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Faculty of Nursing
                                                                   Adult care Nursing Department



               In Zambia, for example, the high prevalence of HIV and tuberculosis co-infection can lead to nurses

               (particularly  those  who  are  HIV-positive)  being  reluctant  to  treat  patients  with  tuberculosis

               because of the real risk of infection.


               Efforts to reduce risks to nurses and patients include providing treatment on an outpatient basis,
               especially  in  urban  areas  of  the  country,  reducing  congestion  at  health  centers,  ensuring  an

               uninterrupted  provision  of  supervised  chemotherapy,  and  the  reduction  of  health  workers’

               workload.


               2.8 Other actual and potential health crises


               2.8.1 Tuberculosis (TB)


                Tuberculosis (TB) is a continuing health concern across the globe.


               According to the World Health Organization’s 2005 survey, there were 15.4 million cases of the
               disease in 2003, 8.8 million of which were new cases.


               Of those 8.8 million, 674,000 were also infected with HIV.


               An estimated 1.7 million people died from TB in 2003, including 229,000 people co-infected with

               HIV, and two million are thought to have died in 2002.


               In 2004 there were an estimated 8.9 million new cases; a further 1.7 million people died of the

               disease. The increasing HIV epidemic in eastern Europe and in China will also increase the number
               of people with TB resulting from HIV infection.


               TB is currently a major cause of death among people living with HIV/AIDS.


               Nurses  working  in  primary  care  roles  are  often  the  first  to  identify  and  manage  suspected
               communicable diseases. In some settings, TB programmers can be led by nurses who are in a key

               position to advocate for TB control programmers.


                               51                                                                        Academic Year 2025/2026
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