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Posted by irene on 05 April 2016 - 02:15 PM


The prevalence of tuberculosis (TB) has been steadily decreasing since the year 2000, but despite the colossal effort put into policy changes and government programs, TB has now surpassed HIV/AIDS as the leading cause of death from infectious diseases. One in three people worldwide are infected with TB, but far fewer actually get sick. The World Health Organization (WHO) has announced a plan to lower deaths from TB by 90%, which they set as a goal for 2030.

A global epidemic

In 2014, an estimated 1.5 million people died from TB and 1.2 million from HIV/AIDS, which includes 400,000 people who had HIV/AIDS and TB. TB is often opportunistic, preying on people with a weak immune system. Over 95% of infections occur in developing countries where healthcare is limited and government budgets stretched thin.


Promoting public awareness of TB is extremely important so that people can recognize symptoms and seek help as soon as possible. An obvious problem with fighting TB is the funding that goes into TB programs. Compared to global investments for HIV/AIDS, which was $21.7 billion in 2014, a paltry $6.6 billion was spent on TB prevention.

A serious problem that plagues developing countries is that physicians are reluctant to report all cases to local disease control centers and as a result statistics provided by government agencies are unreliable. The gap in the figures is quite disturbing. It is estimated that of the 9.6 million who got TB last year, a mere 62.5% of them (6 million people) were reported to government agencies, which means that 38% of the new cases weren’t diagnosed or recorded officially. If some countries are hiding the facts, organizations like the WHO are seriously underestimating the extent of disease prevalence.

The countries which had the highest incidence rates of TB in 2014 were Indonesia, Nigeria, Pakistan, People’s Republic of China and South Africa.


Addressing the problem of drug resistance

Studies have shown that in every country surveyed, TB strains that are resistant to standard treatment are present. Multidrug-resistant tuberculosis (MDR-TB) is a form of TB that does not respond to first-line treatment, isoniazid and rifampicin. The main causes of MDR-TB are inadequate treatment, incorrect or inappropriate use of anti-TB drugs, or the use of low-quality medications. MDR-TB can be effectively treated with second-line drugs, but these may be limited in availability and are much more costly.

Extensively drug-resistant tuberculosis (XDR-TB) is a dangerous form of TB that fails to respond to even second-line treatment and requires serious drugs that often cause side-effects. Cure rates for MDR-TB are about 50%, and XDR-TB cure rates are even lower.

Effective decision-making

Examining the causes and adopting new strategies can help avoid the spread of drug resistant forms of TB. The United States recently released a National Action Plan to combat MDR-TB on a national and global level. Developing countries shouldn’t be hiding the true numbers, because underestimating TB prevalence can be detrimental, especially if it’s a drug resistant strain. TB is a curable disease and there is no reason why anyone should suffer.

FACT SHEET: Obama Administration Releases National Action Plan for Combating Multidrug-Resistant Tuberculosis. (2015, December 22). Retrieved December 28, 2015, from https://www.whitehou...-plan-combating

Tuberculosis (Fact sheet N°104). (2015, October 13). Retrieved December 25, 2015, from http://www.who.int/m...heets/fs104/en/


By Dr. Yuriy Sarkisov, BiMedis staff writer



  • pandas777 likes this

#597 Chest pain in middle of chest

Posted by renu on 15 October 2015 - 03:26 PM

Thanks Khushi !!!


he surely feels palpitations at times. I think we need to meet the cardio at the earliest. thank you so much.




  • KhushiKhurana likes this

#484 Chest pain in middle of chest

Posted by KhushiKhurana on 13 October 2015 - 06:31 PM

Dear Renu,


Certainly chest pain is not something to ignore. But you should know that it has many possible causes. your husband may feel chest pain anywhere from his neck to upper abdomen.Here are some of the more common causes of chest pain.


1. Pericarditis. This is an inflammation or infection of the sac around the heart. It can cause pain similar to that caused by angina. it often causes a sharp, steady pain along the upper neck and shoulder muscle.

2. Hypertrophic cardiomyopathy. This genetic disease causes the heart muscle to grow abnormally thick. Sometimes this leads to problems with blood flow out of the heart. Chest pain and shortness of breath often occur with exercise

3. Mitral valve prolapse is a condition in which a valve in the heart fails to close properly. A variety of symptoms have been associated with mitral valve prolapse, including chest pain, palpitations, and dizziness, although it can also have no symptoms, especially if the prolapse is mild.

4.Pneumonia or lung abscess. These lung infections can cause pleuritic and other types of chest pain, such as a deep chest ache.


So does your husband feel any of this then take it as something serious and get the appointment of heart specialist. Who can help you to understand the causes of pain & diagnose.

  • renu likes this

#479 Health insurance covers car accident

Posted by RanchiR on 13 October 2015 - 12:22 PM

Dear KhusiKhurana,

Yes. The health insurance policy would cover the injuries related to accident with conditions like:
* The health insurance plan covers injuries resulting from an accident i.e. it is not a critical illness benefit plan.
* Your friend need to be hospitalized for more than 24 hours due to injuries resulting from the accident.
* If your friend were not violating motor laws like e.g. driving under the influence of alcohol,etc.

So all this factors need to be consider before claiming for accidental cover.
  • KhushiKhurana likes this

#478 Health insurance covers car accident

Posted by MedChitChat Team on 13 October 2015 - 09:55 AM

normally the accidental insurance is not covered by the health insurance policies and covered by accidental insurance policy. You need to contact you health provider if there is any clause to put the accidental claims also in your health insurance.

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#301 Dr. Sanjay Parashar in Delhi for Plastic Surgery

Posted by Dr. sanjay parashar on 28 February 2015 - 12:14 PM

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#192 kidney stone diagnosis

Posted by love24 on 25 August 2014 - 10:45 AM

there is no symptom of kidney stone unless until it starts travelling down to urinary bladder or becomes too heavy in the Kidney itself. the early symptoms can include a severe pain in abdomen (depends which side the stone is) which resonates to Back. Lower back pain, vomiting includes other symptoms. If there is infection that you may have fever, cold chills and vomiting. It can be confirmed via urine test which may have RBC in the blood which indicates infection in the urinary system.


The stone can be detected via ultrasound in most of the cases as the Xray is not a full proof way to detect the stone. CT Scan anyway is the most accurate of the above but you don't need it unless until there is nothing detected via Ultra sound.


If the stone is small like less than 6mm there is high chance that you may not need operation but as the stone grow in size a operation may be needed depending on the size. there are several Auyervedic as well as desi medicine available so exhaust your option in alternate medicine before deciding on the operation.

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#165 Knee Pain

Posted by suresh11 on 25 July 2014 - 03:55 PM

Dear All,


I am suffering from atypical condition which i am not able to figure out the cause.


Whenever I sit for extended time my right knee start paining. I keep on sitting till the time I can bear the pain after that I walk and straighten up my legs and it all becomes ok. I can run jog, walk, cycle and do anything without any pain but whenever i sit again the for some time the knee starts paining again.


Is this kind of common. Anybody suffering from this, please let me know. I have to get up after every half an hr to straighten my legs and do some light exercise and it stops. I don't think this is arthritis and frankly have never show this to the doctor as well. Found this health forum so writing here :)


any thing is welcome..




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