Over 22 crore people screened for TB in 2021 across the country for early detection and treatment of TB
Under the new initiative Pradhan Mantri TB Mukt Bharat Abhiyan, more than 40,000 Nikshay Mitra supporting over 10.45 Lakh TB patients all over the country
- The WHO released the Global TB Report 2022 on October 27, 2022. The Report notes the impact of the COVID-19 pandemic on the diagnosis, treatment and burden of disease for TB all over the world.
- The Ministry of Health and Family Welfare has taken note of the WHO Global TB Report 2022, released on October 27, 2022 and has clarified that India has, in fact, performed far better on major metrics as compared to other countries over time.
- India’s TB incidence for the year 2021 is 210 per 100,000 population – compared to the baseline year of 2015 (incidence was 256 per lakh of population in India); there has been an 18% decline which is 7 percentage points better than the global average of 11%.
- These figures also place India at the 36th position in terms of incidence rates (from largest to smallest incidence numbers).
- While the COVID-19 pandemic impacted TB Programmes across the world, India was able to successfully offset the disruptions caused, through the introduction of critical interventions in 2020 and 2021 – this led to the National TB Elimination Programme notifying over 21.4 lakh TB cases – 18% higher than 2020.
- This success can be attributed to an array of forward-looking measures implemented by the Programme through the years, such as the mandatory notification policy to ensure all cases are reported to the government.
- Further, intensified door-to-door Active Case Finding drives to screen patients and ensure no household is missed, has been a pillar of the Programme.
- In 2021, over 22 crore people were screened for TB. The aim has been to find and detect more cases to arrest onwards transmission of the disease in the community which has contributed to the decline in incidence.
- For this purpose, India has also scaled up diagnostic capability to strengthen detection efforts. Indigenously-developed molecular diagnostics have helped expand the reach of diagnosis to every part of the country today.
- India has over 4,760 molecular diagnostic machines across the country, reaching every district.
- Against this backdrop, and prior to the publication of the Global Report, the Ministry of Health and Family Welfare had communicated to WHO that the Ministry has already initiated domestic studies to arrive at a more accurate estimate of incidence and mortality rates in a systematic manner and India’s data will be provided after conclusion of studies in early part of 2023.
- The WHO has also acknowledged the Health Ministry’s position on this and noted in the Report that “estimates of TB incidence and mortality in India for 2000–2021 are interim and subject to finalization, in consultation with India’s Ministry of Health & Family Welfare”.
- The results of the Health Ministry’s study, initiated by the Central TB Division (CTD), will be available in approximately six months’ time and shared further with WHO.
- These steps are in line with India conducting its own National Prevalence Survey to assess the true TB burden in the country – the world’s largest such survey ever conducted.
- The WHO Report notes that India is the only country to have completed such a survey in 2021, a year which saw “considerable recovery in India”.
- Stating that India had done better in major metrics as compared to other countries over time, the Ministry said the figures placed India at the 36th position in terms of incidence rates (from the largest to the smallest incidence numbers).
- According to the WHO report, an estimated 10.6 million people fell ill with tuberculosis (TB) in 2021, an increase of 4.5% from 2020, and 1.6 million people died from TB (including 187 000 among HIV positive people).
- “While the COVID-19 pandemic impacted TB Programmes across the world, India was able to successfully offset the disruptions caused, through the introduction of critical interventions in 2020 and 2021 – this led to the National TB Elimination Programme notifying over 21.4 lakh TB cases – 18% higher than 2020,’’ said the Ministry.
SOURCE: THE HINDU, THE ECONOMIC TIMES, PIB