GGRB28H3 Chapter : Week 9 article 2.docx
Document Summary
Article 2- optimism and pessimism in tuberculosis control (farmer chapter 8) Optimism: talks about advances in our understanding of mycobacterial pathogenesis and the elaboration of shorter but more effective treatment regimens. Dots (directly observed therapy short course) seen as a victory by experts around the world. Emphasis on the widened gulf between the advances reported in the scholarly literature and the degree of effective control in those communities hardest hit by the disease. This can be due to either increasing microbial resistance or lack of an effective vaccine. In current decade: 300m people will become infected with tubercle bacilli: 90m will develop active tuberculosis, & if access to care does not become global priority 30m will die. By the year 2020; in developing countries t. b. will be the fourth leading cause of death. T. b. and hiv two diseases expected to cause more life years to be lost in 2020 than they cause now.
