Tuberculosis and HIV Coordination
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document in English
medical studies
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published 05/06/2008
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Summary
Tuberculosis and HIV are responsible for the greatest burden on public health systems around the world. Their individual burdens continue to rise, straining the abilities of public health through their subsequent morbidity and mortality, yet their disease patterns are also linked to each other. TB, for example, is one of the leading causes of mortality in people living with HIV/AIDS (Getahun 2004). Globally there are an estimated 12 million people co-infected with TB and HIV, and two thirds of AIDS patients in Sub-Saharan Africa suffer from TB as well (TB Alliance 2005). By accelerating HIV disease progression, the interaction of TB and HIV makes TB mortality four times higher among HIV patients and non-HIV patients, while also increasing the overall TB infection and transmission rate (Coatzee 2004). Co-infection between TB and HIV catalyzes their effect on both the population’s health and the population’s resources. Yet although their joint burden can be understood, it is often not even recognized within the population. In South Africa it is estimated that 10% of HIV-positive persons know their status, which only increases the risk of both HIV and TB transmission (Karim 2004).
Table of Contents
- One observational study in South Africa looked at the logistical and programmatic characteristics of TB and HIV care
- The World Health Organization (WHO) is a strong advocate for the coordination of TB and HIV activities
- Many countries are facing the TB/HIV co-infection burden
- In South Africa, HIV and AIDS exerts an incredible and pervasive burden on their population's health
- Once patients are already in an integrated TB/HIV care program, the success of their care will still face some obstacles.
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