1. Tuberculosis in Ealing Stigma and Interagency working

2. Marriage breakup Not being able to marry Risk of dying because of TB treatment TB treatment changes your appearance/looks Refuse to sharing food/utensils Not realising TB is curable Stigma – result

3. Avoid seeking health care Deny the illness Isolation Poverty Family network disappearing Difficulty in contact tracing Stigma – result

4. TB sufferer says: “When you have TB, people will laugh at you and say you have HIV. That is why we wouldn’t want people to know. But the best thing is to let people know so that people can help you and you avoid transmitting it to many people.” Link with HIV: TB-HIV stigma leads to TB patients being socially shunned, physically isolated and considered sexually ‘immoral’

5. the body of a woman who died from TB in India was kept in a car for five days by her employer Conclusion TB can make a person socially isolated (or the feeling of being socially isolated) PSExamples are from international literature. Not all may apply in Ealing. PPSMost of the stigma issues apply to South-East Asian communities (Indian, Bangladeshi etc.) and African communities (Somalian)

6. TB Alert (UK’s national TB charity) North West London HPU (network and TB outbreak management) Schools (assemblies, health promotion) Voluntary sector (health promotion, raising awareness) Interagency working

7. Local businesses (Money exchange) Café (Khat chewing) Mosque (after prayers on Friday) Gantaar (Assistance / Support agency) RAAD (Refugee support) Somalian Children Support Group (after school kids club) Interagency working

8. Our staff (advocacy workers) Ahmed Yassin Mohammed Ahmed