Chandigarh, July 18
There is a proposal to open 10 new directly observed treatment (DOT) centres under the Revised National Tuberculosis Control Programme (RNTCP) in city slums where 60 per cent of the tuberculosis patients are concentrated.
A majority of the 9,000 tuberculosis patients in the city are residing in slum colonies within the city, while a small fraction belongs to the rural slums like Hallo Majra and Daddu Majra. “In order to further strengthen our services, we have sent a proposal to the Municipal Corporation for setting up 10 DOT centres in slums having highest concentration of TB patients,” says a health official.
Health officials had met the Municipal Commissioner, Mr M.P. Singh, two days back to discuss the issue. “We already have 11 microscopic centres, two treatment units and 67 DOT centres covering the entire city, but for effective coverage of slums, we will set up 10 more centres,” says Dr P.K. Shridhar, in charge of the programme.
During the past one year, there have been 45 deaths in the city due to tuberculosis, while the percentage of defaulters, who gave up treatment before the course was complete, is nine. The national prescribed limit for defaulters and failure cases has been put at 15 per cent.
Though DOT centres are located in the vicinity of these slums, a need is being felt to make inroads into these areas, where the population is at high risk of contracting the infection. Health officials are hopeful that they will be able to set up new DOT centres within a month.
Another important step in generating awareness about TB shall be the involvement of schoolchildren in the effort.
Health officials involved with the implementation of the RNTCP point out that it is basically the clustering of various factors like poverty, illiteracy and malnutrition, which makes the slum population more vulnerable to TB infection. While the incidence of tuberculosis amongst male and female population of the city is almost the same, about 10 per cent of the TB patients are children.
“With the effective implementation of the RNTCP, we hope to break the epidemiological chain of those spreading the disease by giving infection to others. Satisfactory results will be visible after some time,” says Dr Shridhar.
“At present, there are about 2,000 TB patients taking treatment under the RNTCP, out of which half have been found to be ‘sputum-positive’, who can give infection to others,” say doctors. It is with the help of a very sound monitoring system that we ensure that people take their alternate dose of medicine during the intensive period of treatment, followed by their weekly dose, they point out.
Efforts have also been made towards establishing linkage by involving private practitioners, including homoeopathic and ayurvedic doctors, they say.