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SOUTH ASIAN OBSERVER                                              NEWS                                                                     3
          FRIDAY, NOVEMBER 03, 2017


                   India's TB success a myth says Canadian expert




           ndia has miles to go before it successfully  charting out a National Strategic Plan, rolling  Médecins Sans Frontières in both cities.  and four to a bed. Dr. Singh, the lead doctor, was
           tackles tuberculosis, Stephen Lewis, co-  out the diagnostic tool GeneXpert, going in for  Mr.  Lewis,  who has been Canada's  explaining to us that there was no way to
        Ifounder and co-director of international  a broader rollout of  two new drugs,  Ambassador to the United Nations, says the  isolate children with TB, nor was there focused
        advocacy organisation AIDS-Free World, has  bedaquiline and delamanid, and the Prime  goal of eliminating TB by 2025 is aspirational  paediatric care for children in specialised
        said. Mr. Lewis, who was on a fact-finding tour  Minister too adding his voice to the crescendo  mythology. "During our trip, we barely heard  Multi Drug Resistant-TB settings. They were
        of New Delhi and Mumbai earlier this month,  of endorsement.             reference to latent TB, although a third of the  breaking pills for adults into small fragments,
        has come out with 'TB in India: Rhetoric vs.  "I want, with all my heart, to believe that this  population has it, and it could, with  hoping for successful treatment of childhood
        Reality', a report that says it's too early to  picture of achievement is real. But I am seized  hallucinatory implications, lead to active TB.  TB." Mr. Lewis also talks about the 18-year-old
        shower accolades on the Indian government,  by incredulity. There are too many factors that  The social determinants of health lie in tatters:  girl from Patna, who had to go to court to get
        and nothing in the last several years lends  give me pause," Mr. Lewis said. He spent four  homelessness, overcrowding, poor nutrition,  access to the highly-controlled anti-TB drug
        confidence.                          days in New Delhi and three in Mumbai with  food insecurity and excruciating poverty, taken  bedaquiline, and how she has not shown any
          Mr. Lewis claims in his report that many in  colleague Georgia White, visiting public and  together, constitute a death knell for public  signs of the disease after bedaquiline. "It is,
        India and other countries feel India has  private sector facilities, senior bureaucrats, the  health."        however, incomparably sad to report that her
        dramatically turned the corner on TB, with the  World Health Organisation, USAID, the Clinton  Referring to a visit to a paediatric hospital in  lungs are so compromised that survival will be
        government calling for its elimination by 2025,  Health Access Initiative, Gates and the  New Delhi, he said, "Toddlers were lying three  a constant struggle.
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