Thursday, February 10, 2011

New technologies are helping Zambia make the most of its scarce health workers and laboratories in the fight against tuberculosis

New technologies are helping Zambia make the most of its scarce health workers and laboratories in the fight against tuberculosis (TB).
The Zambia Aids-Related TB Project (ZAMBART), a local NGO that provides testing and treatment, has introduced easy-to-use digital chest x-rays and relatively cheap made-to-order laboratories to help close gaps in stepping up the fight against TB and HIV, which are common co-infections.
In a country where about 39,000 new cases of TB are reported annually, these innovations could help combat the high level of undiagnosed infectious TB, the recent Zambia-South Africa TB and AIDS Reduction (ZAMSTAR) study noted.
According to UNAIDS, about 14 percent of Zambians are HIV-positive, which greatly increases their vulnerability to TB. ZAMBART estimates that about 70 percent of TB patients are co-infected with HIV, making them harder to diagnose and more likely to die from TB, the leading killer of HIV-positive people worldwide.
The ZAMSTAR study also found that while many patients with a chronic cough - a symptom of TB - did not seek medical attention, those who did were often poorly investigated.
After routine screening for TB, clinic staff asked TB suspects for a sputum sample.
In HIV/TB co-infected patients these samples were more likely to result in a false positive result, so health workers used chest X-rays to confirm test results.
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