Health Desk: 26 March 2018: The International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) has shown the way with its unique public-private mix or PPM approach to diagnosing undetected cases of tuberculosis (TB), as Bangladesh’s health system cannot detect and notify about a third of the total cases.
The Dhaka-based health research centre took an innovative approach and set up TB screening sites in 2013 with state-of-the-art facilities targeting possible cases for testing from the physicians working in the private sector.
Those doctors including the evening practitioners are unable to report tuberculosis cases they diagnose and treat, as there is no available notification tool in Bangladesh. The private sector also lacks quality assured and sensitive TB diagnostics.
TB remain undiagnosed or unreported means many will die or continue to be sick and transmit the disease or, if treated with improper drugs, contribute to the growing menace of drug resistance.
This year’s world TB day observed on Saturday was themed on “Wanted: Leaders for a TB-free world”.
The focus of the day was on building commitment to end TB, not only at the political level with heads of state and ministers of health but all levels from leaders to people affected with TB, civil society advocates, health workers, doctors or nurses, NGOs and other partners.
TB being a ‘notifiable’ disease, all private doctors, caregivers and clinics treating TB patients are supposed to report each case to the government through the nearest government health officers.
The aim is to ensure proper diagnosis, case management, transmission reduction, and fighting the emergence of drug resistance in Bangladesh, where an estimated 33 percent of the total cases remained missing in 2017.