ગુજરાતી
English
Gandhinagar, 20 April 2023
The World Health Organization has set a target of a TB-free world by the year 2030. Prime Minister Narendra Modi announced to eliminate TB in India by 2025. Former chief minister Vijay Rupani had announced that the Gujarat government would make the state ‘TB-free’ by 2022. It earned the distinction of being a pioneer state in the direction of ‘TB elimination’. Rot is on the edge but the little ones are decaying now.
TB spreads from person to person through the air. When infected people cough, sneeze, or spit, they also release TB germs into the air. Tuberculosis (Tuberculosis) T.B. is a disease of It is known that TB is a disease spread by bacteria. A bacteria called “Mycobacterium tuberculosis” is responsible for this.
Breaking Vijay Rupani’s TB bubble, Governor Acharya Devvrat announced on 19 April 2023 that Gujarat has 137 TB patients per 1 lakh population. Governor Acharya Devvrat said that there is no laxity in tuberculosis control work. To achieve the target, the work has to be continued with the same seriousness.
Manoj Aggarwal, Additional Chief Secretary of Health and Family Welfare Department, Additional Director Dr. RB Patel, Joint Director Dr. TK Soni, Dr. Pankaj Nimawat and other high officials are responsible.
There were 83,693 TB patients in Gujarat in April 2023. Out of these 70,350 patients are in 3672 Nikshay Mitra Yojana. TB patients are getting cured by regular treatment and nutritious diet for six to nine months. After regular treatment of a TB patient for 15-20 days, the chances of infecting others are slightly reduced. 306 TB is the center. TB treatment is available free of cost in all hospitals. Nutrition kits were made available to TB patients.
About 40% of the population in India is infected with TB which is known as latent TB. It is said that latent TB occurs when the immunity decreases due to some reason. is activated. 2.80 crore such people have latent tuberculosis.
There were about 1.6 lakh new TB patients in Gujarat in 2021. It was likely to increase to 2 lakhs.
World- India
According to the World Health Organization (WHO) report, about 1 crore 4 lakh patients are suffering from TB in the world, there are about 30 lakh TB patients in India.
TB from tobacco
Tobacco is also a big reason.
Ahmedabad
Ahmedabad ranks first in the world in terms of oral cancer. Of the total cancer cases, 56 per cent are related to tobacco. 70 percent of which is in the mouth and throat. In women, 18.6 percent of cases are related to tobacco, of which 60 occur in the oropharynx.
In Ahmedabad in 2022, there were more than 18 thousand cases of TB in one year, more than 1 thousand deaths, 965 patients died due to simple TB, 79 due to stubborn TB, 18 children up to 14 years have died. In Ahmedabad city, 21,457 TB patients were found in 2019, 15,034 in 2020 and 18,471 in 2021. This includes private sector patients as well. In 2021, 943 children under the age of 14 were diagnosed and treated for TB. During one year, 18 children in this age group died of TB disease.
The cases of TB infection are increasing due to tobacco consumption and smoking addiction among the people.
Since 2014, it has been found that tobacco use doubles the risk of developing tuberculosis.
Among those who consume tobacco in Gujarat, 60 percent are men and 8.40 percent are women. 19 percent of youth ages 13 to 15 use tobacco or tobacco products. Tobacco is the cause of cancer in 51 percent of men and 17 percent of women in Gujarat. Now tuberculosis has also been added to it. Tobacco causes many diseases like heart disease, paralysis, asthma, impotence. According to WHO’s conclusion, by 2030 it will fill 100 million people. Tobacco is responsible for many other diseases apart from cancer. Smoking a cigarette increases blood pressure by 5 to 10% for about 30 minutes. That’s why Gujarat Police has banned smoking or eating tobacco in public places. But it was not implemented.
43 carcinogenic substances responsible for cancer as well as 400 other toxins including nicotine and tar are consumed during smoking. Nicotine is a psychostimulant and leads to addiction to smoking. Lumps of tar get deposited in the lungs and reduce the breathing capacity of the body. It causes lung and throat cancer, heart disease, difficulty in breathing, bronchial and lung problems. Nonsmokers (especially children) are at risk of developing these diseases through passive smoking. 8% people are suffering from diseases due to passive smoking.
More than 1400 people are infected with TB every day in India. According to a study, India has the highest prevalence of TB globally. Every year 4 lakh 80 thousand people die due to TB. According to WHO, in 2021, a total of 16 lakh people died of TB. (including 187,000 people with HIV). Globally, TB is the 13th leading cause of death.
The Ministry of Health and Family Welfare conducted a study in Vadodara in 2010 that all people with tuberculosis were tobacco users. At the end of treatment, 67.3% of patients quit tobacco after persuasion.
According to a research conducted in the country, 40% of TB cases
Reese are addicted to tobacco, 20% of them are getting TB again. People who consume tobacco and smoke are more likely to get TB infection. According to a survey of 42,000 people across the country, including Bikaner, 46.9 percent of people between the ages of 15 and 49 use some form of tobacco. Which includes beedi, cigarette, hookah, chillum, paan, khaini, gutkha etc. About six percent of girls and women in this age group also use tobacco. 27 crore people in the country consume tobacco. Smoking causes 9.30 lakh deaths every year. 9.50 lakh deaths are caused by smokeless tobacco. According to a WHO report, 7 percent of the total deaths of people above 30 years of age in the country are due to tobacco. WHO experts say that smoking addiction among youth is causing TB disease. Due to the strong immune system in the youth, the medicine is showing effect, but its effect may decrease in the next 10 years.
Investigation
State T.B. located in Ahmedabad Civil Medicity. The Director of the Training and Demonstration Center is Dr. Pranav Patel. 30 thousand TB Patients’ samples (sputum test) are examined. Samples of more than one lakh patients are tested in CB-NAAT and TrueNat machines with the state-of-the-art technology provided by the state government. Every year, very expensive Bedaquiline and Delamanid medicines are being given free of cost to 3500 patients suffering from severe TB by the state government. Under the Nikshay Poshan Yojana, patients are provided assistance of Rs 500 per month by the state government.
