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26 March 2018

Tuberculosis



Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis (MTB). Tuberculosis generally dominates lungs, however the disease also affect other parts of the body including lymph nodes and gastrointestinal tract. WHO reported in 2015, there were an estimated 10.4 million new TB cases worldwide and 1.8 million people died from TB. In Thailand, there are approximately 117,000 new cases or at the incident rate of 172 case per 100,000 population.

Furthermore, in 2016, WHO also placed Thailand in a group with severe tuberculosis problems since the large number of tuberculosis patients especially TB/HIV infected people with tuberculosis and multi-drug resistance has been found.

Transmission 
TB is spread when a person with active infectious TB disease coughs, sneezes, or spits, releasing droplets containing TB bacteria into the air, which are then inhaled by someone else. Patients who did not treated properly. In addition to being unhealthy, it can also spread the infection to others quickly due to easy contact through the respiratory system. 

Symptoms 
The classic symptoms of active TB disease in the lungs (pulmonary TB) include:
• Chronic cough, sometimes with bloody sputum • Fever • Tired  • Anorexia • Unexplained weight loss • Night sweats

Diagnosis 
WHO recommends high quality and high sensitivity for TB screening and diagnostic tests. Tests should be able to perform TB diagnosis and also drug susceptibility. N Health is available for the following services.

References:

1. https://th.wikipedia.org/wiki/%E0%B8%A7%E0%B8%B1%
E0%B8%93%E0%B9%82%E0%B8%A3%E0%B8%84
2. http://www.who.int/tb/publications/factsheet_global.pdf?ua=1
3. http://www.who.int/tb/publications/global_report/en/
4. http://www.who.int/tb/End_TB_brochure.pdf?ua=1
5. https://www.tbthailand.org/download/Manual/ผลการดำเนินงานควบคุมวัณโรคประเทศไทย_52-58.pdf

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