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Free Content High success rate of TB treatment among Bhutanese refugees in Nepal

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SETTING: Camps for refugees from Bhutan in south-east Nepal.

OBJECTIVES: To evaluate the outcome of treatment of tuberculosis (TB) cases in the refugee camps.

DESIGN: Cohort analysis of results of treatment of cases started on treatment from mid-July 1999 to mid-July 2004.

RESULT: A total of 1214 patients with TB were notified in the programme. Among these, 631 (52%) were new smear-positive pulmonary tuberculosis (PTB) cases, 175 (14%) new smear-negative PTB cases, 290 (24%) new extra-pulmonary TB (EPTB) cases and 118 (10%) smear-positive retreatment cases. Treatment success was achieved in 1061 (94%). The proportion of new non-smear-positive cases who died on treatment was significantly higher than the corresponding figure for new smear-positive cases (RR 7.57, 95%CI 3.74–15.32 for new smear-negative and 4.22, 95%CI 2.08–8.55 for EPTB).

CONCLUSION: High cure rates and low bacteriological failure rates can be achieved in refugee settings if there is close coordination and collaboration between the local health agencies and the National Tuberculosis Programme of the host country.
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Keywords: Nepal; refugee; tuberculosis

Document Type: Regular Paper

Affiliations: 1: College of Public Health, Chulalongkorn University, Bangkok, Thailand 2: International Union Against Tuberculosis and Lung Disease, Paris, France 3: Centre for International Health, University of Bergen, Bergen, Norway

Publication date: 2007-01-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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