TB Infection Control Actions needed at country level

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Presentation transcript:

TB Infection Control Actions needed at country level M. Angélica Salomão IST ESA TUB Workshop to accelerate the implementation of TB/HIV in selected African Countries, A. Ababa, Ehtiopia, 13-14 November 2008

Outline What is TB IC ? Why TB Infection Control? TB/HIV Collaborative activities The TB IC package Action needed at country level

What is TB IC TB IC refers to prevention of TB transmission in health facilities (nosocomial transmission), congregate settings and household Infection Controls take into account practices to be implemented with the purpose of reducing transmission in the above settings.

Why TB Infection Control

Pooled estimates (reference general population) Outcome Settings Studies Risk Ratio Health care workers TB infection Low income 9 5.77* High income 40 10.06 TB 37 5.71 15 1.99 Congregate 5 2.74* 18 21.41* Household TB infection & TB 7 1.73* 3.19 Also as a Graph (see above) *with outliers

Why TB infection control The outbreak of nosocomial MDR and XDR-TB with related deaths in health care workers in South Africa (2006) brought up to the international attention the inadequacies of TB infection control (IC) in health care settings.

TB/HIV Collaborative activities

TB/HIV Collaborative activities 1.1 To establish the mechanisms for collaboration between TB and HIV/AIDS Programmes; 1.2 To decrease the burden of Tuberculosis in people living with HIV/AIDS; 1.3 To decrease the burden of HIV in tuberculosis patients.

TB/HIV Collaborative activities Decrease the burden of Tuberculosis in people living with HIV/AIDS 1. Establish intensified tuberculosis case finding 2. Introduce Isoniazid preventive therapy 3. Ensure tuberculosis infection control in health care facilities and congregate settings

TB IC is a real cross cutting area in TB control. It involves: ..but TB IC is a real cross cutting area in TB control. It involves: Airborne IC Occupational health TB/HIV and MDR .and above all the health system.

The TB IC package

Actions needed at country level

Next steps Establish the IC bodies How to market TB IC Clear roles and responsibilities. How to market TB IC Need for advocacy and IEC How to get high political commitment How to get the package implemented. Congregate settings and household are new fields Decide on country level targets How to step up TB IC in the community

Thank you Merci Obrigada Grazie Ameseginalhu