Yep… this stuff is simultaneously fairly obvious and surprisingly neglected. I have been looking at TB programs in various developing countries and the best policy proposals all include these components—although the details differ in some places. Implementation is a challenge.
I’ve been paying special attention to household contacts screening for TB and preventative treatment (TPT; your policy #2). While TPT for household contacts is extraordinarily cost-effective, it is quite frustrating to make progress on this, because of the reasons the report cites: general lack of awareness of TB dangers, as well as that it is quite hard to convince people who are not visibly sick to travel with their family, possibly long distances, to hospitals to get screened and take 3-month courses (or longer!) of preventative antibiotics with sometimes-severe side effects.
Yep… this stuff is simultaneously fairly obvious and surprisingly neglected. I have been looking at TB programs in various developing countries and the best policy proposals all include these components—although the details differ in some places. Implementation is a challenge.
I’ve been paying special attention to household contacts screening for TB and preventative treatment (TPT; your policy #2). While TPT for household contacts is extraordinarily cost-effective, it is quite frustrating to make progress on this, because of the reasons the report cites: general lack of awareness of TB dangers, as well as that it is quite hard to convince people who are not visibly sick to travel with their family, possibly long distances, to hospitals to get screened and take 3-month courses (or longer!) of preventative antibiotics with sometimes-severe side effects.
Glad to see more people working on this.