Tuberculosis and noncommunicable diseases: neglected links and missed opportunities
| Autor: | G. B. Migliori, Giovanni Sotgiu, Mukund Uplekar, Mario C. Raviglione, Léopold Blanc, Ottmani Se, Knut Lönnroth, Jacob Creswell |
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| Rok vydání: | 2010 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Tuberculosis Alcohol Drinking Treatment outcome HIV Infections Smoking Prevention Disease Risk Factors Environmental health medicine Diabetes Mellitus Humans Mass Screening Tuberculosis Pulmonary business.industry Incidence (epidemiology) Incidence Malnutrition Smoking medicine.disease Surgery Europe Increased risk Treatment Outcome Noncommunicable disease Attributable risk Female business |
| Zdroj: | The European respiratory journal. 37(5) |
| ISSN: | 1399-3003 |
| Popis: | Globally, the incidence of tuberculosis (TB) is declining very slowly, and the noncommunicable disease (NCD) burden for many countries is steadily increasing. Several NCDs, such as diabetes mellitus, alcohol use disorders and smoking-related conditions, are responsible for a significant proportion of TB cases globally, and in the European region, represent a larger attributable fraction for TB disease than HIV. Concrete steps are needed to address NCDs and their risk factors. We reviewed published studies involving TB and NCDs, and present a review and discussion of how they are linked, the implications for case detection and management, and how prevention efforts may be strengthened by integration of services. These NCDs put patients at increased risk for developing TB and at risk for poor treatment outcomes. However, they also present an opportunity to provide better care through increased case-detection activities, improved clinical management and better access to care for both TB and NCDs. Hastening the global decline in TB incidence may be assisted by strengthening these types of activities. |
| Databáze: | OpenAIRE |
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