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No more injections to treat TB

- – Murray Swart

A FEAR of needles is no longer an excuse for Campbell residents to avoid TB treatment after the Northern Cape MEC for Health, Fufe Makatong, launched the bedaquilin­e expansion TB treatment campaign on the weekend.

The initiative forms part of the “Thuma Mina” campaign as the provincial Department of Health aims to reduce the scourge of one of South Africa’s greatest public health concerns.

“Campbell was identified based on statistica­l data for the provincial launch of an injection-free treatment regimen to all newly diagnosed drug-resistant TB patients based on good clinical evidence relevant to bedaquilin­e treatment regiments,” said department spokespers­on, Lebogang Majaha.

“This treatment programme changed from an injectable treatment plan, to that of a tablet form, with the same effect for treating TB.”

Majaha explained that the department started implementi­ng the Bedaquilin­e Clinical Access Programme (BCAP) in 2013 with only two patients.

“This treatment was primarily used for pre-extensivel­y drug-resistant (Pre XDR) and extensivel­y drug-resistant (XDR) TB patients who had limited treatment options.

“In 2015, the Province commenced the bedaquilin­e scale-up and by March this year, 481 patients had been initiated across the Province.

“Currently, the Province initiates 28 patients per month.”

During Friday’s proceeding­s, Etienne Baatjies, a cured XDR patient from the community, encouraged members of the public to change their lifestyle behaviour and adhere to treatment as he is living proof of having been free from TB for the past two years, after been diagnosed with XDR-TB for six years.

Makatong encouraged residents to heed this advice, adding that the department would be monitoring the programme.

“As a Province, we have establishe­d a provincial nerve centre for weekly reporting and monitoring of the number of new cases initiated on the bedaquilin­e programme.

“Whilst we have made a substantia­l progress, we cannot afford to be complacent. We have come a long way but TB is most definitely not over and it needs our collective effort to control it.”

The programme will soon be phased in at the Dr Harry Surtie and West End specialise­d hospitals, followed by the Joe Slovo CHC and Abraham Esau Hospital in the Namakwa district

“The readiness assessment­s of competent Nurse Initiation of Multidrug-Resistant TB (NIMDR) sites will assist in meeting the criteria for expansion – looking at equipment, medicine availabili­ty and recording and reporting systems,” Majaha concluded.

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