Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessation Kathmandu, April 7 –

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Presentation transcript:

Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessation Kathmandu, April 7 – 8, 2014 Tobacco as a risk factor for TB and screening strategies Giampaolo Mezzabotta Medical Officer/Tuberculosis World Health Organization Nepal Country Office

How tobacco influences TB * = smoking-related cough can mask TB, thus delaying patients’ care seeking behaviour and making harder for clinicians to recognize TB. SMOKING?

Who should be screened for TB? TB prevalence in Nepal is estimated at 241/100,000.

Who is at higher risk of active TB? Setting

Published in 2007 but still the main source of information about TB and tobacco control

Estimated number of cases Estimated number of deaths 1.3 million* in children in women 8.6 million 0.5 m in children 2.9 m in women 450,000 All forms of TB Multidrug-resistant TB HIV-associated TB 1.1 million (13%) 320,000 Source: WHO Global Tuberculosis Report 2013 * Including deaths attributed to HIV/TB The global burden of TB ,000

The Tobacco epidemic

How and where the two epidemics merge ?