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        Tuberculosis comorbidity with communicable and non-communicable diseases : integrating health services and control efforts

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        1_s2.0_S147330991370015X_main.pdf (PDF, 744Kb)
        Author
        Marais, Ben J
        Lönnroth, Knut
        Lawn, Stephen D
        Migliori, Giovanni Battista
        Mwaba, Peter
        Glaziou, Philippe
        Bates, Matthew
        Colagiuri, Ruth
        Zijenah, Lynn
        Swaminathan, Soumya
        Memish, Ziad A
        Pletschette, Michel
        Hoelscher, Michael
        Abubakar, Ibrahim
        Hasan, Rumina
        Zafar, Afia
        Pantaleo, Guiseppe
        Craig, Gill
        Kim, Peter
        Maeurer, Markus
        Schito, Marco
        Zumla, Alimuddin
        Attention
        2299/20675
        Abstract
        Recent data for the global burden of disease reflect major demographic and lifestyle changes, leading to a rise in non-communicable diseases. Most countries with high levels of tuberculosis face a large comorbidity burden from both non-communicable and communicable diseases. Traditional disease-specific approaches typically fail to recognise common features and potential synergies in integration of care, management, and control of non-communicable and communicable diseases. In resource-limited countries, the need to tackle a broader range of overlapping comorbid diseases is growing. Tuberculosis and HIV/AIDS persist as global emergencies. The lethal interaction between tuberculosis and HIV coinfection in adults, children, and pregnant women in sub-Saharan Africa exemplifies the need for well integrated approaches to disease management and control. Furthermore, links between diabetes mellitus, smoking, alcoholism, chronic lung diseases, cancer, immunosuppressive treatment, malnutrition, and tuberculosis are well recognised. Here, we focus on interactions, synergies, and challenges of integration of tuberculosis care with management strategies for non-communicable and communicable diseases without eroding the functionality of existing national programmes for tuberculosis. The need for sustained and increased funding for these initiatives is greater than ever and requires increased political and funder commitment.
        Publication date
        2013-05-01
        Published in
        The Lancet. Infectious diseases
        Published version
        https://doi.org/10.1016/S1473-3099(13)70015-X
        Other links
        http://hdl.handle.net/2299/20675
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