Diabetes & Tuberculosis: A Dangerous Liaison & No White Tiger (Report)

Diabetes & Tuberculosis: A Dangerous Liaison & No White Tiger (Report)

Diabetes mellitus (DM) is becoming a global epidemic and India, in particular, is noted as hosting a high proportion of this disease burden. There are approximately 41 million prevalent cases of DM in India and as per the International Diabetes Federation (IDF) estimates by 2025 this will rise to about 70 million, the largest number for any country (1). As well as nationally predicted rises in DM rates, regional studies have also shown increasing rates of disease, with the largest reported increases in low and middle income countries occurring amongst urban populations(2). Surveys conducted in Chennai, India, in 1989 and subsequently in 1995 showed a 40 per cent rise in the prevalence of diabetes over this period (3). However, India not only faces the public health difficulties associated with newly increasing rates of chronic diseases such as DM, but as with other low and middle income countries, endures sustained rates of infectious diseases (such as TB) which remain to be brought under control. One-fifth of the global TB incidence is from newly diagnosed cases within India; approximately 2 million people acquire TB yearly. Around 45 per cent of these incident cases will be individuals who have active TB, and are thus infectious to others, further increasing the high TB disease rates (4). It is estimated that annually around 331,000 people in India die from TB (5). The recent WHO report indicates that the prevalence of tuberculosis in India is 283 per 100,000 population with approximately 2.8 per cent of prevalent cases being problematic multi drug resistant (MDR) TB (5). It should however be noted that although TB rates are high in India, by 2006 directly observed treatment short-course (DOTS) was being provided nationally. In India, case detection is estimated to have increased from below 20 per cent up to 67 per cent as DOTS was set up throughout all 30 districts (4).

Diabetes & Tuberculosis: A Dangerous Liaison & No White Tiger (Report)



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