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Sustained Benefit of Community-based Tuberculosis Interventions after 30 Years

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dc.contributor.author Accinelli, Roberto A.
dc.contributor.author Romero, Lelia R.
dc.contributor.author Garcia, Rosa F.
dc.contributor.author Sanchez, Ricardo
dc.date.accessioned 2019-02-06T14:59:05Z
dc.date.available 2019-02-06T14:59:05Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5509
dc.description.abstract In 1985, the overall rate of tuberculosis (TB) in Peru was 145 per 100,000 people, with higher rates seen in isolated regions in the greater Lima area. Between 1985 and 1990, the Peruvian economy shrank 10.1%; the rate of inflation rose, reaching 7,650% in 1990; health care expenditures fell to 0.5% of gross domestic product; and the armed struggle with the Shining Path resulted in more than 70,000 dead and missing. As a result, only 40% of patients with TB in Peru had access to free treatment. Two communities, Leticia Hill and Providence, had some of the highest rates of TB, at 2,570 and 1,950 per 100,000 people, respectively. We undertook a community-based intervention in these areas, which consisted of TB screening with sputum analysis and chest radiography, supervised direct observed treatment for patients with TB, and chemoprophylaxis in patients with latent TB. By combining our physician-directed TB program with community resources, we were able to reduce TB rates by 75% in Leticia Hill and 81.5% in Providence. Here we report sustained benefit of these interventions after 30 years... en_US
dc.language.iso eng
dc.publisher American Thoracic Society
dc.relation.ispartof urn:issn:1535-4970
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru/epidemiology en_US
dc.subject Program Evaluation en_US
dc.subject Antitubercular Agents/therapeutic use en_US
dc.subject Organizational Case Studies en_US
dc.subject Mass Screening/methods en_US
dc.subject Chemoprevention en_US
dc.subject Community Health Services/methods/organization & administration en_US
dc.subject Directly Observed Therapy en_US
dc.subject Isoniazid/administration & dosage/therapeutic use en_US
dc.subject Radiography, Thoracic en_US
dc.subject Sputum/cytology en_US
dc.subject Time en_US
dc.subject Tuberculin Test/methods en_US
dc.subject Tuberculosis/diagnosis/drug therapy/epidemiology en_US
dc.title Sustained Benefit of Community-based Tuberculosis Interventions after 30 Years en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1164/rccm.201412-2173LE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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