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British Medical Bulletin 44:717-737 (1988)
© 1988 The British Council

research-article

Tuberculosis case-finding and treatment programmes in the developing countries

W Fox

MRC Cardiothoracic Epidemiology Group, Brompton Hospital London

Abstract

Case-finding and chemotherapy constitute the most important component of tuberculosis control. Inadequate recognition has been given to the importance of case-finding. There is a need to improve the bacteriological network so that the equipment is always fully functional and is adequately used to investigate all tuberculosis suspects. The same applies to the less important radiography. The stage has now been reached when there is a need to explore, and in some countries introduce, active case-finding to increase the proportion of infectious cases identified, and to achieve earlier diagnosis

Treatment programmes are often hampered by shortages of staff, resources, drugs and by many organisational problems and deficiencies. All must be tackled since a single inefficient worker (for example, a microscopist, an unsympathetic social worker or doctor) can have a major deleterious impact on the overall programme in the geographical area they cover


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