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Free Content Improved case detection of active tuberculosis associated with an antiretroviral treatment program in Lesotho [Short Communication]

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Abstract:

Tuberculosis (TB) remains the leading infectious killer of adults with human immunodeficiency virus (HIV) globally. Lesotho has the third highest prevalence of HIV and the fourth highest prevalence of TB worldwide, and the majority of TB patients are co-infected with HIV. This paper describes an antiretroviral treatment (ART) program instituted in a health center in a mountain region of Lesotho. Although the main goal of the program was to increase HIV detection and initiate ART for patients, the program also resulted in a ten-fold increase in the detection of TB among patients with and without HIV.

Keywords: HIV; Lesotho; TB

Document Type: Short Communication

Affiliations: 1: Partners in Health Lesotho, Maseru, Lesotho; Division of Social Medicine and Health Inequalities at Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA 2: Partners in Health Lesotho, Maseru, Lesotho 3: Partners in Health, Boston, Massachusetts, USA; and Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA 4: Division of Social Medicine and Health Inequalities at Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; and Partners in Health, Boston, Massachusetts, USA 5: Ministry of Health and Social Welfare, Maseru, Lesotho

Publication date: October 1, 2007

More about this publication?
  • 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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