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The key findings of the 2019 India TB report (released in September 2019), which has been produced by the Ministry of Health and Family Welfare, are as follows (please click here and click here to access):

• The country accounted for a quarter of the global tuberculosis (TB) burden with an estimated 27 lakh cases in 2018.

• In 2018, the country was able to achieve a total notification of 21.5 lakh TB cases, of which 25 percent was from private sector. Majority of the TB burden is among the working age group. Nearly 89 percent of TB cases came from the age group 15-69 years. About two-third of the TB patients were males.

• Among the notified, treatment was initiated for about 19.1 lakh cases (almost 90 percent), across both public and private sectors.

• HIV co-infection among TB patient was nearly fifty thousand cases amounting to TB-HIV co-infection rate of 3.4 percent.

• In 2018, TB notification has increased to 5.37 lakhs. This is an increase by 35 percent in notification from private sector in comparison to 2017.

• Based on private drug sales data, it could be said that in 2016 there was about 1.59 times patients in the private sector as compared to the public sector (approximately 22.7 lakh patients in total).

• In India about 80 percent of the outpatient care is provided by private health care providers. Considering the quantum of private sector, it necessitates to leverage their capacity to expand health coverage.

• TB is a notifiable disease vide 2012 as per declaration of Government of India Order. This has expanded the ambit of TB surveillance covering all public as well as private health facilities. The healthcare providers shall notify every TB cases to local authorities such as District Health Officers/ Chief Medical Officers of a district and Municipal Health Officer of a municipal corporation. This notification should be done every month. The surveillance begins with the notification, and completed with acting on the information gathered. In March 2018, the notification was published in Gazette of India, making it mandatory for private providers to notify TB patients and public health system to act upon it.

• Uttar Pradesh, with 17 percent of population of the country, is the largest contributor to TB cases, with 20 percent of the total notifications, accounting for about 4.2 lakh cases (187 cases per lakh population).

• Delhi and Chandigarh stand apart from all other states and UTs with regard to notification rates relative to their resident population. Annual notification rates in Delhi and Chandigarh were 504 cases per lakh population and 496 cases per lakh population, respectively. This is because patients residing in other parts of the country are diagnosed/ notified from these two UTs.

• In 2018, the Revised National Tuberculosis Control Programme (RNTCP) notified 21.5 lakh TB cases, a 16 percent increase over 2017.

• The largest ever National Drug Resistance Survey in the world for 13 anti-TB drugs has been completed and it has indicated about 6.2 percent prevalence of drug resistant TB in the country among all TB patients.

• The Government of India is prioritising resource allocations for TB in the country with more than Rs. 12,000 crores being invested in the implementation of the National Strategic Plan to End TB 2017-2025. The government has started the Nikshay Poshan Yojana (NPY) for nutritional support to TB patients. 

• It is expected that the country would be able to cover all TB cases through the online notification system -- NIKSHAY.


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