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District TB Centre


Head of Office

:

Dy.Director of Medical Services(TB)

Address

:

District TB Centre,
166,North Beach Road,
Thoothukudi – 628 001

Phone No

:

0461 – 2331039


  • District Population : 17,87,699
  • Date of RNTCP implemented by District Collector : 16.5.2001
  • Number of TB Units : 4 ( One for each 5 lakh Population)
  • Number of Microscopy Centres : 22.
    They are located as follows;
    • Block PHC’s - 9
    • Govt. Hospital - 7
    • NGO’s - 2
    • Private Practitioners - 2
    • Thoothukudi DTC - 1
    • Medical College Hospital - 1
  • What is Tuberculosis?
                Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis. The infection occurs most commonly through droplet nuclei generated by coughing, sneezing etc., inhaled via the respiratory route. The chances of getting infected depend upon the duration, the frequency of exposure and the immune status of an individual.

    Symptoms of Tuberculosis

    • Persistent cough for two weeks or more with or without expectoration.
    • Evening rise in temperature.
    • Loss of appetite
    • Chest pain
    • Loss of weight
    • Hemoptysis
    • Sputum AFB culture & Sensitivity

    How to identify TB?

    • Sputum smear microscopy is the primary tool for diagnosing TB.

    (Two Sputum examinations)

    • If needed Chest X-Ray.
    • Through FNAC & Biopsy if suggested
    • Sputum AFB culture & Sensitivity.

    DOTS & TREATMNT DURATION
    If a patient diagnosed as TB, S/he should take treatment continuously for 6 to 8 months by DOTS method without interruption. DOTS stand for Directly Observed Treatment Short Course Chemotherapy. DOTS is recommended by WHO as a standard treating regimen for treating TB patients.

                TB is diagnosed and treated by DOTS method in all Government Institutions and also in selected private hospitals accredited by RNTCP. TB treatment by DOTS is free. TB patients are provided with drugs by Village Health Nurses through Anganwadi workers by DOTS. This is monitored by Senior Treatment Supervisor along with Senior Tuberculosis Laboratory Supervisor.

                After taking the drugs for two or three weeks, the symptoms slowly reduce and it makes as a fake remedy. But as the TB bacteria are very much infectious, the prescribed drugs should be taken regularly for six to eight months without any kind of interruption. Moreover the treatment should not be stopped in any situation without the consultation with Doctor or Supervisors.

                If treatment is taken irregularly or defaulted it results as Multi Drug Resistance TB and it leads to death. TB can be completely cured if the drugs are taken at right Dose, at right time, for right duration in full course. Patient’s co-operation is much needed to eradicate TB.

    Farmer Security Scheme
             
    As per the announcement of the Hon’ble Chief Minister in the Assembly on 10.09.2011, the “Chief Minister’s Uzhavar Pathukappu Thittam 2011’’  ( முதலமைச்சரின் உழவர் பாதுகாப்புத் திட்டம்  2011 is being implemented in the State of Tamil Nadu vide G.O. (Ms.) No.265, Revenue [LR-I(2)] Department dated 10.09.2011.

     Monthly pension of Rs.1000/- shall be paid to the farmer member during the temporary incapacitation of the farmer member who is affected on account of TB and on regular treatment.

    Eligibility
    1) Should have a Farmer Security Scheme Identity Card
    2) Should be registered in Revised Tuberculosis Control Programme (RNTCP)
    3) Should not be a beneficiary of Old Age Pension Scheme
    4) Age between 18-65 and his dependants 
    5) All smear positive TB cases (or) HIV-TB Co-infection case (or) Seriously ill Extra Pulmonary TB cases.

     

    TB Notification
              TB Continues to be a major public health problem accounting for substantial morbidity and mortality in the country. Early diagnosis and complete treatment of TB is the corner – stone of TB prevention and control strategy. Inappropriate diagnosis and irregular / incomplete treatment with anti-TB drugs may contribute to complications, disease spread and emergence of Drug Resistant TB.

    In order to ensure proper TB diagnosis and case management, Government of India has announced TB as a notifiable disease and in reference to MoHFW/GoI order of even No.Z-28015/2/2012 dt 7th May 2012, all TB patients diagnosed by the health care provider should be notified to the District TB officer.

    Health care providers of all private hospitals, Nursing homes, Corporate hospitals and NGOs should notify the diagnosed TB patients in their health centre to District TB officer, District TB Centre, 166, North Beach Road, Thoothukudi.
    BAN FOR SEROLOGICAL TESTS TO DIAGNOSE TB
    Though Sputum smear microscopy and culture is the standard diagnostic tools many medical practitioners use serological test (Anti TB antibody test) to diagnose TB. Based on WHO recommendation, Government of India has banned these test since June 2012 and published in the Gazette of India (Part II-Section 3-Subsection I, No.264)
    Hence all medical practitioners managing TB patients are urged not to use serological test in diagnosing TB.
    Active collaboration and cooperation with all health care providers can help achieve the ambitious targets of Universal Access to Quality TB care in India.

     Name of the TB Unit & Microscopy Centres


                                               I.THOOTHUKUDI TB UNIT

    District TB Centre

    NGO - St.Jospeh's Lep.Hospital

    TB Cell, Thoothukudi Medical College Hospital(TKMCH)

    NGO - Sacred Heart Hospital

    PHC Pudukottai

    Private Practitioners - AVM Hospital

    PHC Vallanadu

    Private Practitioners -Sundaram Arul Raj Hospital

                II.THENTHIRUPERAI TB UNIT

    PHC Thenthiruperai

    GH Tiruchendur

    PHC Eral

    GH Srivaikundam

    PHC Megnanapuram

    GH Kayalpatinam

    PHC Mudalur

    III.KEELA IRAAL TB UNIT

       IV.KADAMBUR TB UNIT

    PHC Keela Iraal

     PHC Kadambur

    PHC Nagalapuram

    GH Ottapidaram

    GH Ettayapuram

    GH Kovilpatti

    GH Vilathikulam

     

     Programme Indicators

    • Adult OP for Sputum exam                                        - 2% to 3%
    • Sputum Positivity Rate                                               - 10%
    • Case Detection Rate                                                   - 90%
    • Conversion Rate                                                         - 90%
    • Success Rate for New TB Cases                                - 90%
    • Success Rate for Previously Treated TB Cases          - 85%

     

    Year

    DMC Performance

    Treatment Activities

    Sputum Done

    Positive Detection

    Positivity Rate %

    Total TB Cases Registered

    Positive Cases Registered

    Cure Rate %

    Death Rate %

    Default Rate %

    Diagnosed as
    MDR TB

    2009

    13457

    1333

    10

    2686

    944

    87

    6

    4

    0

    2010

    12400

    1308

    11

    2473

    959

    86

    5

    5

    4

    2011

    12657

    1206

    10

    2391

    864

    84

    8

    6

    15

    2012

    12251

    1279

    10

    2166

    934

    85

    6

    6

    25

    2013 Up to March

    3121

    334

    11

    431

    225

    83

    7

    9

    6

     

    IT’S OUR RESPONSIBILITY TO MAKE TB FREE WORLD

 

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