Edition 10: Drug-resistant TB

Edition 10: Drug-resistant TB

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Track the HIV & TB response

Live indicators, province breakdowns and downloadable data.

  • Enough hot air – it’s time for clean water

    Mpumalanga is a major water catchment zone supplied by the Olifants, Vaal, Imfolozi-Pongola and Komati-Crocodile rivers. But you take a chance, drinking tap water in Ermelo. Locals won’t touch it if they can help it – but their only alternative is to pay for bottled water even though access to clean drinking water is a…

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  • Working the night shift

    It’s one of the first cold autumn nights in Piet Retief and a soft drizzle has set in. A mobile clinic parked under the lonely glow of a parking lot floodlight next to a roadside truck-stop, is open for business. ‘Come in,’ says a voice from behind a curtain. Inside the converted bakkie are nursing…

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  • A positive attitude

    For Gugu Xulu (31), 2005 was a dark year. First, she buried her boyfriend, the father of her child. Then, just days later she learned she was pregnant again, and also that she was HIV positive. ‘I remember I was really angry. I was a Christian and I had one boyfriend and he gave me…

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  • All not well at Piet Retief

    At first glance Piet Retief’s hospital looks like a facility that stands proud. It’s clean, modern and operational. It’s also strangely quiet – it’s the silence that reveals the problem. The hospital sees about 25 to 30 patients a day. Meanwhile, a few hundreds metres away where the crumbling old Piet Retief Hospital barely stands,…

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  • Nightmare in Ermelo

    It’s gogos and social grant money that prop up many households in Khayelitsha township, outside of Ermelo. It’s true for Pelu Hlatswayo. She doesn’t know how old she is, but she knows she’s the only adult responsible for three children, including two of her grandchildren. One of them is S’busisio (28) who is mentally challenged.…

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  • A district in despair

    The snapshot of the state of health in the Gert Sibande district is not a pretty picture. The Treatment Action Campaign (TAC) has honed in on the Gert Sibande district in Mpumalanga as one of the hotspots for immediate intervention and support. Not only because it has been chosen as pilot sites for National Health…

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  • Gert Sibande District Facts

    »»GERT SIBANDE is a National Health Insurance (NHI) pilot district and is one of three districts in Mpumalanga that covers a geographical area of 31 841 square kilometres. »»THE PROVINCE has the highest HIV rate among pregnant women (46% in 2013) in South Africa. »»THE NUMBER of adults on ART at end of 2012/2013 stood…

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  • Accelerated access to new drugs for MDR-TB

    Bedaquiline and Delamanid are the first new drugs for TB treatment to receive approval from the United States and European authorities for more than 40 years. Both Delamanid and Bedaquiline have novel and different mechanisms of action, and there is no cross resistance with existing TB drugs. This is heartening news to all those affected…

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  • Defaulting on treatment – where are we?

    Default from treatment for drug resistant TB (DR-TB), (now classified as lost to follow-up), defined as interruption of TB treatment for two or more consecutive months, is a problem that is reported by TB control programmes globally. Completion of treatment for DR-TB is particularly difficult since treatment duration is long (at least 18 months), involves…

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  • Regulations stumble while the disease sprints

    At the SA AIDS conference in June 2013, in a session on communicable diseases with high level officials of the National Department of Health on the panel, a young doctor stood up and asked a question, the gist of which was “what do I do when I know someone has infectious DR-TB, but refuses to…

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  • TB behind bars

    “There is no greater error than to imagine that tuberculosis in prisons because of the isolation of the institutions does not constitute a great danger to society at large” Dr JB Ransom, 1911. The burden of tuberculosis (TB) in prisons in most countries is considerably higher than in the general population, and often makes a…

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  • 10 misconceptions about drug-resistant TB

    1. Drug-resistant tuberculosis (DR-TB) only exists in specific countries or regions, mostly in the former Soviet Union Most evidence on DR-TB has been limited to developed countries. In 1992, the Third World Congress on Tuberculosis said there was little recent information on the global magnitude of multidrug-resistant tuberculosis (MDR-TB), defined as resistance to at least…

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