Do you know? TB remains one of the world’s deadliest infectious killers. Each day, nearly 4,000 people lose their lives to TB and close to 28,000 people fall ill with this preventable and curable disease.
World’s Tuberculosis (TB) Day is celebrated every 24th of March to raise public awareness about the devastating health, social and economic consequences of TB, and to step up efforts to end the global TB epidemic.
The theme of World’s TB Day 2021 is ‘The Clock is Ticking’. It conveys the sense that the world is running out of time to act on the commitments to end TB made by global leaders.
Tuberculosis (TB) is a contagious infection that usually attacks your lungs. It can also spread to other parts of your body, like your brain and spine. A type of bacteria called Mycobacterium tuberculosis causes it.
Can tuberculosis be cured?
In the 20th century, TB was a leading cause of death in the United States. Today, most cases are cured with antibiotics. But it takes a long time. You have to take medications for at least 6 to 9 months.
A TB infection doesn’t always mean you’ll get sick. There are two forms of the disease:
– Latent TB: You have the germs in your body, but your immune system keeps them from spreading. You don’t have any symptoms, and you’re not contagious. But the infection is still alive and can one day become active. If you’re at high risk for re-activation — for instance, if you have HIV, you had an infection in the past 2 years, your chest X-ray is unusual, or your immune system is weakened — your doctor will give you medications to prevent active TB.
– Active TB: The germs multiply and make you sick. You can spread the disease to others. Ninety percent of active cases in adults come from a latent TB infection.
A latent or active TB infection can also be drug-resistant, meaning certain medications don’t work against the bacteria.
Tuberculosis Signs and Symptoms
Latent TB doesn’t have symptoms. A skin or blood test can tell if you have it.
Signs of active TB disease include:
A cough that lasts more than 3 weeks, Chest pain, Coughing up blood, Feeling tired all the time, Night sweats, Chills, Fever, Loss of appetite, Weight loss.
If you have any of these symptoms, see your doctor to get tested. Get medical help right away if you have chest pain.
Tuberculosis is caused by bacteria that spread through the air, just like a cold or the flu. You can get TB only if you come into contact with people who have it.
Tuberculosis Risk Factors
You could be more likely to get TB if:
– A friend, co-worker, or family member has active TB.
– You live in or have traveled to an area where TB is common, like Russia, Africa, Eastern Europe, Asia, Latin America, and the Caribbean.
– You’re part of a group in which TB is more likely to spread, or you work or live with someone who is. This includes homeless people, people who have HIV, people in jail or prison, and people who inject drugs into their veins.
– You work or live in a hospital or nursing home.
– You’re a health care worker for patients at high risk of TB.
– You’re a smoker.
A healthy immune system fights the TB bacteria. But you might not be able to fend off active TB disease if you have: HIV or AIDS, Diabetes, Severe kidney disease, Head and neck cancers, Cancer treatments such as chemotherapy, Low body weight and poor nutrition, Medications for organ transplants, Certain drugs to treat rheumatoid arthritis, Crohn’s disease, and psoriasis.
Babies and young children also have higher chances of getting it because their immune systems aren’t fully formed.
Tuberculosis TransmissionWhen someone who has TB coughs, sneezes, talks, laughs, or sings, they release tiny droplets that contain the germs. If you breathe in these germs, you can get it.
TB isn’t easy to catch. You usually have to spend a long time around someone who has a lot of the bacteria in their lungs. You’re most likely to catch it from co-workers, friends, and family members.
Tuberculosis germs don’t thrive on surfaces. You can’t get it from shaking hands with someone who has it or by sharing their food or drink.
Your treatment will depend on your infection.
– If you have latent TB, your doctor will give you medication to kill the bacteria so the infection doesn’t become active. You might get isoniazid, rifapentine, or rifampin, either alone or combined. You’ll have to take the drugs for up to 9 months. If you see any signs of active TB, call your doctor right away.
– A combination of medicines also treats active TB. The most common are ethambutol, isoniazid, pyrazinamide, and rifampin. You’ll take them for 6 to 12 months.
– If you have drug-resistant TB, your doctor might give you one or more different medicines. You may have to take them for much longer, up to 30 months, and they can cause more side effects.
Whatever kind of infection you have, it’s important to finish taking all of your medications, even when you feel better. If you quit too soon, the bacteria can become resistant to the drugs.
Tuberculosis infection can cause complications such as: Joint damage, Lung damage, Infection or damage of your bones, spinal cord, brain, or lymph nodes, Liver or kidney problems, Inflammation of the tissues around the heart.
To help stop the spread of TB:
– If you have a latent infection, take all of your medication so it doesn’t become active and contagious.
– If you have active TB, limit your contact with other people. Cover your mouth when you laugh, sneeze, or cough. Wear a surgical mask when you’re around other people during the first weeks of treatment.
– If you’re traveling to a place where TB is common, avoid spending a lot of time in crowded places with sick people.
Children in countries where TB is common often get the BCG vaccine. It isn’t widely used in the United States, and it doesn’t always protect against infection. Doctors recommend it only for children living with someone who has an active TB infection with a very drug-resistant strain or who can’t take antibiotics. Other vaccines are being developed and tested.
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