Home Tuberculosis Dedicated PMC unit to attain 100% tuberculosis notification | Pune News

Dedicated PMC unit to attain 100% tuberculosis notification | Pune News


Pune: A dedicated cell to identify, diagnose and treat every patient of tuberculosis in the city has become functional at Pune Municipal Corporation’s health department.
Around 7,000 cases of TB are diagnosed in Pune city every year. Of those, 3,000 are being notified by public health care units, while 4,000 are notified by private medical practitioners. In reality, however, an estimated 9,000 cases occur in a year in PMC limits as per the prevalence rate — 194 TB cases per a lakh population. This means about 2,000 are unaccounted for.
The Union health ministry had issued a notification on May 7, 2012, making it mandatory for all health care providers to report each TB case to the local health authorities. The government’s aim is to eliminate the disease by 2025.
“The foremost aim of establishing the TB cell is to achieve 100% notification of TB patients from private and public health care doctors in the city. Once this is achieved, it will be a lot easier to ensure that they are cured of the disease by keeping a tab on their treatment. Finding missing patients is a huge obstacle in achieving the TB elimination goal,” public health expert Vaishali Jadhav, PMC’s assistant medical officer of health (TB), told TOI.
The responsibility for these “missing” cases — those not notified to the government — mainly rests with private health care providers, experts said. “We have made every effort to increase TB notification from private doctors over the past few years. But there has been little progress. However, with the five medical officers involved in the TB cell, it will be lot easier to push up the notification from private doctors now,” Jadhav said.
There are 11 TB units functional for the city’s 46 lakh population.
“We aim to divide the workload of these 11 TB units among the five medical officers appointed for this purpose. Once the work is properly demarcated, it will be easier to fix accountability,” Jadhav said.
The experts said the private health care units’ lukewarm response to notifying TB cases to the local health authorities was likely to undermine the government’s target to eliminate the disease by 2025.
“More than 60% of the patients in the city approach private doctors, hospitals and clinics for treatment. Unless they are active in notifying the cases, it is not possible to understand the disease burden and initiate appropriate interventions. The TB cell is a step in this direction,” said health activist Sanjay Dabhade.
In 2015, PMC had recorded 4,465 newly diagnosed TB patients. Of them, private health care providers had reported 687 patients. In 2018, PMC recorded 6,171 cases, of which 2,685 cases were notified by the private health care providers.
In 2019, private doctors have noticed 3439 TB cases, while public hospitals have notified 2,896 cases.

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