Kerala launched the "Kerala TB Elimination Mission" to achieve TB elimination by 2025. COVID-19 initially impacted TB case finding, but Kerala established robust systems to detect missed TB cases through door-to-door screening, integrated testing, and social media campaigns. These efforts allowed Kerala to find 82% of TB cases compared to the previous year despite COVID-19. By leveraging its strong primary healthcare system and political commitment, Kerala was able to deliver TB services and treatment at people's doorsteps without interruption during the pandemic.
NACP IV critical analysis , where we have given a brief idea about the burden of HIV/AIDs globally , National and statewise. Evolution of NACO and NACP under different phases. Current achievements and the indicator to monitor the progress
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Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
NACP IV critical analysis , where we have given a brief idea about the burden of HIV/AIDs globally , National and statewise. Evolution of NACO and NACP under different phases. Current achievements and the indicator to monitor the progress
Alex Shirreffs, the HIV/HCV Project Coordinator at the Philadelphia Department of Public Health, presented on Hepatitis C and HIV co-infection at the April 2017 meeting of the Positive Committee.
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
Fast-track the end of AIDS in the EU - practical evidence-based interventions.
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In a two-day meeting under the auspices of the Maltese Presidency of the Council of the European Union (30-31 January 2017), HIV experts from across the European Union discussed how to reverse this trend and how to prepare Europe to achieve the set target of ending AIDS by 2030.
Evaluation of the TB-HIV Integration Strategy on Treatment OutcomesMEASURE Evaluation
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National Survey of Canadian Nurses
* Use & impact of digital health technologies on nursing practice
*Top barriers to EMR/EHR:
* Hybrid record systems (38%), multiple log-ins (25%),
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Representatives from the Philadelphia Department of Public Health (PDPH) presented an update on their strategic plan for sexual health at the February 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
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The fieldwork comprised a thorough community diagnosis conducted by 38 Public Health students from Osun State University, Osogbo, in February 2024, within the Isalẹ Agbara Community Area of Isalẹ Osun, Osogbo, Osun State, Nigeria.
Four methodological approaches were employed:
1. Systematic review of the GOPD Register at the Community's Primary Health Care (PHC) facility to ascertain health-related trends and patterns.
2. Utilization of structured questionnaires administered to community residents to elucidate environmental health concerns and solicit community perspectives.
3. Conducting key informant interviews with PHC personnel to obtain insights into the prevalent health condition in the health facility.
4. Facilitating focus group discussions among community members to know the prevalent health issues in the community
These methodologies/tools enabled a comprehensive assessment of the community health needs and challenges, facilitating evidence-based interventions and policy formulation to enhance public health outcomes and interventions.
Fast-track the end of AIDS in the EU - practical evidence-based interventions.
Presentation by: Sophocles Chanos
In a two-day meeting under the auspices of the Maltese Presidency of the Council of the European Union (30-31 January 2017), HIV experts from across the European Union discussed how to reverse this trend and how to prepare Europe to achieve the set target of ending AIDS by 2030.
Evaluation of the TB-HIV Integration Strategy on Treatment OutcomesMEASURE Evaluation
Shared at a data dissemination and data use workshop on the results of the impact evaluation of the Strengthening Tuberculosis Control in Ukraine project. Access another presentation at https://www.slideshare.net/measureevaluation/evaluation-of-the-impact-of-a-social-support-strategy-on-treatment-outcomes/.
National Survey of Canadian Nurses
* Use & impact of digital health technologies on nursing practice
*Top barriers to EMR/EHR:
* Hybrid record systems (38%), multiple log-ins (25%),
system integration (25%)
Representatives from the Philadelphia Department of Public Health (PDPH) presented an update on their strategic plan for sexual health at the February 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
ISALẸ AGBARA PHC COMMUNITY DIAGNOSIS FIELD WORK FEB 2024.pptxTolu Morakinyo
The fieldwork comprised a thorough community diagnosis conducted by 38 Public Health students from Osun State University, Osogbo, in February 2024, within the Isalẹ Agbara Community Area of Isalẹ Osun, Osogbo, Osun State, Nigeria.
Four methodological approaches were employed:
1. Systematic review of the GOPD Register at the Community's Primary Health Care (PHC) facility to ascertain health-related trends and patterns.
2. Utilization of structured questionnaires administered to community residents to elucidate environmental health concerns and solicit community perspectives.
3. Conducting key informant interviews with PHC personnel to obtain insights into the prevalent health condition in the health facility.
4. Facilitating focus group discussions among community members to know the prevalent health issues in the community
These methodologies/tools enabled a comprehensive assessment of the community health needs and challenges, facilitating evidence-based interventions and policy formulation to enhance public health outcomes and interventions.
Similar to Kerala-TB services during COVID.pptx (20)
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
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June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
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Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
2. Kerala- Setting
• Well integrated with the primary
health care systems
Additional Structures Built for TB
Elimination
• District TB Elimination Board
• LSG TB Elimination Task Forces
• STEPS (System for TB Elimination
in Private Sector)
Population : 34.1 Million
I M R : 7 /1000 live births
Female Literacy Rate : 92.07 %
Systematic Primary Healthcare network
(1 ASHA for 1000, 2 MPHW for 5000
population, 1 PHC for 25000 population, Nearly
100% Vacancies filled)
Strong Local Self Government System
‘Kudumbasree’- Women Empowerment Project
TB Elimination Program
4. Objective
Government of Kerala has launched “Kerala TB elimination mission”
aligning with the Sustainable Development Goals, with objectives to
• Achieve TB Elimination by 2025
• Zero preventable deaths due to tuberculosis in the state
• Zero catastrophic expenditure for the families due to TB
• Zero Stigma & Discrimination due to TB
5. Actions taken to Mitigate impact of COVID on TB services
• Medicines delivered at door steps
• Medicines for Comorbidity delivered at door steps to
TB patients
• Telehealth Help line started at all districts
• Telephonic follow up of every TB cases biweekly
• District level Clinical Expert Committee set up
• IEC through Social Medias
• Constant reviews and trouble shootings
• Best Practise documentation and facilitation of cross
learnings
6. Trend Total TB Notification- Kerala (2020 Vs 2019)
2357
2183
1859
1360
1719 1685
1516
1213
2223
2058
2315
2104 2152
1937
2132 2049
0
500
1000
1500
2000
2500
Jan Feb Mar April May June July August
y2020 y2019
Review in August revealed that, TB Case finding was
affected due to COVID
7. Causal Analysis & Identified solutions to find
out missed TB cases
Challenges Solutions
People are afraid to come to hospitals/ can’t
come to hospital due to transportation issues
leading to delay in diagnosis
Deliver diagnostic services at door steps. A
field based system for Case Finding
Decreased confidence in performing TB tests
for peripheral health staff
Biosafety enhancements of laboratories
Stigma to ‘Cough’ and people are afraid to
‘cough’
Strong ACSM campaign – Provider oriented
& People Oriented
Health System preoccupied with COVID Integrated Approach – RCH, NCD, CD control
8. System 1: Specimen Collection & Transportation
•Robust specimen collection
& Transportation system
•Subcentre to BSL labs
(Hub & Spoke Model)
•Collection Box, Sanitising
mechanism, SOP
•Training for collection,
packing, Transport
PHC 1
PHC 2
PHC 3
Truenat Lab
at TU
District Hub
CDST Lab
SC 1
SC 2
SC 3
9. Systems 2 : Molecular Tests & Biosafety
Enhancements
Public Sector Private Sector
Xpert
(CB NAAT)
36 (12 additional
machines purchased)
24
Truenat 75 (20 additional
machines purchased)
52
• All machines in public sector are equipped with biosafety cabinets
10. Catch Up Campaign – October-November 2020
• Case Finding at the house of Vulnerable
Individuals (database of individuals vulnerable
to develop TB are available with the program)
• Case Finding among elderly/palliative care
patients
• Case finding at Old age homes/ Destitute
• Screening for TB among ILI/SARI cases
• Offered Upfront Molecular tests
12. Motivated ASHAs &
Primary Care Team
visited the houses
of vulnerable
individuals and did
TB Case Finding
Specific customised
Guidelines prepared for
transportation of
specimens from home.
13. Targeted ACSM to find out missed TB cases
• Provider Oriented IECs
• Theme Songs
• 5 Padmasri Awardees
• 10 Celebrities
• AKSHAYA KERALAM Award to LSGs
• Private Hospital Consortiums
• Leaders of Professional Medical
Associations
• TB Survivor’s advocacy
• Other Sectors- AYUSH, ESI, CGHS
• Social Media Campaign
14.
15. TB-COVID Facts- Kerala
•Individuals with TB & COVID together - 174
•Deaths among TB-COVID - 26
•TB detected through ILI/SARI through - 207
Combined screening with COVID
Data as on Dec10, 2020
17. Category
Mapped for
Screening/
Universe
Actually
screened
Presumptive
TB identified
Tested for
TB
Diagnosed
as TB
Test
Positivity
Rate
Individuals with High
Vulnerability to develop TB
(Vulnerability Mapping) 976147 537371 30900 23585 610 2.6
Palliative Care/Bedridden 132800 66156 1753 1066 37 3.5
Elderly at old age homes 19494 15350 1743 1226 25 2
ILI 36417 34417 2437 2437 69 2.8
SARI 6176 6176 852 852 61 7.2
Results of Active Case Finding/Intensified Case Finding as part of catch Up
campaign
18. Presumptive TB Examination & Microbiologically
Confirmed TB – November 2019& November 2020
0
1000
2000
3000
4000
5000
6000
7000
0
20
40
60
80
100
120
140
160
180
Total Presumptive TB tested in Oct 2019(microscopy&CB NAAT)
Total Presumptive TB tested in Oct 2020(microscopy&NAAT)
2019 Total No of positives(Microscopy+ CB NAAT)
2020 Total No of positives(Microscopy+NAAT)
10 out of 14 districts had
diagnosed same number of
TB cases in November 2020
as compared to November
2019
19. Comparison of Data- 2019 & 2020 -NIKSHAY
2019 2020
TB Notification 25614 21206 (82%)
UDST 58% 63%
Aware of HIV
status
87% 91%
Contact Tracing 61% 85%
Lost to Follow Up
(Jan-June)
2 % 2 %
20. Summary
• COVID had impacted early finding of TB cases
• Through meticulous planning including (1) causal analysis and establishment of
systems (2) highest political and administrative commitment (3) locally
customised guidelines (4) increasing efficiency of testing (5) integration with
other programs (6) sustained motivation to staff at field, (7) supportive
supervision and motivation- the state was able to find 82% of cases as
compared to previous year.
• Through delivering services at doorsteps through a robust primary healthcare
system, no interruption to treatment, public health actions or increased
mortality among TB patients occurred.