Estimates of TB Burden in India1
1000
Incidence of
TB
TB
*Excl. HIV
1000
Mortality Due of
TB*
TB*
1000
Incidence of
MDR-TB/RR
MDR-TB/RR
1000
Incidence of
HIV-TB
HIV-TB
1000
Mortality Due to
HIV-TB Co-Morbidity
HIV-TB Co-Morbidity
TB Burden In India
The economic burden of TB on India is huge and is a great loss in
terms of lives, money and workdays.
170 Million – Workdays are lost annually in India to the disease.
~40% – Population in the country is infected with the TB bacilli.
~10% – Of the above 40% will develop TB disease during their lifetime.
13,000 Crores – The annual economic cost of TB to the Indian economy.
TB Challenges In India
As a developing country, India faces a lot of challenges when it comes to
TB diagnosis. The main contributors to this challenge may be categorized as:
- Poor access to primary health
- Lack of health infrastructure in rural areas
The main variables that help understand tuberculosis transmission are2:
- Rapid unplanned urbanization
- Overcrowding
- Poor airborne infection control
- Poor nutrition
- HIV
- Diabetes
- Tobacco use
The main variables that help understand tuberculosis transmission are2:
- Inadequate healthcare systems
- Lack of access to tuberculosis treatment centers in remote, unreached areas
Missing Millions
India also has more than a million “missing” cases every year that are not notified.
A recent analysis of the cascade of TB care in India reported that of the 2.7 million cases presented to government TB diagnostic services:
- 27% did not have access to diagnostics services.
- 28% did not seek care in the public sector –
These thought to account for much of the missing TB cases in India. - Only 45% of estimated TB cases completed the course of treatment.
References:
1. WHO TB Report 2018
2. Indian J Chest Dis Allied Sci 2006; 48: 245-247
Loop-mediated isothermal amplification (LAMP) is a unique, temperature-independent technique for
amplifying DNA
that is simple to use, providing a visual display that is easy to read; additionally, the technique is robust
and can be used at peripheral health centres, where microscopy is performed
that is simple to use, providing a visual display that is easy to read; additionally, the technique is robust
and can be used at peripheral health centres, where microscopy is performed