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S Africa Urgent Meeting
On Super-Deadly XDR TB
From Patricia Doyle, PhD
10-13-6

BuaNews (Tshwane)
10-14-6
 
The Department of Health will hold a two-day meeting with the Word Health Organisation (WHO) next week, to discuss ways to fight tuberculosis in the country.
 
The meeting will be held in Johannesburg on Tuesday and Wednesday, to discuss the multi-drug resistant (MDR) and the extremely-drug resistant (XDR) tuberculosis.
 
Departmental spokesperson Sibani Mngadi said the meeting had been requested by Health Minister Manto Tshabalala-Msimang for the WHO experts to assist in reviewing national and regional strategies and action plans to deal with XDR-TB.
 
The disease has been discovered in several provinces in the country, including KwaZulu-Natal, Gauteng, Free State, with the Northern Cape and North West the latest to confirm its existence over the past few days.
 
The multi-drug resistant tuberculosis, which does not respond to at least three of the second-line TB treatment drugs; was first diagnosed in KwaZulu-Natal a couple of months ago, where a reported 70 people have died since.
 
"The Department has invited the WHO, SADC Ministers of Health and their TB experts, heads of SA Departments of Health, their TB programme managers and communication officers from all nine provinces," said Mr Mngadi.
 
Also to attend are scientists from the Medical Research Council (MRC) and the National Health Laboratories Services (NHLS) and representatives of the mining sector, the pharmaceutical industry and various universities.
 
"The objective of the meeting is to obtain a briefing on the status quo with regard to the management and prevention of TB, MDR and XDR TB. The meeting will also come up with an MDR and XDR TB strategy, which will talk to all the countries-specific TB programmes," said Mr Mngadi.
 
He added that this was a follow-up to the meeting between Dr Tshabalala-Msimang and TB experts, clinicians and laboratory scientists in Johannesburg last month, about the nature and extent of the problem in the country.
 
The experts recommended that the country urgently needed to strengthen its TB control programme, surveillance and infection control systems, among other things.
 
Given the mobility of people in Southern Africa, the Minister also met with the SADC Ministers of Health in Mozambique Maputo also last month, to brief them about the situation in South Africa.
 
"The Ministers agreed that the XDR TB challenge needed a regional approach, taking into consideration that TB is a challenge in SADC counties and the free movement of people within the region and continent," Mr Mngadi said.
 
The MRC has also developed a seven point plan to combat the disease.
 
The emergency action plan calls for urgent and rapid surveys of this type of the disease, enhancing capacity at laboratories, promoting universal access to antiretrovirals (ARVs) under joint TB and HIV activities and increasing research support for rapid diagnostic test development.
 
 
Patricia A. Doyle DVM, PhD
Bus Admin, Tropical Agricultural Economics
Univ of West Indies
 
Please visit my "Emerging Diseases" message board at:
http://www.emergingdisease.org/phpbb/index.php
Also my new website:
http://drpdoyle.tripod.com/
Zhan le Devlesa tai sastimasa
Go with God and in Good Health


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