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Faculty of Nursing
                                                                   Adult care Nursing Department



               The ICN has issued guidelines for nurses pertaining to patient-centered care through the short

               course of directly observed treatment (DOTS) for TB.


               The World Health Organization reported in 2005 that 182 countries employed DOTS strategies

               during  2003,  and  that  as  a  result  of  such  strategies,  global  TB  prevalence  fell  globally  by  5%
               between 2002 and 2003.


               The same report noted that in 2003, global TB prevalence was falling or stable in five out of six

               WHO regions, with the exception of the Africa region, where incidence had been rising more
               quickly in areas of HIV prevalence.


               The net result is that global figures of TB are currently rising at 1% on an annual basis.


               On World TB Day 2006, an increase in levels of drug-resistant TB was announced, underlying the

               growing risk posed by the disease.


               TB in prisons remains a major concern.


                2.8.2 Avian Influenza


               In 2005, the avian influenza virus (bird flu) spread in epidemic proportions among poultry in China,
               Cambodia, Indonesia Thailand, and Viet Nam.


                In its severest form – highly pathogenic avian influenza (HPAI) – bird flu can be fatal on the first

               day of developing symptoms.


               It is this severe form of bird flu that was first reported to have infected domestic poultry, ducks,
               pigs, tigers and some humans in Asia during late 2004.


               The World Health Organization and medical researchers have predicted that if the avian flu virus

               mutates  to become  infectious through  direct  transmission  between  humans,  it could cause  a

               worldwide pandemic.


                               52                                                                        Academic Year 2025/2026
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