The risk of tuberculosis and AIDS combined extent of
2009-09-21 18:42:45 Source: People's Network (Beijing)
  23-year-old from Anhui Province, Mr. Yang, recently got invasive pulmonary tuberculosis identified. He is now eating a combination of state-provided medication, the Government provided free of charge. He is easy to cold, and sometimes low-grade fever, and cold hard good. Cold when they cough without phlegm. With the medication compared with no significant improvement in the former. Mr. Yang is an AIDS patient, he would often ask: "how can I do?"

According to reports, the size of China's tuberculosis infection among the world's second, after India. China's population is estimated that 45% of latent tuberculosis infection, the current number of cases reached 4.5 million, accounting for 15% of the world. Tuberculosis deaths in China each year over 25 million people living with HIV and tuberculosis and HIV at the same time increasing the risk of infection. China's AIDS epidemic is still expanding. Tuberculosis and AIDS combined, the two diseases may not be just a fate?

Accelerated the spread of AIDS, the prevalence of tuberculosis

In July this year, held in Cape Town, South Africa, Fifth International AIDS Conference, the World Health experts warn that TB has become the current leading cause of death in patients with AIDS, tuberculosis and AIDS therefore should no longer be viewed as two separate issues, The international community should redouble its efforts to deal with the interaction between them.

Medical information, tuberculosis, HIV-infected persons reduced life expectancy; turn HIV virus attacks the immune system, thereby contributing to the spread of TB, and led many TB carriers eventually develop into tuberculosis. In Italy, Rwanda, Spain and the United States to carry out the study found that M. tuberculosis infected with the AIDS virus carriers, the possibility of developing tuberculosis than those not infected with HIV and 30 to 50 times.

In fact, in recent years, the trend of interaction between TB and AIDS is clear, the whole world about every three HIV-infected individuals who have a the same time, contracted tuberculosis. Acting Director of the Department of the World Health Organization tuberculosis Mario? La Weige Leonard, said the World Health Organization declared tuberculosis a global emergency crisis in 10 years after the epidemic of tuberculosis and even become more serious, mainly because of HIV transmission. Need to redouble our efforts to deal with the interaction of these two deadly diseases, they each add to the other side effects.

However, in recent years, the spread of AIDS in Africa so that the prevalence of tuberculosis accelerated greatly exceeded the rate of promotion of DOTS treatment. La Weige Leonard said that 70% of Africa's HIV-infected persons contracted tuberculosis after the lack of access to effective treatment, they will die a few months later. For example, last year, Africa received DOTS treatment of HIV-infected persons a total of 80000, but the lack of treatment died of tuberculosis in HIV-infected persons there are more than 20 million

World Health Organization estimates, the Asian situation is not optimistic, since two-thirds of the population infected with Mycobacterium tuberculosis concentrated in Asia. In parts of Asia, 70% of HIV-infected persons have been suffering from tuberculosis, died of tuberculosis in Asia infected with HIV every year the number increased two-fold.

In view of this dangerous situation, the World Health Organization International AIDS Conference in South Africa, the occasion calls for universal access of HIV infected persons of anti-TB drugs and AIDS combined drug therapy and improve patient's quality of life and prolong life, reduce the These two diseases, the impact of the world.

WHO's AIDS department said that HIV-infected persons die of TB rise in the number, indicating that at the same time deal with these two kinds of infectious diseases requires a great combination. With HIV-related TB cases, about 79% occur in Africa south of Sahara, 11% in Southeast Asia. Emergence of new cases of tuberculosis each year, the largest five countries, the two countries triggered the AIDS epidemic. While South Africa is currently the subject of AIDS and tuberculosis "double disease" one of the areas most threatened.

Fight against tuberculosis and AIDS in China in action

Of the Fifth International AIDS Conference is being held in South Africa the occasion of the fifth round of the China Office of the Global Fund TB project in conjunction with the Chinese Center for Disease Control node control center line of three people in Anhui Province expert 5 Global Fund TB / HIV (TB / HIV) Dual infected areas of supervision and inspection.

Jieshou City and Linquan County in Anhui, the Steering Group to inspect five of the CDC TB management information project pairs of flu patients, drug treatment, patient follow-up tracking individual patient files and electronic files. At the same time see the AIDS Project Office and the health education-related materials. Experts suggest that patients with TB in HIV patients in the course of screening for HIV patients to wear masks, avoid contact with TB patient caused by cross infection; AIDS patients obtain the medicines from time to conduct a survey of TB, AIDS, immune function in patients with low body resistance is weak, easily occurrence of opportunistic infections, from tuberculosis was found in a timely manner;, double recommended in the treatment of TB infection, the next day medication into a daily medication, but should pay attention to drug dosage, to avoid damage to liver and kidney function.

In order to reduce multi-drug resistant tuberculosis morbidity and mortality, control of multi-drug resistant tuberculosis in China, the seventh round of the China Global Fund TB project launched in phases in China's 10 provinces to implement the treatment of MDR-TB management. Chinese migrant workers in China of tuberculosis patients accounted for 80% of the total number of TB cases. With the large number of migrant workers in cities, how to control a large-scale transmission of tuberculosis and tuberculosis are also infected with HIV has been a huge challenge. China Health Alliance to promote including the Chinese government departments, UN agencies, non-governmental organizations, public agencies and private sector cooperation to jointly cope with AIDS and tuberculosis in China's economic and social threats. China Health Alliance's core business is "Labor of tuberculosis and AIDS workplace program."

"Labor is the most difficult medical and health policies and programs accessible to people, but business is the best contact with their environment, we believe that China Health Alliance will be an important step. Global Health program has received the assistance of the enterprise, can be 5 million people with TB and AIDS medical services. "global health project leader, said Francesca Boldrini," Our experience has shown that when public institutions and private institutions dealing with the problem of disease, they tend to bring about substantial change. "

Vice Health Minister Huang Jiefu said the ministry would support the development of the China Health Alliance, believe that cooperation and alliance partners, the synergy effects of competition will give the development of public health in China has brought a positive contribution.

China Health Alliance, another partner, the United Nations Development Program HIV AIDS, Peter Piot co-project leader, said: "AIDS medical care in cooperation with the private sector projects in-depth development of China provides a unique opportunity. I hope that more companies have joined. "(This article Source: People's Network)