| MDR-TB--its characteristics and control in Asia-Pacific rim symposium in USJCMSP 10th international conference on emerging infectious diseases in the Pacific rim. | |
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MedLine Citation:
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PMID: 17588496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The strategy of directly observed treatment, short course (DOTS) is achieving substantial progress in coverage and quality improvements worldwide. However, the problem of multi-drug-resistant tuberculosis (MDR-TB) has emerged as a new challenge to TB control in both developing and industrialized countries. The effort of various countries of the Pacific Rim to fight this problem, one of the negative progenies from the 20th century, was a major theme of the conference. Asia, WHO's Southwest Asia and Western Pacific Regions, combined, account globally for almost 60% of the newly occurring MDR-TB cases. However, the problem has likely been overlooked, as it was masked by taking averages for countries or wider regions. In this way, we may have lost sight of "hot zones" with extremely high prevalence of MDR-TB in smaller areas or in population segments. The problem was basically a result of the low-quality treatment program, but recently it may be amplified in some areas by the HIV epidemic that is another new challenge to TB strategies. So far, developing countries have not been taking active measures to manage this problem. However, some countries, such as the Philippines and Peru, have undertaken aggressive efforts, supported technically and financially by the new international mechanisms, such as the Stop TB Partnership and the Global Fund to fight AIDS, TB and Malaria. These efforts would be more effective if there were further technical innovation in diagnosis and treatment, supported by a strong political commitment. |
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Authors:
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Toru Mori |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-06-21 |
Journal Detail:
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Title: Tuberculosis (Edinburgh, Scotland) Volume: 87 Suppl 1 ISSN: 1472-9792 ISO Abbreviation: Tuberculosis (Edinb) Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-16 Completed Date: 2008-03-03 Revised Date: 2009-04-22 |
Medline Journal Info:
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Nlm Unique ID: 100971555 Medline TA: Tuberculosis (Edinb) Country: Scotland |
Other Details:
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Languages: eng Pagination: S5-9 Citation Subset: IM |
Affiliation:
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Leprosy Research Center, National Institute of Infectious Diseases, 4-2-1, Aobacho, Higashimurayama-shi, Tokyo 189-0002, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Retroviral Agents
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therapeutic use Antitubercular Agents / therapeutic use* Asia / epidemiology Communicable Diseases, Emerging / drug therapy*, epidemiology Congresses as Topic Directly Observed Therapy HIV Infections / complications, drug therapy Humans Tuberculosis, Multidrug-Resistant / drug therapy*, epidemiology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Retroviral Agents; 0/Antitubercular Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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