

Article excerpt

The primary cause of an uncontrolled and increasing TB epidemic worldwide is the neglect of TB control programmes. This neglect is evidenced by lack of political support, scarce financial resources, and little or no leadership. Successful programmes in both industrialized and developing countries indicate that a DOTS strategy prevents multidrug-resistant tuberculosis (MDR-TB). The timely and appropriate diagnosis and treatment of new and previously-treated TB patients is the focus in DOTS. As Pablos-Mendez et al. suggest (see pp. 489-494), a DOTS-Plus strategy is needed to control MDR-TB only after the DOTS programme has been established and is being adequately implemented.

However, besides the epidemiological and operative factors involved in implementing a DOTS-Plus strategy, there is an international debate about the ethics and humanism involved. To deny treatment to patients with MDR-TB is to violate their human rights. Experience in Peru indicates the need for sustained and long-term efforts in preventing the emergence of MDR-TB with a DOTS strategy. Only then does it become possible to treat MDR-TB by applying a DOTS-Plus strategy in the context of an efficient, sustainable and comprehensive TB control programme. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.