orientation of the district level health workers for tb and tobacco integration and training on...
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Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessation
Kathmandu, April 7 – 8, 2014
Tobacco as a risk factor for TB and screening strategies
Giampaolo MezzabottaMedical Officer/TuberculosisWorld Health OrganizationNepal Country Office
How tobacco influences TB
* =
smoking-related cough can mask TB, thus delaying patients’ care seeking behaviour and making harder for clinicians to recognize TB.
SMOKING?
Who should be screened for TB?
TB prevalence in Nepal is estimated at 241/100,000.
Who is at higher risk of active TB?
Setting
Published in 2007 but still the main source of information about TB and tobacco control
Estimated number of cases
Estimated number of deaths
1.3 million*• 74.000 in children• 410.000 in women
8.6 million• 0.5 m in children• 2.9 m in women
450,000
All forms of TB
Multidrug-resistant TB
HIV-associated TB 1.1 million (13%)
320,000
Source: WHO Global Tuberculosis Report 2013 * Including deaths attributed to HIV/TB
The global burden of TB -2012
170,000
The Tobacco epidemic
How and where the two epidemics merge?