Shri J P Nadda launches new initiatives to combat TB
Government of India committed to accelerate efforts to fight tuberculosis in the country: Shri J P Nadda
“The Government of India stands committed to accelerating its efforts to
combat tuberculosis in the country”, stated Shri J P Nadda, Union
Minister of Health and Family Welfare. He was speaking on the eve of
‘World TB Day’, here today. He stated that the process of fighting TB is
continuous, hence there can be no dilution and do diversion. Our
attention needs to steadfast and aggressive, stated the Health Minister.
He further added that resources will not be a constraint and the
Government will continue to work with all stakeholders, in devising
short term and long term approaches. Shri Nadda also emphasized the need
for compassion in the treatment of TB patients.
At the event, Shri J P Nadda, launched Bedaquiline – new anti-TB drug
for Drug Resistant TB as part of the RNTCP. The drug is a new anti-TB
drug for treatment of MDR-TB. This new class of drug is a
diarylquinoline that specifically targets Mycobacterial ATP synthase, an
enzyme essential for supply of energy to Mycobacterium tuberculosis and
most other mycobacteria. This drug is indicated for use in the
treatment of drug-resistant TB. Bedaquiline is being introduced at six
identified tertiary care centres across India. These sites have advanced
facilities for laboratory testing and intensive care for patients.
Bedaquiline will be given to multi-drug resistant TB patients with
resistance to either all fluoroquinolone and/or all second line
injectables and extensive drug resistant TB.
Shri Nadda also inducted over 500 Cartridge Based Nucleic Acid
Amplification Test (CBNAAT) machines in the programme. The CBNAAT is a
revolutionary rapid molecular test which detects Mycobacterium
tuberculosis and rifampicin drug resistance, simultaneously. This test
is fully automated and provides results within two hours. It is a highly
sensitive diagnostic tool and can be used in remote and rural areas
without sophisticated infrastructure or specialized training. Until
2015, 121 CBNAAT sites are functional in the country largely providing
decentralized testing for detection of DR TB. With the availability of
these additional 500 machines, access to rapid quality assured diagnosis
of DR TB and TB will be ensured in all the districts of India either
directly or through a linkage by specimen transport mechanism.
Additionally, the programme will be able to use this highly sensitive
state-of-art technology for diagnosis of TB among key populations like
children, PLHIV and extra pulmonary TB patients.
The Health Minister also released the TB India 2016 Annual Report and
the Technical and Operational Guidelines for TB Control in India 2016.
The comprehensive set of guidelines are for management of all forms of
TB, including drug resistant TB and strategies for intensified case
finding; adherence of more patient centric approaches; and single-window
care for patients suffering from HIV and TB. A handbook for ‘Healthcare
Worker surveillance for TB in India’ and Guidelines for Prevention and
Management of Adverse reactions associated with anti-TB drugs were the
other e-book launch at the event. A new radio campaign with TB
ambassador Amitabh Bachchan and social media campaign, was also launched
at the event.
The Minister also launched the ‘Third line ART programme for People
Living with HIV’. The life-saving third line ART costs nearly Rs. 1.18
lakh per patient per year. Providing these free would not only safe
lives but improve socioeconomic conditions of the patients. This
initiative brings India’s ART programme at par with programmes in the
developed countries.
Shri B P Sharma, Secretary (HFW) highlighted the need for collective
commitment of all stakeholders. He stated that the Revised National
Tuberculosis Control Program (RNTCP) is one of the most successful
programmes. “The programme has made significant impact on prevalence and
treatment of TB”, said Shri B P Sharma. He further added that 300
CBNAAT machines have already been installed and 200 more will be
installed soon. “Quality of treatment has to be even over the public and
private sectors. It has to be well supported by a strong procurement so
that it can be sustained till 2030, said Shri B P Sharma. Secretary
(Health) also laid emphasis on surveillance and monitoring. He said that
we need new tools for diagnostics and new research. He further said
that delivery mechanism should be in conformity with goals we have set
for ourselves.