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1 | Índia: Nous reptes a la lluita mundial contra la tuberculosi | India: New Challenges to Fight Tuberculosis Worldwide |
2 | Aquesta entrada forma part de la nostra cobertura especial sobre Desenvolupament Global. | This page is part of our special coverage Global Development. |
3 | Els mitjans i la blocosfera hindús han entrat en una aferrissada baralla al voltant de dos termes: “summament” i “totalment”. | The Indian media and blogosphere have been locked in fierce battle over two words: “extensively,” and “totally.” |
4 | Si ets al corrent de les notícies que vénen de l'Índia, deus saber que parlem del debat sobre la tuberculosi que té lloc a la comunitat global de la salut. | If you've been following Indian news at all, you know that it is about the global health community's tuberculosis debate. |
5 | Els mitjans hindús es van fer ressò fa dues setmanes dels informes arribats de Mumbai sobre un tipus de cep de tuberculosi resistent a tot tipus de tractament conegut. | India's media sphere exploded last week with reports from Mumbai of a tuberculosis strain completely resistant to all known treatment. |
6 | Els diaris hindús la batejaren com a “tuberculosi totalment resistent als medicaments” (TDR-TB). | The Indian newspapers coined it “totally drug-resistant tuberculosis” or TDR-TB. |
7 | De tota manera, pocs dies després el Govern de l'Índia va fer públic un comunicat on rebutjava aquest nom i afirmava que l'Organització Mundial de la Salut no tenia una definició clara per al brot, i que el cas de Mumbai (Índia) no era més que un altre brot de tuberculosi resistent als medicaments (TRMD), el qual han nomenat XXDR-TB (o “tuberculosi summament resistent als medicaments”) | But just a few days later the Government of India released a statement refuting the term TDR-TB, saying that the World Health Organization has no clear definition for TDR-TB, and that the TB emerging in Mumbai, India is merely another strain of extremely drug-resistant TB (XDR-TB). They're now calling it XXDR-TB, or “extensively drug-resistant TB.” |
8 | Imatge del mycobacteruim tuberculosis, causant de la tuberculosi, en un microscopi electrònic. | Electron microscope image of mycobacterium tuberculosis, responsible for tuberculosis. |
9 | Imatge de Flickr de Sanofi Pasteur (CC BY-NC-ND). | Image by Flickr user Sanofi Pasteur (CC BY-NC-ND). |
10 | La blocosfera i els titulars s'ompliren d'experts i ciutadans hindús que es preguntaven per què el Govern de l'Índia i els grans actors del tractament de la tuberculosi discutien sobre com anomenar-lo, en comptes de fer-hi alguna cosa. | The blogosphere and headlines erupted with experts and Indian citizens wondering why the Government of India and the big players in TB treatment were arguing over what to call it, rather than what to do about it. |
11 | | Bharati Ghanashyam, a blogger for Journalists Against TB, summed up the outrage that erupted in the global health blogosphere following the Indian Ministry of Health's statement, “Call it any name but banish it.” |
12 | Bharati Ghanashyam, un blocaire de Perodistes contra la Tuberculosi, sintetitzà el malestar que sorgí a la blocosfera relacionada amb temes de salut després que el Ministre de Sanitat hindú declarès: “Anomenin-lo com vulguin, pero eliminin-lo” | Ghanashyam commented that the TDR-TB fiasco arose on the heels of the news that India had been declared polio-free for an entire year. His question: how could India achieve such a milestone but drop the ball so badly with TB? |
13 | Ghanashyam comentava que el fracàs del TDR-TB va sorgir després de la notícia segons la qual la Índia havia sigut declarada lliure de poliomelitis durant un any sencer. | He then noted that there was “considerable debate, denial and discussion on whether this new form can be termed TDR-TB.” As per a report in the Indian Express, “The doctors from Hinduja have unnecessarily raised a panic alarm. |
14 | La seva pregunta era: Com pot l'Índia aconseguir una proesa com aquesta per a després fracassar de tal manera amb la tuberculosi? | The term TDR is not recognized by the WHO or the Revised National Tuberculosis Control Programme (RNTCP). |
15 | A continuació apunta que va haver-hi “un considerable debat, rebuig i discussió sobre si la nova forma es podia classificar com a TDR-TB” | As of now, they are only slotted as XDR-TB cases,” said an official from the Directorate of Health Services.” |
16 | Segons un article publicat a l'Indian Express, “els metges de Hinduja han provocat un pànic innecessari. | Twitter user TBVI_EU agreed with Ghanashyam: @TBVI_EU: “So true! |
17 | El terme TDR no està reconegut per l'Organització Mundial de la Salut ni pel Nou Programa Nacional de Control de la Tuberculosi (RNTCP). | @bghanashyam It makes little difference what we call different forms of TB. What matters is people are dying,” |
18 | | Blogger Alanna Shaikh, an expert in health consulting, got some attention from the development community for her blog post on End the Neglect: and calling the new form “TDR-TB.” |
19 | “Per ara, es limiten a classificar-lo com un cas de TRMD”, va dir un dels responsables de la Direcció General de Serveis de Salut”. | TDR-TB is exactly what it sounds like. Doctors have not yet been able to identify a treatment for this TB that will work,” she wrote. |
20 | | “This is a bad, bad development for global health. |
21 | | The WHO claims on their website, that there is no way to determine whether strains of TB that appear resistant to drugs in the laboratory, are actually resistant to the drugs in the patient. |
22 | | This may seem counter-intuitive since the 12 patients suffering from a particularly virulent form of tuberculosis in Mumbai have obviously show they are not susceptible to the available drugs, the WHO is simply attempting to state that it lacks a standardized test to determine just how effective different combination of the drugs are in the laboratory vs. treating real patients. |
23 | | Incidentally, India's Ministry of Health issued a report on January 20, 2012, stating that nine out of the twelve reported patients were stable on their current treatment while three had died, confirming that the strain is susceptible to some antibiotic treatment. |
24 | | One thing remains certain, the #tuberculosis Twitter stream and TB online advocacy community are adamant that tuberculosis needs to remain a high-priority for donor governments and international donor organizations like the Global Fund and the United Nations. |