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TDR- TB: Probe to tackle deadly bacteria

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A three- member team to initialise the strategy for tackling the newly emergent strain of TDR- TB is here

MAITRI PORECHA Mumbai

The city is now gearing up for a high level probe after the recent recorded emergence of

the dreaded Total Drug Resistance ( TDR) strain of tuberculosis in Mumbai, health officials informed.


A three- member team including Dr KS Sachdeva, Chief Medical Officer, Central TB Division ( CTD) for Government of India and Dr Malik Parmar, WHO consultant – CTD landed late afternoon in Mumbai on Monday to conduct the probe.

Sources said, the threemember team will have an early morning meeting at state- run JJ Hospital, with civic and state health officials to initialise the strategy for tackling the newly emergent strain of TDR – TB in India. The team, later in the day will visit Hinduja Hospital in Mahim, whose doctors recently found 12 patients affected with TDR – TB out of which three affected patients have died in the past two weeks. The central team will also visit BMC- run TB Specialty Hospital in Sewri, post which a meeting is scheduled with Additional Municipal Commissioner ( Health), Manisha Mhaiskar.

It is likely that Indias public health response on TDR – TB will roll out, on Wednesday by the team that is formulating an effective strategy for tackling the new deadly strain. According to Dr. Zarir Udwadia of Hinduja Hospital, who recently presented his research on the same in Clinical Journal for Infectious Diseases, TDR TB does not respond to any line of treatment administered for tuberculosis.

” Wrong administration of second line drugs treatment leads to proliferation of extensive and total drug resistance in TB. Only 3 out of 106 doctors in the surveyed area of Dharavi in Mumbai were following the right procedure for giving medicines.

That TDR TB will break in the state was predicted by us a year back but the authorities have failed to pay heed to our warnings,” said Dr. Zarir Udwadia of Hinduja Hospital who headed the study.

Currently only two laboratories in Maharashtra, namely in state- run JJ and Hinduja Hospital are centrally accredited to report multi- drug resistant ( MDR) TB cases. The two labs however are yet to receive accreditation from centre to report TDR TB cases.

” There are also discussions to accredit private medical labs like Ranbaxy and Metropolis to aid in detecting TDR TB cases for wider reach. More so, it will be made compulsory for private hospitals to now report cases of TDR – TB to the state and central government,” informed a senior BMC health official.

” Only three labs in India from Delhi, Chennai and Bangalore can detect multidrug resistance and extensive drug resistance for tuberculosis.

Currently no lab detects Total Drug Resistance to the disease. The centre has to urgently roll out an effective strategy to tackle the newly emerged trends,” said Dr. Suresh Gupta, Director of state- run Directorate of Health Services ( DHS). Also, the central team was locked in discussions with civic officials till late unto night on Monday over isolation of the nine TDR- TB cases detected in Mumbai. Civic health officials have suggested that transfer of Mumbais patients to Jaysingpur quarantine facility in Sangli is not likely, as the central team has not provided a positive feedback about isolating the patients.