South Africa is Under-Diagnosing TB and Still Needs to Catch Up Post Pandemic

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South Africa is Under-Diagnosing TB and Still Needs to Catch Up Post Pandemic
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South Africa is Under-Diagnosing TB and Still Needs to Catch Up Post Pandemic: SouthAfrica

Ahead of World Tuberculosis Day tomorrow, Dr Lucy Connell, TB programme lead at health NPO , says,"South Africa has one of the highest TB rates in the world. Right to Care supports SA'S theme for World TB Day this year which is 'Yes! You and I can end TB.' Great strides have been made identifying people likely to have TB, testing and diagnosing more TB. Yet we are still under-diagnosing TB and this is hampering efforts to meet global targets and end TB by 2030.

Dr Connell adds,"The mistake people often make is that they think they are not at risk of getting TB. Anybody can get TB. If you breathe, you can get TB. We are making people aware of their risks and the symptoms of TB. We are working with health departments to support the national plan to scale up the diagnosis of TB through increased community TB screening, more accurate screening tools and TB testing.

The SA National Health Laboratory Services reports that the numbers of people testing positive and starting TB treatment have not increased to pre-Covid levels in many health districts."It took only three years for a home Covid-19 rapid test to be developed. We need the same sense of urgency with TB," adds Connell.People at risk of TB, and those who have any TB symptom or a chest X-ray that suggests TB require a TB to confirm if they have TB. The test relies on a quality sputum sample.

Dr Connell explains that these patients need additional support, for example, by using a nebuliser. Yet there is a shortage of nebulisers in many facilities, and even where there are nebulisers they are not used to support TB testing. Patients can ask for support with producing a sputum sample, including nebulisation. A nebuliser is a device that produces a mist which is inhaled to help produce sputum.

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