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1 | India: New Challenges to Fight Tuberculosis Worldwide | India: Sedra Vaovao Hiadiana Amin'Ny Raboka Eran-tany |
2 | This page is part of our special coverage Global Development. | Ampahany amin'ny fandrakofanay manokana ny Fivoarana eran-tany ity lahatsoratra ity. |
3 | The Indian media and blogosphere have been locked in fierce battle over two words: “extensively,” and “totally.” | Tafahitsoka tanatina ady mafana izay voafintina amina teny roa “mafy” sy “tanteraka” ny media sy ny tontolon'ny bilaogy Indiana. |
4 | If you've been following Indian news at all, you know that it is about the global health community's tuberculosis debate. | Raha nanaraka ireo vaovao Indiana ianao, dia fantatrao fa mikasika ny fifanakalozan-kevitry ny fikambanambe iraizam-pirenena momba ny fahasalamana manoloana ny aretina raboka izany. |
5 | India's media sphere exploded last week with reports from Mumbai of a tuberculosis strain completely resistant to all known treatment. | Nipoaka ny tontolon'ny media Indiana ny herinandro lasa teo noho ireo tatitra avy any Mombai momba ny karazana raboka iray tena mahatohitra ny karazana fitsaboana fantatra rehetra. |
6 | The Indian newspapers coined it “totally drug-resistant tuberculosis” or TDR-TB. | Nopetahan'ireo gazety Indiana ny anarana “totally drug-resistant tuberculosis (raboka tena tsy andairam-panafody)” na TDR-TB io raboka io. |
7 | 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). | Nefa andro vitsy monja aty aoriana dia namoaka fanambarana mandà ny fampiasàna ny fomba fiteny TDR-TB ny Governemantan'i India, milaza fa tsy manana famaritana mazava ny TDR-TB ny Fikambanana Eran-tany momba ny Fahasalamana, ary karazana raboka matanjaka tsy andairam-panafody (XDR-TB) io TB mipoitra any Mombai, India ity. |
8 | They're now calling it XXDR-TB, or “extensively drug-resistant TB.” | Ankehitriny dia antsoin'izy ireo XXDR-TB, na koa “raboka faran'izay tena tsy andairam-panafody izy io.” |
9 | Electron microscope image of mycobacterium tuberculosis, responsible for tuberculosis. | Sarin'ny "mycobacterium"n'ny raboka izay mahatonga ny raboka, azo avy amin'ny micrôskôpy elektronika . |
10 | Image by Flickr user Sanofi Pasteur (CC BY-NC-ND). | Sarin'ny mpampiasa Flickr Sanofi Pasteur (CC BY-NC-ND). |
11 | 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. | Nipoaka ny tontolon'ny bilaogy sy ireo lohateny be amin'ny gazety noho ireo manam-pahaizana sy ny vahoaka Indiana izay manontany tena ny antony mahatonga ny Governemantan'i India sy ireo goavana amin'ny fikirakirana ny fitsaboana ny TB mifandrirotra amin'izay hiantsoana izany, fa tsy ny zavatra tokony hatao momba azy. |
12 | 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.” | Bharati Ghanashyam, mpitoraka bilaogy iray ao amin'ny Journalists Against TB, na Mpanao gazety manohitra ny Tiberkilaozy, dia namintina ny fisavoritahana nipoaka teo amin'ny tontolon'ny bilaogy eran-tany momba ny fahasalamana taorian'ilay fanambaran'ny Minisitry ny Fahasalamana Indiana, “Antsoy amin'izay tianareo izany fa fongory.” |
13 | 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. | Nitsikera i Ghanashyam fa tondraky ny raharaha mangan'ny TDR-TB ny vahoaka tamin'ny vaovao izay nanambaran'i India ny tsy fisian'ny polyomelite mandritra ny taona iray manontolo. |
14 | His question: how could India achieve such a milestone but drop the ball so badly with TB? | Ny fanontaniany: ahoana no hahafahan'Inde manatanteraka zavatra goavana tahaka izany nefa manary ankitsirano ny TB? |
15 | He then noted that there was “considerable debate, denial and discussion on whether this new form can be termed TDR-TB.” | Avy eo dia nomarihiny fa misy “adihevitra mavesa-danja, fandàvana sy resadresaka mikasika ny fiantsoana na tsia an'io endrika vaovao io ho TDR-TB.” |
16 | As per a report in the Indian Express, “The doctors from Hinduja have unnecessarily raised a panic alarm. | Araky ny tatitra iray nataon'ny Indian Express, “nandefa fanairana nampikoropaka tamin'ny tsy misy dikany ireo mpitsabo avy ao Hinduja. |
17 | The term TDR is not recognized by the WHO or the Revised National Tuberculosis Control Programme (RNTCP). | Tsy eken'ny WHO (Fikambanana Iraisampirenena Momba Ny Fahasalamana) na ny Fandaharanasa Nasionaly Nasiam-panavaozana Iadiana amin'ny Raboka (RNTCP) ny fomba fiteny TDR. |
18 | As of now, they are only slotted as XDR-TB cases,” said an official from the Directorate of Health Services.” | Manomboka eto, antsoin'izy ireo ho raharahan'ny XDR-TB fotsiny izany,” hoy ny mpiasam-panjakana avy ao amin'ny Direksiona misahana ny Asa Ara-pahasalamana.” |
19 | Twitter user TBVI_EU agreed with Ghanashyam: | Niombon-kevitra tamin'i Ghanashyam ny mpampiasa Twitter TBVI_EU: |
20 | @TBVI_EU: “So true! | @TBVI_EU: “Marina loatra! |
21 | @bghanashyam It makes little difference what we call different forms of TB. | @bghanashyam misy fahasamihafany kely ny fiantsoantsika ireo karazana TB samy hafa . |
22 | What matters is people are dying,” | Ny olana dia misy ireo olona maty,” |
23 | 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.” | Ny mpitoraka bilaogy Alanna Shaikh, manam-pahaizana amin'ny fizahana ara-pahasalamana, nanintona ny mason'ny fianakaviamben'ny fivoarana noho ny lahatsoratra tao amin'ny bilaoginy momba ny End the Neglect: and calling the new form “TDR-TB.” |
24 | TDR-TB is exactly what it sounds like. | (Atsaharo ny tsy firaharahiana: ary antsoy hoe “TDR-TB” io endrika vaovao io.) |
25 | Doctors have not yet been able to identify a treatment for this TB that will work,” she wrote. | TDR-TB mihitsy no tena mety hiantsoana izany. Mbola tsy afaka namantatra fitsaboana izay mety handaitra ho an'ity TB ity ireo mpitsabo,” hoy ny nosoratany. |
26 | “This is a bad, bad development for global health. | “Fivoarana ratsy, tena ratsy ho an'ny fahasalamana eran-tany ity. |
27 | 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. | Ny WHO dia milaza ao amin'ny vohikalany, fa tsy misy fomba hamaritana raha toa ka ireo fototra niavin'ny TB izay mahatohitra ny fanafody tany amin'ny trano fanaovana fanandramana ihany no manohitra marina ireo fanafody any amin'ny marary. |
28 | 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. | Mety hanohitra ny vinavinany izany satria hatramin'ny nanehoan'ireo 12 mararinà endrika tena matanjaky ny raboka any Mombai fa tsy miasa mihitsy amin-dry zareo ireo fanafody misy, miezaka manambara fotsiny ihany ny WHO fa tsy ampy ny fitiliana mirafibika mba hamaritana ny fangarom-panafody ilaina ao amin'ny trano fanandramana mba hitsaboana ireo tena marary. |
29 | 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. | Tsy nahy, namoaka tatitra ny Minisitry ny Fahasalamana any Inde ny 20 Janoary 2012, milaza fa sivy amin'ireo tsaboina telo ambin'ny folo no efa tsy maninona intsony nandritra ny fitsaboana azy ireo amin'izao fotoana ary telo tamin'izy ireo kosa no maty, manamarina fa milavo lefona amina fanafody antibiotika sasany io fototr'aretina io. |
30 | 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. | Misy zavatra iray tsy azo hihodivirana, hentitra amin'ny tokony hanaovan'ireo governemanta sy malala-tànana iraisampirenena mpanome vatsy tahaka ny Global Fund sy ny Firenena Mikambana ny ho laharam-pahamehana ny fijerena mivantana ny tiberkilaozy ireo vondrompiarahamonina mpisolovava ao anaty aterineto sy ny fampitàna mivantana ny #tuberculosis ao amin'ny Twitter. Ampahany amin'ny fandrakofanay manokana ny Fivoarana Eran-tany ity lahatsoratra ity. |