Emergency situations. at 1Yes In April, Covid-19 killed 113,142 Africans. Tuberculosis, which kills 500,000 people every year, deserves serious attention.
Øn will almost forget it! However, tuberculosis still exists and is still causing serious damage.This disease swept beautiful Mimi Bohemian stylePuccini’s operas sung from Paris in the 1830s still cause 1.2 million lives worldwide every year, more than AIDS and malaria. Tragedies that no longer happen in Paris, New York or Milan can be seen everywhere in the southern countries of Johannesburg, Delhi or Kinshasa.
Of the 10 million cases diagnosed each year, a quarter are related to Africa. As the immune system is weakened, tuberculosis is spreading faster in countries with a high proportion of HIV carriers. On the African continent, the most affected countries are Nigeria, South Africa and the Democratic Republic of Congo, with 2,000 cases detected for the first time in 2020. On March 24, World Tuberculosis Day, the WHO emphasized the urgency. “More than half a million Africans die from tuberculosis each year. Dr. Matshidiso Moeti, WHO Regional Director for Africa, said there is no excuse for this situation. Tuberculosis screening and treatment are free in all countries. Caused by bacteria (Mycobacterium tuberculosis Or Coriolis named after the discoverer), tuberculosis most often affects the lungs. Infectious diseases are spread through the air. It’s like a little breath of Covid. Infected people spread bacteria through coughing, sneezing or spitting. You only need to inhale some to get infected.
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Many people fell into poverty after contracting tuberculosis. They have lost all or part of their income and must bear transportation and other expenses to get treatment. Matshidiso Moeti pointed out: “The cost of tuberculosis surveys in Kenya, Uganda, the Democratic Republic of Congo and Zimbabwe show that families infected with tuberculosis spend more than 50% of their income on tuberculosis-related expenses.” Fortunately, progress has also been made in recent years. “Between 2015 and 2019, Kenya, Mozambique, Tanzania and Sierra Leone reduced tuberculosis-related death rates by more than 30%. She said: “South Africa, Ethiopia, Kenya, Namibia and Tanzania reduced new tuberculosis infections by 20%. . “However, by 2020, the Covid-19 pandemic has slowed the fight against tuberculosis. In South Africa, the number of new cases reported every month between March and June has been halved. In some countries, the resources allocated to tuberculosis have already been allocated. It was reassigned to fight Covid-19.
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Within a year, each patient can infect 15 people. “Unfortunately, too many people don’t know that they have tuberculosis,” lamented Helena Huerga, head of the tuberculosis research project at Epicenter, an epidemiological research association of Doctors Without Borders. Certain tests, such as those based on automated molecular diagnostics, are still unavailable due to their cost and necessary infrastructure. Diagnosis is still usually based on analysis of sputum under a microscope. MSF explained: “Developing and evaluating easier-to-use tests is a challenge to improve patient care and provide them with faster treatment.”
Based on the presence of antigens in urine samples, research is moving in the direction of diagnosis. MSF said: “Urine sampling is also an option for people living with HIV, who sometimes cannot produce sputum in the late stages of the disease,” MSF said. The AlereLam test is the first step. Despite its limited sensitivity, its use can still start anti-tuberculosis treatment immediately after a positive result and reduce the mortality of hospitalized patients. Other more sensitive tests have also been developed. Epicenter has initiated a study to evaluate the FujiLAM test, which can detect antigen concentrations 30 times lower than AlereLAM. A study funded by ANRS (National AIDS and Viral Hepatitis Research Agency) and MSF is in progress. Approximately 1,800 patients will be recruited in the four HIV/AIDS and tuberculosis endemic areas in Uganda, Kenya, Mozambique and South Africa.
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Tuberculosis also has economic costs: every year, it reduces the world economy by US$12 billion, mainly due to absenteeism due to treatment and the poor health of the people involved. This is the origin of initiatives such as the African Business Association and the Côte d’Ivoire Association. From March 22nd to 27th, the latter organized a health tour team to visit the location of Zamacom (coffee and cocoa trader) and Petro-SEA in Abidjan port, Sotra, transportation company in Koumassi town and chocolate production Cemoi. Yopougon Industrial Zone.
Employees in the workplace, their families, subcontractors and local residents can use the following methods to obtain awareness raising, consultation, free and anonymous screening services (viral hepatitis B and C, HIV, tuberculosis, diabetes and Hypertension, anemia) and medical consultation. location. The caravan was organized on the occasion of World Tuberculosis Day and focused on screening for latent tuberculosis (with no signs of infection) that is difficult to diagnose. Nearly 1,000 people have been accepted and screened, 103 of whom have benefited from the Quantiferon Gold-Plus test to screen for latent tuberculosis. “These initial results are encouraging and encourage us to accelerate the integration of tuberculosis and Covid into the multiple disease prevention service groups provided to the company for the medical fleet. SEE CEO Erick Maville emphasized Said that this is one of the top tasks this year in Côte d’Ivoire and all the countries where the association does business in Africa.
The association participated in the “Eliminate Tuberculosis in the Workplace” initiative launched in Davos in 2020 under the impetus of the World Economic Forum, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Containment Partnership. The plan is to rely on companies to speed up the tuberculosis control plan. Once diagnosed, the patient should receive long-term treatment within six months, usually with four combined antibiotics. Drug-resistant tuberculosis is emerging and new treatment strategies are needed.