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印度新冠疫情期间的结核病:潜在挑战与未来之路

Tuberculosis amidst COVID-19 pandemic in India: unspoken challenges and the way forward.

作者信息

Bardhan Mainak, Hasan Mohammad Mehedi, Ray Ishita, Sarkar Anusua, Chahal Priyanka, Rackimuthu Sudhan, Essar Mohammad Yasir

机构信息

Division of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, Kolkata, India.

Department of Biochemistry and Molecular Biology, Faculty of Life Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh.

出版信息

Trop Med Health. 2021 Oct 21;49(1):84. doi: 10.1186/s41182-021-00377-1.

Abstract

India is home to the most significant number of tuberculosis (TB) cases around the globe. The COVID-19 crisis has deeply perturbed most of the essential TB services in India. Regulating TB is difficult in a densely populated country like India due to latent TB infection in millions of Indians, which can reactivate at any point in the future. Due to the ongoing pandemic, healthcare workers have been diverted to activities implemented for effective COVID-19 management, leaving a meager workforce to help deal with TB management. Integrating TB and COVID-19 to augment India's health outreach is the need of the hour to diminish the effect of the COVID-19 crisis on TB. Increasing overall testing capacity, active screening, implementation of strategies for easy identification of TB hotspots, and ensuring uninterrupted drug supply for treatment through heedful planning of local and regional distribution and transportation will especially help cater to the vulnerable population who are at a high risk of suffering from adverse outcomes of TB. Lessons learnt in the battle against COVID-19 can most definitely help in providing insights to fulfill the goal of eliminating TB from India.

摘要

印度是全球结核病病例数最多的国家。新冠疫情危机严重扰乱了印度大部分基本的结核病服务。在印度这样人口密集的国家,由于数百万印度人存在潜伏性结核感染,未来随时可能复发,结核病监管难度很大。由于当前的疫情大流行,医护人员被调去参与为有效管理新冠疫情而开展的活动,导致用于帮助应对结核病管理的人力匮乏。将结核病和新冠疫情整合起来以扩大印度的医疗服务覆盖范围,是当下减少新冠疫情危机对结核病影响的当务之急。提高整体检测能力、进行主动筛查、实施便于识别结核病热点地区的策略,以及通过精心规划本地和区域的分发与运输来确保治疗所需药物的不间断供应,将特别有助于满足那些面临结核病不良后果高风险的弱势群体的需求。在抗击新冠疫情中吸取的经验教训肯定有助于为实现印度消除结核病的目标提供思路。

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