1. TB epidemiological situation in Kyrgyzstan
Elmira Abdrakhmanova
KSRIT, Bishkek

2. Morbidity rates in the Kyrgyz Republic
With MoI

3. TB morbidity among adults and children during 1992-2002 (per 100
TB morbidity among adults and children during (per people)
children
adults

4. Dynamics of growth of the number of TB patients in the Kyrgyz Republic (absolute number)
Without MoI
MoI

5. Mortality rates in the Kyrgyz Republic
Mortality without MoI
With MoI

6. REGULATORY DOCUMENTS National program «Tuberculosis-I» for 1996-2000
Law of Kyrgyz Republic
«On the protection of population against tuberculosis»
«Tuberculosis- II» for

7. National program «Tuberculosis-I»
GOAL :
Stabilization of TB morbidity and mortality rates by 2000 and consequently bringing them down
TARGETS:
Maximum detection of infection sources by registration of up to 70% of all TB cases (primarily passive detection).
Application of directly observed treatment, short-course chemotherapy
Reaching 85% cure rate in newly detected patients with smear+.
National program «Tuberculosis- II»
for
Specifics of «Tuberculosis- II» program:
Detection of reservoir of resistant forms of tuberculosis
Implementation of DOTS PLUS strategy, aimed at preventing drug resistant tuberculosis

8. Major achievements of «Tuberculosis» National Program 1
Major achievements of «Tuberculosis» National Program 1. Commitment of the government and local administration to combat TB 2. Implementation of the interdepartmental and interagency approach to TB control 3. Implementation of WHO DOTS strategy for tuberculosis control 4. A three-step coordination system for monitoring of patient management of newly detected patients has been created 5. Strengthening of logistics of lab services and TB facilities

9. 6. There has been improvement in case detection through bacteriological examination in primary health care facilities 7. Due to the grants of the German Bank for Development the availability of anti-TB drugs for newly detected patients amounts to 100% 8. There has been a reduction in cost of keeping a patient in in-patient clinics 9. The efficacy of treatment of newly detected cases during the past 3 years has reached 84,4%

10. Pulmonary TB detection rate in suspects (Smear+) by way of smear microscopy
Smear+ detected
Total number examined

11. Percentage of bacilli forms of pulmonary TB in the Kyrgyz Republic
Smear+
Smear-

12. Sputum conversion in pulmonary TB patients with smear + in 1998-2002 (%)

13. Outcome of treatment of newly detected pulmonary TB with smear +, (%)

14. Number of TB beds in the republic

15. Annual increase in the incidence rate of tuberculosis in the Kyrgyz Republic (%)

16. Tasks that require solutions: 1
Tasks that require solutions: 1. Strict compliance with the law “On the protection of population against tuberculosis” 2. Support of adequate planning and allocation of funds for TB control arrangements 3. Further strengthening of technical and lab facilities of TB services 4. Providing of timely diagnostics for the population 5. Uninterrupted supply of all regions with anti-TB drugs for treatment of all foms and cases of tuberculosis 6. Enhancing of effectiveness of TB awareness campaign among the population

17. Stabilization and a further drop in mortality from tuberculosis
Conclusions:
DOTS implementation has resulted in the annual reduction in the growth of incidence
Stabilization and a further drop in mortality from tuberculosis

18. PROBLEMS: DIAGNOSTICS AND TREATMENT OF TB RESISTENT FORMS
DIAGNOSTICS AND TREATMENT OF TB CASES IN PENITENTIARY FACILITIES

19. Thank you for your attention!