Navigation Links
MDR-TB Spreading in Slums of Nairobi, Kenya, Health Workers Say

Multi-drug resistant tuberculosis is spreading in the slums of Kenya's capital, Nairobi, some health workers have said recently, IRIN News reports. //

According to a 2004 report by the Kenya Medical Research Institute, about 70% of Nairobi's population lives in slums, and a large proportion of HIV-positive people who also have TB reside in slums.

Liesbet Ohler, a TB coordinator for Medecins Sans Frontieres, said that the "dark and airless" homes in the slums provide the optimal environment for TB to thrive. She added that stigma also might cause people with TB to interrupt their treatment regimens, which can lead to the development of MDR-TB. "Here in Kenya, so many people are HIV and TB coinfected, so if you say (you have) TB, people assume (you are infected with) HIV," Ohler said.

Kenya has recorded 46 cases of MDR-TB, but the actual figure could be much higher, Dave Muthama, program officer for Kenya's National Leprosy and TB Control Program, said. Sputum tests often do not detect TB in people with HIV, so the most effective way of diagnosing TB in HIV-positive people is by culture testing.

"It is difficult to get good cultures, therefore it is difficult to work out what proportion of patients" has MDR-TB, Christine Genevier, MSF's head of mission, said. According to Ohler, people with HIV have reduced levels of the TB bacilli in their sputum, so their sputum tests often come back negative and their chest X-rays might look normal.

She added that the "immune system is weakened, so the disease develops with less visible signs -- less TB is needed to make a person ill with the disease -- so people need to be treated on clinical signs before it is too late." In addition, there are not enough laboratories in the country, difficulties in diagnosing HIV in people with TB and insufficient follow-up among people taking TB treatment, Genevier said.

The Kenyan government does not provide MDR-TB tr eatment, which costs roughly $6,000 for a full course, compared with roughly $20 for a course of regular TB treatment, IRIN News reports.

According to Muthama, the government is taking action to curb the spread of MDR-TB. "We have treatment centers where we are monitoring treatment as well as watching the patients," Muthama said, adding, "The patients are tested after one-and-a-half months to see if they are responding well, and from here we should be able to see if people have resistant strains." He also said that the number of treatment centers in the country has been increased to 1,800 because many patients have to walk to them.

Health workers and advocates are concerned that if the spread of MDR-TB is not brought under control in Kenya, the country could experience an outbreak of extensively drug-resistant TB, TB that is resistant to the two most potent first-line treatments and some of the available second-line drugs. Some Kenyan medical experts said recently that Kenya and its surrounding region lack the capacity to handle XDR-TB if the disease spreads to the region.

Source-Kaiser Family Foundation/L
'"/>




Related medicine news :

1. Spreading its wings
2. Spreading knowledge to doctors about herbal medicine
3. Stopping Prostate Cancer from Spreading
4. Brain Fever or Encephalitis Spreading in North India
5. Bird Flu Spreading in Chinas Poultry
6. Man Convicted For Spreading HIV
7. Australian Court Finds Man Guilty of Spreading HIV/AIDS
8. Music Helps in Spreading AIDS Awareness
9. Papua New Guinea MP To Face Trial For Spreading HIV
10. Bird Flu Spreading Towards Madhya Pradesh
11. Prostitutes Feared of Spreading Syphilis During World Cup
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/27/2016)... (PRWEB) , ... June 27, ... ... in the patient payment industry today announced its strategic partnership with Connance, ... system workflows. , The two companies’ proven, proprietary technology combine to provide ...
(Date:6/26/2016)... Aliso Viejo, California (PRWEB) , ... June 26, 2016 , ... ... for Final Cut Pro X. , "Film editors can give their videos a whole ... artistically," said Christina Austin - CEO of Pixel Film Studios. , ProSlice Levels ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery ... of Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , ... for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin ... injury. Recently, he has implemented orthobiologic procedures as a method for treating his ... of the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... June 19, ... the dangers associated with chronic pain and the benefits of holistic treatments, Serenity ... who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Dublin ... of the " Global Markets for Spectroscopy Equipment" ... This report focuses on the global ... including its applications in various applications. The report deals ... three main industries: pharmaceutical and biotechnology, food and beverage, ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016 /PRNewswire/ ... pulmonary function testing company, is now able to perform sophisticated lung ... ndd Medical Technologies , Inc. Patients are ... labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients like ... any needed testing done in the comfort of her own home. ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
Breaking Medicine Technology: