In India, each year, approx. 220, 000 deaths are reported due to Tuberculosis. Between 2006 and 2014, the disease cost Indian economy USD 340 billion. This public health problem is the world’s largest tuberculosis epidemic.
India bears a disproportionately large burden of the world’s tuberculosis rates, as it continues to be the biggest health problem in India. It remains one of the largest on India’s health and wellness scale. India is the highest TB burden country with World Health Organisation (WHO) statistics for 2011 giving an estimated incidence figure of 2.2 million cases of TB for India out of a global incidence of 9.6 million cases.
Strategies to combat TB effectively :-
- Focusing on TB prevention strategy like TB vaccination, TB education, TB reporting, Stopping spread of MDR TB and Implementing the WHO Stop TB Strategy in a new form, energy etc.
- The Indian government’s Revised National TB Control Programme (RNTCP) started in India during 1997. The program uses the WHO recommended Directly Observed Treatment Short Course (DOTS) strategy to develop ideas and data on TB treatment. However owing to it’s lacunas the need is to check it’s timely dosages, encourage patients for strict completions of cources and spreading awareness about government programs.
- Chemical strategy to combat TB is also effective. Current TB treatments are based on combinations of the drugs isoniazid, rifampicin, ethambutol, and pyrazinamide. The new reaserches like 2-(Quinolin-4-yloxy) acetamide study and ITD-based candidates will be helpful.
- Implementing End TB strategy by WHO which focuses on 80% drop in new TB cases by 2030, 90% drop in deaths due to TB by 2030 and 100% of family affected cost saving from TB.
- Roping in civil society organisations and NGOs into TB eradication like The Tuberculosis Association of India.
India is moving optimistically on path of TB eradication. There was a 34% increase in case notifications by health-care providers in the private sector between 2013 and 2015. It improved from 61% in 2015 to 69% in 2016. Domestic funding (74%, $387 million) was raised for anti TB work. Governments efforts such as DOTS, X PERT, Revised national TB program, Mission Indradhanush, Nikshay, N-eHA, 90-90-90 atrategy are steps in right direction.