Monday, August 24, 2015

Private hospitals in Bohol 
to open TB DOTS centers

TAGBILARAN CITY, August 20 (PIA) --The control strategy recommended as the most cost-effective way to stop the spread of tuberculosis in communities, would soon be available even in private hospitals in Bohol, according to the Department of Health. 

Bohol TB program coordinator Polizena Rances bared this at the Kapihan sa PIA as the whole country commemorates the death of former President Manuel L. Quezon, whole illustrious life was nipped by the disease in August. 

Tuberculosis, a lung disease that still ranks among the six diseases with a high morbidity and mortality rate in the Philippines is getting world attention, that the World Health Organization recommended a strategy called Directly Observed Treatment Short Course (TB DOTS). 

This came after health authorities noted program failures in the past and these were largely due to the perception that after the patient feels he is well after a few days of medical regimen and stops the treatment. This, according to the experts, only makes a bigger problem out of the disease because the bacteria could morph into a multi-drug resistant TB, a rather complicated case. 

In some instances, patients undergoing treatment sometimes forget to take the medicines that they have unwittingly strengthened the bacteria enough to become resistant to other medicines in the treatment package, Rances said. 

To be able to get through the patients, the TB DOTS employs five components: Government commitment, case detection, standard length of treatment observed by a health care worker for at least the first two months, a reliable drug supply and a standard reporting and monitoring that allows results assessment. 

Already with free drug treatment for TB, the government extended its programs to the localities by setting up TB DOTS Centers in Rural Health Units and government health facilities and hospitals, Rances said. 

To get to those in need of treatment just as Bohol suffers a sub par 67% case detection rate which is far from the international standards of 90%, the government flexes its muscles again to open up treatment centers even in private hospitals. 

Provincial Health authorities believe this can help them increase their cure rate, that as soon as a case is detected, the stigma of going to the public treatment centers can be minimized by opting for the more secretive private hospitals. 

Even then, Rances, who is a nurse by profession reminds Boholanos, TB is never something one must be ashamed of, because there are already treatments available.

All you need to do is go to the nearest PHU or private hospital of choice offering TB DOTS and then treatment can start. 

In private hospitals however, while drugs are free, diagnostic examinations and medical supplies used in the drug administration may be charged. (rac/PIA-7/Bohol)

Second MDR-TB center
Opens at Gallares soon

TAGBILARAN CITY, Bohol, August 20 (PIA) –Boholanos who might have developed a multi-drug resistant tuberculosis (MDR-TB) may have eased worries soon as the province’s second satellite treatment center would open at the Gov Celestino Gallares Memorial Hospital within the month. 

The first MDR-TB satellite center outside Cebu was at the Don Emilio del Valle Hospital in eastern Bohol, according to Bohol TB program focal person Polizena Rances. 

Speaking at the Kapihan sa PIA to commemorate the Lung Month in October, Rances, who is a nurse by profession revealed that MDS-TB patients in Bohol used to come to Cebu for treatment. 

She said that bacteria that cause tuberculosis (TB) can develop resistance to the antimicrobial drugs used to cure the disease. 

When the tuberculosis does not respond to most potent anti-TB drugs: isoniazid and rifampicin, then the person has MDR-TB. 

Health authorities have aired their concern over the emerging TB-treatment mismanagement.

While most people with tuberculosis are cured by a strictly followed, six-month drug regimen that is provided to patients with support and supervision, inappropriate or incorrect use of antimicrobial drugs, or ineffective formulations of drugs, self-medication and premature treatment interruption can cause drug resistance, which can then be transmitted, especially in crowded settings such as prisons and hospitals, Rances bared at the Kapihan sa PIA Thursday.

Patients under treatment who stop upon noticing that they are getting well already, are more likely to develop MDR-TB and would need an even more potent drugs while treatment becomes increasingly difficult. 

When there is treatment available, it is expensive, limited and are not always available. When it is, some patients may also experience adverse effects of the drugs. 

As drug resistance can be detected using special laboratory tests, treatment can only be done in special treatment centers, often found in the regional hubs. 

To ease treatment for Boholanos, the Del Valle Hospital MDR TB Satellite center opened to serve the side of Bohol farther from Cebu, where the satellite center is located. 

Soon however, Boholanos with MDR TB can come to the Gallares Hospital as the MDR TB opens there soon. 

For those who suspect that they might have contracted the disease can immediate4ly come to Rural Health Centers nearest them for possible treatment, Rances said. 

To those wondering if they are at risk, symptoms which include cough that is over 2 weeks old, can be immediately referred to a pulmonary expert.

Sometimes, symptoms also include pain in the chest and back, shortness of breathing and expulsion of blood through the mouth, but in rare times, TB can’t be determined because some people do not manifest symptoms. (rac/PIA-7/Bohol)

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