Active detection of tuberculosis and paragonimiasis in the remote areas in North-Eastern India using cough as a simple indicator
| Autor: | Jagadish Mahanta, Kanwar Narain, Sanjib Kumar Rajguru, Dibyajyoti Goswami, Takeshi Agatsuma, Rumi Deori, Kangjam Rekha Devi, Kabang Lego |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis Adolescent Paragonimiasis Cross-sectional study Short Communication Antibodies Helminth Active detection India Microbiology Young Adult Internal medicine Prevalence Humans Medicine Child Tuberculosis Pulmonary Aged Aged 80 and over Microscopy Case detection business.industry Public health Sputum Public Health Environmental and Occupational Health General Medicine Middle Aged medicine.disease Eastern india Surgery Cross-Sectional Studies Infectious Diseases Cough Child Preschool Female Parasitology medicine.symptom business |
| Zdroj: | Pathogens and Global Health. 107:153-156 |
| ISSN: | 2047-7732 2047-7724 |
| DOI: | 10.1179/2047773213y.0000000086 |
| Popis: | One of the essential steps in targeting tuberculosis (TB) intervention is early diagnosis and treatment of patients by reducing the reservoir of infection in the community. In the North-Eastern (NE) region of India pulmonary TB and paragonimiasis are overlapping public health issues. We performed a cross-sectional study in 63 remote villages from the two states Arunachal Pradesh (AP) and Assam to determine the prevalence of undiagnosed TB and paragonimiasis cases using cough as a simple indicator. In AP, 2961 individuals aged five years and above were examined and 1108 (37.4%) were found to have cough for one week or more. Of the 417 individuals who provided sputum, 11 (2.64%) were smear positive for acid-fast bacilli (AFB). All these cases were yet undiagnosed, thus the prevalence of new smear positive TB in AP was 0.37%. In Assam on the other hand 331 (23.5%) subjects out of 1410 individuals who were examined had a cough for one week or more and of the 112 individuals who provided sputum, 13 (11.6%) were smear positive for AFB. The prevalence of new smear positive TB cases was 0.78% in Assam. Sero-positivity of paragonimiasis in coughers of AP was 7.6% (n = 1091), which was significantly higher (p < 0.01) as compared to that in Assam (1.2%, n = 321). The findings of the present study suggest that TB remains a major public health concern in the NE region of India especially in the remote places and there is need to strengthen early case detection of TB. |
| Databáze: | OpenAIRE |
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