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How do you understand TB?
How does TB infection spread? Coughing  Sneezing  Singing
A TB patient can infect……….. A TB patient can infect  10-15 persons/year
How does TB settle in lungs?
How does PTB end? 90 – 95% Immunity ↑ Immunity ↓ 5 – 10% Containment Healing Spread
How does TB spread in a body? 85% Pulmonary TB 15% Extrapulmonary TB
Extra-pulmonary TB
Extra-pulmonary TB
Extra-pulmonary TB
Extra-pulmonary TB
Can TB be cured? Why can’t we control TB infection?
Although TB is infectious and lethal,  it can be cured and controlled.
TB situation in Myanmar One of 22 high TB burden countries One of 27 high MDR countries One of 41 high TB-HIV burden countries All TB: 612/100,000 Infectious: 240/100,000 80% Urban>Rural National Prevalence study, 2009/10 Global TB control, 2010
National TB Control Strategy Case detection D O T S DOTS Directly Observed Treatment Short Course
How people seek for their health? To relieve their illness, where people go to? Who are the private health services providers? (both formal and informal) ? ? ?
How do private health care providers take part in TB control?

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Chapter 1 understanding tb