Tuberculosis case finding in Nicaragua: Evaluation of routine activities in the control programme

Cruz, R.; Heldal, E.; Árnadóttir, Th.; Juarez, I.; Enarson, D.

doi:10.1016/0962-8479(94)90771-4

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“…It is interesting to brie y review the case of Nicaragua as this country has reported moderate, but consistent, improvements during a relatively long experience with implementation of what today is considered a modern national tuberculosis program (3).…”

Section: A Case Studymentioning

confidence: 99%

Tuberculosis: Trends and the Twenty-first Century

Arnadottir

2001

Scandinavian Journal of Infectious Diseases

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The global burden of tuberculosis is enormous, even if estimates are somewhat uncertain. The forces counteracting control measures, namely demographic factors, drug resistance, HIV, migration, poverty and marginalization, are enormous as well. With accelerated reforms in tuberculosis programs important progress can be made towards the control of tuberculosis early in the 21st century. This is confirmed by studying reports from countries where control measures have been implemented and sustained. Well-functioning programs can make good use of technological progress, such as improved tools for diagnosis and treatment, when these become available at an affordable cost. It is important now to use the opportunity of increased resources in order to reform tuberculosis programs. The biggest impact on global tuberculosis control in the 21st century can be made in Asia. Success in this part of the world depends on political commitment. Elsewhere, the main forces counteracting control measures are HIV in Africa and multidrug resistance in parts of Europe and the former Soviet Union. Here solutions are still on the drawing board. The long time-frame for tuberculosis control when using the currently recommended strategy, the uncertain impact of "improved" tools on this time-frame and the constant threat that political commitment will not be sustained are reasons why field workers look towards new technology in hope of progress in vaccine research. Here, the prospects are uncertain and the forecasted time-frame is long. Skeptics even doubt that an effective vaccine can be developed. However, when predicting progress it is important to realize that it is for the most part unpredictable.

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Section: A Case Studymentioning

confidence: 99%

Tuberculosis: Trends and the Twenty-first Century

Arnadottir

2001

Scandinavian Journal of Infectious Diseases

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Tuberculosis case finding in Nicaragua: Evaluation of routine activities in the control programme

Cited by 1 publication

References 0 publications

Tuberculosis: Trends and the Twenty-first Century

Tuberculosis: Trends and the Twenty-first Century

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