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Public Health Action. 2015 Sep 21;5(3):180-2. doi: 10.5588/pha.15.0019.

Double trouble: tuberculosis and substance abuse in Nagaland, India.

Public health action

R Shenoy, M Das, H Mansoor, R Anicete, L Wangshu, S Meren, I Ao, P Saranchuk, A J Reid, P Isaakidis

Affiliations

  1. Médecins Sans Frontières, Mon, Nagaland, India.
  2. Evergreen Welfare Society, Mon, Nagaland, India.
  3. District TB Control Office, Revised National TB Control Programme, Mon, Nagaland, India.
  4. Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa.
  5. Médecins Sans Frontières, Operational Research Unit, Luxembourg city, Luxembourg.
  6. Médecins Sans Frontières, Mon, Nagaland, India ; Médecins Sans Frontières, Operational Research Unit, Luxembourg city, Luxembourg.

PMID: 26399288 PMCID: PMC4576769 DOI: 10.5588/pha.15.0019

Abstract

The diagnosis and treatment of tuberculosis (TB) in people who use and/or inject illicit drugs (PWUIDs) remains a barrier to achieving universal coverage for TB in India and globally. This report describes treatment outcomes in PWUIDs who received treatment for drug-susceptible TB at the Mon District Hospital in Nagaland, India, during 2012-2013. The median age of the patients was 39 years, and most (92%) were male. Two thirds (33/49) of the patients had a successful TB treatment outcome. A previous TB episode and residence in a semi-urban area were associated with unsuccessful treatment outcomes. Separate diagnostic and treatment algorithms, including regular adherence counselling and opioid substitution therapies, should be considered for PWUIDs.

Keywords: IDU; adherence; operational research; opium

References

  1. Bull World Health Organ. 2013 Feb 1;91(2):154-6 - PubMed
  2. PLoS One. 2014 Sep 26;9(9):e108186 - PubMed
  3. Int J Tuberc Lung Dis. 2015 Mar;19(3):326-32 - PubMed

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