TAILIEUCHUNG - PROBLEMS IN ESTIMATING THE BURDEN OF PULMONARY TUBERCULOSIS IN INDIA: A REVIEW

For developing an appropriate strategy for combating tuberculosis in the country, it is necessary to obtain a precise estimate of the disease in the community. The process of estimating it for as large and diverse a country as India is not only difficult, but is also expensive and time consuming. It is common knowledge that the nation wide sample survey carried out by the Indian Council of Medical Research (ICMR) in 1955-58 (NSS), followed by several similar surveys conducted at the National Tuberculosis Institute, Bangalore (NTI), New Delhi Tuberculosis Centre and the Tuberculosis Research Centre, Chennai (TRC) had provided the basis. | Original Article PROBLEMS IN ESTIMATING THE BURDEN OF PULMONARY TUBERCULOSIS IN INDIA A REVIEW . Krishnamurthy Received on Revised version received on Accepted on Summary It is generally agreed that there is need for developing an acceptable estimate of the tuberculosis problem in India. Estimates obtained by the National Sample Survey have been found to be deficient for the purpose of enabling rational allocation of resources and evaluating efficiency of anti-tuberculosis programmes. The WHO commissioned a study on the subject and subsequently published a review of the global burden of tuberculosis in which the Indian situation was also considered. The Government of India also formulated a Committee in 2000 to address this problem. The author review s the estimates so far obtained Burden of pulmonary tuberculosis - the current estimates For developing an appropriate strategy for combating tuberculosis in the country it is necessary to obtain a precise estimate of the disease in the community. The process of estimating it for as large and diverse a country as India is not only difficult but is also expensive and time consuming. It is common knowledge that the nation wide sample survey carried out by the Indian Council of Medical Research ICMR in 1955-58 NSS followed by several similar surveys conducted at the National Tuberculosis Institute Bangalore NTI New Delhi Tuberculosis Centre and the Tuberculosis Research Centre Chennai TRC had provided the basis for estimating the prevalence of tuberculosis in India. On an average the same was taken to be and per thousand for bacteriological C and radiologically active tuberculosis cases X respectively. Although the tuberculosis situation and the prevalence rates were considered to be static in time as per the findings of several of the studies carried out in India the absolute number of cases in the country had to be constantly revised upwards corresponding to the population .

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