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IJE Advance Access published online on April 11, 2007
International Journal of Epidemiology, doi:10.1093/ije/dym023
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.

Commentary: Back to basics—good news from a birthplace of DOTS

Reuben Granich

Senior Technical Advisor, Care and Treatment, Program Services, Office of the United States Global AIDS Coordinator, 2100 Pennsylvania Avenue NW, Washington DC, USA.

E-mail: granichrm@state.gov

Accepted 30 January 2007

The first 10% of the full text of this article appears below.

Although India's tuberculosis (TB) control program has much to be pleased with, working on TB in India and elsewhere can be a daunting endeavour. The list of seemingly insurmountable global challenges is off-putting, to say the least: 8.9 million new TB cases each year; 1.7 million TB deaths annually, despite the existence of an effective cure; a devastating HIV/AIDS pandemic; archaic diagnostic technology often dating back to the early 1900s; pitiable investments in public health infrastructure; and now—the latest grim news regarding extensively drug resistant (XDR) TB, make for very heavy sledding.1–4

XDR-TB is particularly alarming in the context of the HIV/AIDS pandemic. Early reports suggest a TB mortality rate . . . [Full Text of this Article]


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