FOREIGN STUDY

Jun 21st, 2015
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The University of Texas School of Health Professions
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MA Feizi (2008) stated that tuberculosis (TB) is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low and middle-income countries.

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FOREIGN STUDYMA Feizi (2008) stated that tuberculosis (TB) is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low and middle-income countries where it is closely associated with HIV/AIDS. The number of new cases arising each year is still increasing globally and in the WHO regions of Africa, the Eastern Mediterranean and South-East Asia. WHO has declared that TB is a global emergency, because TB is out of control in many parts of world.3 Although implementation of the Directly ObservedTreatment (DOTS) strategy is the foundation for proper tuberculosis control, basic DOTSimplementation may not be enough to reach the targets. Instead, evidence from severalcountries indicates that, although cure rates are approaching the global target, the casedetection target may not be met, even with 100 % DOTS implementation in designatedpublic facilities.3 Thus, TB control must be critically examined to foster higherperformance. ln the context of an expanded framework for TB control, there are fourstrategic interventions through which cure and case detection rates may be significantlyimproved: 1) wider involvement of community workers, 2) engagement of privatepractitioners, 3) proper management of drug-resistant tuberculosis, and 4) efforts focusedon controlling tuberculosis and human immunodeficiency virus.Since 1990, the GlobalTuberculosis program (GTB) has promoted the revision of national TB progr

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