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Global Health NewsOutbreak NewsPublic HealthPublic Health NewsPublic Health Update

WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

by Public Health Update March 27, 2020
written by Public Health Update

WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

#G20VirtualSummit

26 March 2020 

News release Geneva

 

Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, addressed Heads of State at extraordinary G20 Leaders’ Summit focused on COVID-19. 

He told them, “You have come together to confront the defining health crisis of our time: We are at war with a virus that threatens to tear us apart – if we let it.“

He welcomed the G20‘s initiative to find joint solutions and work together: “This is a global crisis that requires a global response.”

 “Fight, unite, ignite“

Dr Tedros’ call was clear. First, he urged leaders to fight without excuses, without regrets – thanking countries who have already taken steps and urgently asking that they do more.

Second, he encouraged them to unite, stressing that no country can fight this alone, and calling on all countries to build on the solidarity already sparked by the crisis.

Third, he exhorted them to ignite a global movement to ensure this never happens again. 

He welcomed G20 leaders‘ commitment “to do whatever it takes to overcome the pandemic” to protect lives and livelihoods, as well as restore confidence and shore up stability currently threatened in trade and other sectors, and to commit to take all necessary health measures and seek to ensure adequate financing to contain the pandemic and protect people, especially the most vulnerable.“

The G20 committed to support and further strengthen WHO’s mandate in coordinating the response, and called for full funding of WHO‘s Strategic Preparedness and Response Plan.

G20 members pledged to work together to increase research and development funding for vaccines and medicines, strengthen international scientific cooperation, and leverage digital technologies.

In turn, they tasked WHO and other relevant organizations with assessing gaps in pandemic preparedness and report the findings of this assessment to the G20 Finance and Health Ministers, in order to establish a global initiative on pandemic preparedness and response together.


World Health Organization


Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

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Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

by Public Health Update March 26, 2020
written by Public Health Update

Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal


Source of info: Viber Group (MoHP Nepal COVID19, Viber Group), March 26, 2020
Approved by: Ministry of Health and Population, Nepal 


COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 1 scaled COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 2 scaled COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 3 scaled

 

PPE Guideline

PPE Guideline


WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

Pass the message: Five steps to kicking out coronavirus

Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

Coronavirus (COVID-19) Action plan – Ministry of Federal Affairs & General Administration

COVID-19 Health Desk Operation Guideline MoSD, Sudurpachim Province

Coronavirus disease (COVID-19)Preventive measures (Updated)

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Global Health NewsOutbreak NewsPublic HealthPublic Health NewsPublic Health Update

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

by Public Health Update March 26, 2020
written by Public Health Update

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

25 March 2020

Good morning, good afternoon and good evening, wherever you are.

The pandemic continues to take a massive toll not just on health, but on so many parts of life.

Yesterday, the Government of Japan and the International Olympic Committee took a difficult but wise decision to postpone this year’s Olympic and Paralympic Games.

I thank Prime Minister Abe and the members of the IOC for making this sacrifice to protect the health of athletes, spectators and officials.

We look forward to next year’s Olympics and Paralympics, which we hope will be an even bigger and better celebration of our shared humanity – and I look forward to joining.

We have overcome many pandemics and crises before. We will overcome this one too.

The question is how large a price we will pay.

Already we have lost more than 16,000 lives. We know we will lose more – how many more will be determined by the decisions we make and the actions we take now.

To slow the spread of COVID-19, many countries have introduced unprecedented measures, at significant social and economic cost – closing schools and businesses, cancelling sporting events and asking people to stay home and stay safe.

We understand that these countries are now trying to assess when and how they will be able to ease these measures.

The answer depends on what countries do while these population-wide measures are in place.

Asking people to stay at home and shutting down population movement is buying time and reducing the pressure on health systems.

But on their own, these measures will not extinguish epidemics.

The point of these actions is to enable the more precise and targeted measures that are needed to stop transmission and save lives.

We call on all countries who have introduced so-called “lockdown” measures to use this time to attack the virus.

You have created a second window of opportunity. The question is, how will you use it?

There are six key actions that we recommend.

  • First, expand, train and deploy your health care and public health workforce;
  • Second, implement a system to find every suspected case at community level;
  • Third, ramp up the production, capacity and availability of testing;
  • Fourth, identify, adapt and equip facilities you will use to treat and isolate patients;
  • Fifth, develop a clear plan and process to quarantine contacts;
  • And sixth, refocus the whole of government on suppressing and controlling COVID-19.

These measures are the best way to suppress and stop transmission, so that when restrictions are lifted, the virus doesn’t resurge.

The last thing any country needs is to open schools and businesses, only to be forced to close them again because of a resurgence.

Aggressive measures to find, isolate, test, treat and trace are not only the best and fastest way out of extreme social and economic restrictions – they’re also the best way to prevent them.

More than 150 countries and territories still have fewer than 100 cases.

By taking the same aggressive actions now, these countries have the chance to prevent community transmission and avoid some of the more severe social and economic costs seen in other countries.

This is especially relevant for many vulnerable countries whose health systems may collapse under the weight of the numbers of patients we’ve seen in some countries with community transmission.

Today I joined United Nations Secretary-General Antonio Guterres, Under-Secretary General for UNOCHA Mark Lowcock and UNICEF Executive Director Henrietta Fore to launch the Global Humanitarian appeal, to support the most fragile countries who have already suffered years of acute humanitarian crises.

This is much more than a health crisis, and we’re committed to working as one UN to protect the world’s most vulnerable people from the virus, and its consequences.

We also welcome the Secretary-General’s call for a global ceasefire. We are all facing a common threat, and the only way to defeat it is by coming together as one humanity, because we’re one human race.

We’re grateful to the more than 200,000 individuals and organizations who have contributed to the COVID-19 Solidarity Response Fund. Since we launched it less than two weeks ago, the fund has raised more than US$95 million. I would like to offer my deep thanks to GSK for its generous contribution of US$10 million today.

Although we are especially concerned about vulnerable countries, all countries have vulnerable populations, including older people.

Older people carry the collective wisdom of our societies. They are valued and valuable members of our families and communities.

But they are at higher risk of the more serious complications of COVID-19.

We are listening to older people and those who work with and for them, to identify how best we can support them.

We need to work together to protect older people from the virus, and to ensure their needs are being met – for food, fuel, prescription medication and human interaction.

Physical distance doesn’t mean social distance.

We all need to check in regularly on older parents, neighbours, friends or relatives who live alone or in care homes in whatever way is possible, so they know how much they are loved and valued.

All of these things are important at any time, but they are even more important during a crisis.

Finally, the COVID-19 pandemic has highlighted the need for compelling and creative communications about public health.

Last year, WHO announced our first Health for All Film Festival. The volume, quality and diversity of entries far surpassed our expectations.

We received more than 1,300 entries from 110 countries, and today we are announcing a short list of 45 excellent short films about vital health topics.

We are also announcing a distinguished panel of jurors who will judge the short list, with the winners to be announced in May.

We will be showing all the short-listed films in the coming weeks on our website and social media channels.

In these difficult times, film and other media are a powerful way not only of communicating important health messages, but of administering one of the most powerful medicines – hope.

I thank you.


WHO


New WHO recommendations to prevent tuberculosis aim to save millions of lives

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

Enrolment open: “Research Writing in the Social Sciences” Online Course 2020

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New WHO recommendations to prevent tuberculosis aim to save millions of lives

by Public Health Update March 25, 2020
written by Public Health Update

New WHO recommendations to prevent tuberculosis aim to save millions of lives

24 March 2020 

News release
Geneva –  New World Health Organization (WHO) guidance will help countries accelerate efforts to stop people with tuberculosis (TB) infection becoming sick with TB by giving them preventive treatment.

A quarter of the world‘s population is estimated to be infected with TB bacteria. These people are neither sick nor contagious. However, they are at greater risk of developing TB disease, especially those with weakened immunity. Offering them TB preventive treatment will not only protect them from becoming sick but also cut down on the risk of transmission in the community.  

As we mark World TB Day 2020, the disease remains the world’s top infectious killer. In 2018, 10 million people fell ill with TB worldwide and 1.5 million people lost their lives to this disease.

“COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be,“ said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “The world committed to end TB by 2030; improving prevention is key to making this happen. Millions of people need to be able to take TB preventive treatment to stop the onset of disease, avert suffering and save lives”.

Dr Tedros highlighted the importance to continue efforts to tackle longstanding health problems, including TB during global outbreaks such as COVID-19. At the same time, programmes already in place to combat TB and other major infectious diseases can be leveraged to make the response to COVID-19 more effective and rapid.

Although some progress has been made towards targets set at the UN high-level Meeting on TB in 2018, TB preventive treatment has been largely neglected. Global leaders committed to ensuring access to TB preventive treatment to at least 24 million contacts of people with active TB and 6 million people living with HIV by 2022.  To date only a fraction of that target has been reached, with countries putting less than 430,000 contacts and 1.8 million people on TB preventive treatment in 2018.

TB remains the top cause of death among people with HIV. TB preventive treatment works synergistically with antiretroviral therapy to prevent TB and save lives. Reinvigorated efforts by governments, health services, partners, donors and civil society will be needed to increase access to TB preventive treatment to the levels targeted.

The new consolidated guidelines recommend a range of innovative approaches to scale up access to TB preventive treatment:

  • WHO recommends a scale-up of TB preventive treatment among populations at highest risk including household contacts of TB patients, people living with HIV and other people at risk with lowered” immunity or living in crowded settings.
  • WHO recommends an integration of TB preventive treatment services into ongoing case finding efforts for active TB. All household contacts of TB patients and people living with HIV are recommended to be screened for active TB. If active TB is ruled out, they should be initiated on TB preventive treatment.
  • WHO recommends that either a tuberculin skin test  or interferon-gamma release assay (IGRA) be used to test for TB infection. Both tests are helpful to find people more likely to benefit from TB preventive treatment but should not become a barrier to scale-up access. Testing for TB infection is not required before starting TB preventive treatment in people living with HIV, and children under 5 years who are contacts of people with active TB.
  • WHO recommends new shorter options for preventive treatment in addition to the widely used 6 months of daily isoniazid. The shorter options that are now recommended range from a 1 month daily regimen of rifapentine plus isoniazid to 3 months weekly rifapentine plus isoniazid, 3 months daily rifampicin plus isoniazid, or 4 months of daily rifampicin alone.

“As people around the globe come together to commemorate World TB Day, WHO is calling on governments, affected communities, civil society organizations, health-care providers, donors, partners and the industry to unite forces and step up the TB response – notably for TB preventive treatment – to ensure no one is left behind,” said Dr Tereza Kasaeva, Director of WHO’s Global TB Programme. “The new WHO guidance shows the way forward for millions to rapidly access new tools and shorter, safer options for preventive treatment. The time for action is now.”

TB preventive treatment is an affordable intervention that can prevent families from sliding into poverty and preserve the health and economy of whole communities. WHO anticipates that as new and safer drugs come onto the markets, and as prices fall, it will become a highly-cost effective way to save millions of lives.

WHO


National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

WHO announces updates on new molecular assays for the diagnosis of tuberculosis and drug resistance

WHO calls for urgent, aggressive actions to combat COVID-19, as cases soar in South-East Asia Region

Align national TB strategies with commitment to end TB by 2030: WHO


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

March 25, 2020 0 comments
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WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

by Public Health Update March 25, 2020
written by Public Health Update

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

Safety of front-line health workers a primary concern

The COVID-19 pandemic is testing the resilience of robust health systems around the world. Recognizing the heavy toll that malaria exacts on vulnerable populations in sub-Saharan Africa, as well as the region’s fragile health infrastructure, WHO underlines the critical importance of sustaining efforts to prevent, detect and treat malaria.

“As COVID-19 continues its rapid spread, WHO would like to send a clear message to malaria-affected countries in Africa,” said Dr Pedro Alonso, Director of the WHO Global Malaria Programme. “Do not scale back your planned malaria prevention, diagnostic and treatment activities. If someone living in a place with malaria develops a fever, he or she should seek diagnosis and care as soon as possible.”

Ensuring access to core malaria prevention measures is an important strategy for reducing the strain on health systems; these include vector control measures, such as insecticide-treated nets and indoor residual spraying, as well as chemoprevention for pregnant women and young children (intermittent preventive treatment in pregnancy, intermittent preventive treatment in infants and seasonal malaria chemoprevention). Additional special measures could ease the burden on health systems in the context of COVID-19, such as presumptive malaria treatment and mass drug administration. 

Any interventions must consider the importance of both lowering malaria-related mortality and ensuring the safety of communities and health workers. WHO will provide guidance for countries to safely maintain essential health services in the context of the COVID-19 response.

Global Malaria Programme, WHO


IR toolkit to inform the implementation and scale-up of digital technologies for TB

National TB Prevalence Survey, 2018-19 Key findings

Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

Second case of Coronavirus #COVID19 confirmed in Nepal

Coronavirus (COVID-19) Action plan – Ministry of Federal Affairs & General Administration

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IR toolkit to inform the implementation and scale-up of digital technologies for TB

by Public Health Update March 24, 2020
written by Public Health Update

IR toolkit to inform the implementation and scale-up of digital technologies for TB (IR4DTB)

The IR toolkit to inform the implementation and scale-up of digital technologies for TB, known as IR4DTB, is being developed in partnership with WHO’s Global TB Programme. IR4DTB aims to generate new evidence to bridge the knowledge gaps on an optimal application of digital health technologies specific to TB work and inform future WHO guidance on their use. This tool is an adaptation of the IR Toolkit developed by TDR in 2014 and contains six modules designed to guide users through the key IR steps, resulting in the development of a comprehensive IR proposal.

The modules have been designed to reflect key steps in the IR process, namely:

  1. Understanding IR
  2. Identifying the IR challenge
  3. Research methods and data management
  4. Planning and implementation
  5. Knowledge translation

The toolkit also includes practical activities that have been designed to inform the development of an IR proposal to be used to support resource mobilization for IR projects. Illustrative case studies from real-life applications of digital technologies within TB programmes are also included. Activities throughout the toolkit have been designed to inform the development of a proposal document that can be used to support resource mobilization for IR projects.

The toolkit will be piloted in select locations to gather feedback from users. The final toolkit will be released by the end of 2020 and made freely available on TDR’s website.

READ MORE: WHO TDR


Read more about: Implementation Research

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Communicable DiseasesFact SheetHealth in DataNational Plan, Policy & GuidelinesPH Important DayPresentation SlidesPublic HealthPublic Health NotesPublic Health ProgramsPublic Health UpdateResearch & Publication

National Tuberculosis Program Update in Nepal #WorldTBDay #EndTB

by Public Health Update March 24, 2020
written by Public Health Update

National Tuberculosis Program Update in Nepal #WorldTBDay #EndTB


Vision

  • TB Free Nepal

Goal

  • To reduce the mortality, morbidity and transmission of tuberculosis until it is no longer a public health problem and ultimately to eliminate TB.

Recommended: National TB Prevalence Survey, 2018-19 Key findings

Objective

  • To reduce the incidence of TB by 20% by 2021 and 90% by 2035
  • To reduce the TB deaths by 35% by 2020 and 95% by 2035
  • To reduce the catastrophic cost to families due to TB to 0% by 2035

SDG targets

 20152019202220252030
SDG targets: 3.3.2 Tuberculosis incidence (per 100,000 population)15885675520

Burden of TB in Nepal

Burden of TB in Nepal


Case Notification in Rates and Numbers (National)  Annual Trend

  • Globally, an estimated 10.0 million people fell ill with TB in 2075/76.
  • Nepal population contributed to 0.35% of the global population, but with regards to TB, Nepal accounted for 0.5% of global TB cases.
  • Among 32043 reported case, 82% of pulmonary cases were bacteriologically confirmed

Screen Shot 2020 03 24 at 10.31.51


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

Case notification in numbers and rates (Provincial level)

  • Compared to National CNR – 109 / 100,000
  • Bagmati province, Province 5 and 2 shared highest burden.
  • Other provinces- under detection.

Screen Shot 2020 03 24 at 10.29.33


Screen Shot 2020 03 24 at 10.33.18


Proportion of child cases notified among TB cases 

  • National Childhood TB proportion- 5.5% (far less than Global estimates, under detection)
  • Karnali province à very high rates (14.6%) than others, needs assessment.

Treatment Success Rate (%)

Sustained High treatment success rates in Nepal. Among reported, 32313 TB cases were successfully treated (TSR >90%) à better than global commitment of 85% or more.


DR Case notification, treatment coverage and outcome

  • 392 reported cases of RR MDR; 0.6% new TB cases and 20% previously treated case (compared to 3.4% of new TB and 18% of previously treated cases globally)à possible under detection in Nepal
  • Some progress in testing, detection, and treatment of MDR/RR-TB
  • TB were tested for rifampicin resistance, up from 57% in 2074/75 to 78% in 205/76.
  • The coverage of testing was 79% for new and 74% for previously treated TB patients.
  • 71% were successfully treated (compared to global TSR of 56 %).
  • 5% of MDR TB were treated with the new shorter regimen with 65% success rates.
  • Key Challenges: nearly 38% are lost to follow up.

TB Preventives Services

NTP recommends TB preventive treatment for:

  • PLHIV
  • household contacts under 5 years of bacteriologically confirmed pulmonary TB cases.

A total of 2026 PLHIV were started on TB preventive treatment in 2075/76, based on data from NCASC.
TBPT for children under five years who are the contacts of TB cases increased by 4-fold compared to FY 74/75 to 2,397.health
BCG vaccination is being provided as part of national childhood immunization programmes. The coverage of BCG vaccine was 92% in FY 74/75.2075/76, 2 397 children and 2 026 PLHIV received the TB preventive therapy which has improved since 2074/75. BCG vaccine can also confer protection, but mostly from severe forms of TB in children. BCG coverage in Nepal was more than 90%.


Key facts regarding Facilities

Treatment Facilities

FacilitiesCurrent
DOT Centers4382
Urban DOT96
MDR Treatment Centers21
MDR Treatment Sub Centers86
DR Home1

Laboratory facilities

FacilitiesNo.Services
Microscopy Centers604Microscopy Centers
GeneXpert facility56Uses sputum sample, Result in 2 hour
Culture labs and DST2Duration of test is 2 month
Line Probe Assay(LPA)2Confirmation of DR TB from sputum positive samples, in 2 days

NTP achievements

  • Domestic resources have been increased in the program 27% in 2013/14 and 55% in 2017/18.
  • 3% decline of incidence per year, but gap still high.
  • Treatment success rate for DSTB above 90% and DRTB- nearly 70%. 
  • Successfully completion of National TB prevalence survey in Nepal
  • Expansion of sensitive molecular diagnostic tools (Genexpert) in the country from 22 Xpert centers in 2014 and 63 centers currently.
  • DRTB patients are covered under health insurance (no premium needed).
  • Tertiary hospital for TB program under construction.
  • Initiated a shorter treatment regimen (9 months) for DRTB patients all over the country from 2017 and transition into all oral longer regimen as recommended by WHO.

Note: Information published here was obtained from presentation prepared by Dr. Anuj Bhattachan, Director, National Tuberculosis Program, Nepal.  Download: World TB day 2020 NTP Presentation


Press release

World TB Day 2020 Press Release 1 1 scaled

World TB Day 2020 Press Release 2 scaled World TB Day 2020 Press Release 3 scaled


National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

WHO announces updates on new molecular assays for the diagnosis of tuberculosis and drug resistance

WHO calls for urgent, aggressive actions to combat COVID-19, as cases soar in South-East Asia Region

Align national TB strategies with commitment to end TB by 2030: WHO


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

March 24, 2020 0 comments
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National Tuberculosis Control Centre (NTCC)
Communicable DiseasesFact SheetHealth in DataNational Plan, Policy & GuidelinesPublic HealthPublic Health ProgramsPublic Health UpdateResearch & Publication

National TB Prevalence Survey, 2018-19 Key findings

by Public Health Update March 24, 2020
written by Public Health Update

National TB Prevalence Survey, 2018-19 Key findings

The National TB prevalence survey 2018-19 was the first ever nationally representative TB survey to understand the actual TB disease burden in the general population in Nepal. The survey also measured the health-care seeking behaviour and service utilization among survey participants. The survey estimated the prevalence of TB in Nepal based on the direct survey findings of bacteriologically confirmed pulmonary tuberculosis among ≥ 15 years population in Nepal.

Field data collection was carried out in 99 cluster sites. 92% of eligible population participated in the survey. Individual interview to screen symptom and Chest X-ray by direct digital image were offered to every participant and 96.8% of participants received Chest X-ray. Of the 28% who were eligible for sputum, 98.6% submitted at least one sample. Xpert MTB/RIF was used as the primary diagnostic tool for all sputum eligible participants and culture was done for 50% of the participants eligible for sputum and among those with a history of TB. 99% of those who submitted sputum had at least one valid result of Xpert MTB/RIF. 225 cases were directly identified as PS case.

Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

According to the survey, currently over 117 000 people are living with TB disease in Nepal. Likewise, 69 000 people developed TB in 2018-19. TB burden (incidence) is much more higher (1.6 times) than previously estimated. TB prevalence is much higher among elderly and in men. TB prevalence was also found more in hills and terai as compared mountain and KTM valley, but prevalence/notification ratio (P/N ratio) highest in hill and mountain. These findings provide better burden estimates for Nepal which will be used for designing appropriate interventions towards ending TB in Nepal.

KEY STATISTICS

Around 117 000 people are living with TB disease in Nepal National prevalence 416 Per 100 000 population TB prevalence is 1.8 times higher than previously estimated.

In 2018 only 32043 cases were notified, indicating 54% Cases are missing

Around 69 000 people develop new TB cases annually Annual TB incidence 245 Per 100 000 population TB incidence is 1.6 times higher than previously estimated.

Annual reduction of TB incidence rate is 3%.

KEY FINDINGS OF THE SURVEY

  • Current practice of TB symptom screening can miss cases: Screening for TB using cough of more than two weeks would have captured only 20.8 % of the TB cases. Screening for TB using any TB related symptom – cough of any duration, fever, weight loss, night sweats, fatigue, shortness of breath or chest pain detects additional 5.8% TB cases.
  • Chest x-ray found to be a better screening tool for TB: More than 70% of the confirmed TB cases did not have cough ≥ 2 weeks or other symptoms as used for screening of TB during the survey. These cases were only identified because of using chest x-ray as screening tool.
  • Use of microscopy for diagnosis misses cases: As a solo test, the commonly used microscopy test would have missed significant number of cases.
  • GeneXpert (molecular technology for the diagnosis of TB) detected more TB cases as compared to smear microscopy, making it more reliable and efficient test.
  • DOTS, essential for sustaining high TB treatment success rate: Survey finding shows more than 80% of participants had been adhering to treatment as a result of direct supervision. Hence, DOTS need to be scaled up community level to sustain the current excellent (91%) treatment success rate.
  • High trust on Govt. health facilities: Patients had high trust in the government health facilities; it provides opportunity to strengthen quality of care in the government health facilities complemented by private sector.
  • TB and migration: Significant number of people seek TB services across the country.

CALL FOR ACTION TOWARDS ENDING TB IN NEPAL

1. Ensure high-level political commitment to END TB.

  • TB burden is much higher than previously estimated. It is essential to mobilize other sectors beyond health such as industries, education, finance, private sectors, communities, etc. for coordinated and joint efforts to End TB.
  • Sustain the TB and MDR-TB response through high-level political commitment, strong leadership across multiple government sectors, partnerships and adequate investments in TB, including cross border collaboration.

2. Improve access to quality TB service.

  • Ensure better access to more sensitive screening and diagnostic tools such as (chest X-ray and Xpert MTB/RIF. LPA, LAMP etc) to ensure early detection of TB.
  • Ensure quality and patient friendly treatment services both at health facilities and in communities (e.g. Community Based DOT, family-based DOT etc).

3. Engage private sector in provision of high-quality TB services

  • Improve roles of the private sector and hospitals in TB control to deliver high quality TB care and services.
  • Implement mandatory case notification.

4. Increase awareness and create demand for quality TB services

  • Empower communities with proper knowledge of TB and generate demand for quality TB services.
  • Address TB problem among migrants by conducting appropriate screening and care where necessary
  • Provide patients and their families with appropriate supports including social support and contact tracing.

5. Ensure increased investment in TB, both financial and human resources, to meet the Global commitment to #ENDTB#

  • Commit to increase domestic investment for TB.
  • Advocate for increased donor investment for TB.
  • Ensure adequate human resources at all levels for high quality TB service delivery.
  • Ensure NO out of pocket expenditure by TB affected families.

HIGH LEVEL POLITICAL COMMITMENT AND MULTI-SECTORAL COLLABORATION IS KEY TO # ENDTB # MAKE TB EVERYBODY’S BUSINESS


National Tuberculosis Control Centre (NTCC)
World Tuberculosis Day 2020! It’s time to End TB!


Publications and related documents

  • Global Tuberculosis Report 2020
  • National Tuberculosis Program Update in Nepal #WorldTBDay #EndTB
  • National TB Prevalence Survey, 2018-19 Key findings
  • World Tuberculosis Day 2020! It’s time to End TB!
  • National Guideline on Drug Resistant TB Management 2019, Nepal
  • National Tuberculosis Management Guideline 2019, Nepal
  • Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic
  • National TB Prevalence Survey, 2018-19 Key findings
  • New WHO recommendations to prevent tuberculosis aim to save millions of lives
  • World Health Organization (WHO) Information Note Tuberculosis and COVID-19
  • World Tuberculosis Day 2020! It’s time to End TB!
  • People-centred framework for tuberculosis programme planning and prioritization, User guide

Recommended organizational profile
  • Organogram and Reporting Mechanism of Nepalese Health System in Federal Context
  • Province Health Directorate (HD)
  • The Nursing and Social Security Division (NSSD)
  • Clinical Trial Registration Process in Nepal
  • NepMed, Nepal MEDLINE (Medical Literature Analysis and Retrieval System Online)
  • Nepal Health Research Council (NHRC)
  • The Ministry of Health and Population (MoHP), Nepal
  • Epidemiology and Disease Control Division, Department of Health Services
  • Department of Drug Administration (DDA), Ministry of Health and Population
  • Department of Health Services (DoHS), Ministry of Health and Population
  • Department of Ayurveda and Alternative Medicine (DoAA)
  • Management Division, Department of Health Services
  • Epidemiology and Disease Control Division, Department of Health Services
  • Family Welfare Division (FWD), Department of Health Services
  • National Public Health Laboratory (NPHL)
  • Province Health Directorate, Ministry of Social Development (MoSD)
  • List of Approved Institutional Review Committee (IRC), NHRC
  • National Health Training Center (NHTC)
  • Nepal Ayurvedic Medical Council (NAMC)
  • The Nursing and Social Security Division (NSSD)


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March 24, 2020 0 comments
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Outbreak NewsPublic Health

Pass the message: Five steps to kicking out coronavirus

by Public Health Update March 23, 2020
written by Public Health Update

Pass the message: Five steps to kicking out coronavirus

WHO, FIFA launch joint campaign to equip football community to tackle COVID-19

23 March 2020, News release

Geneva, 23 March 2020: FIFA, the international governing body of football, and the World Health Organization (WHO) have teamed up to combat the coronavirus (COVID-19) by launching a new awareness campaign led by world-renowned footballers, who are calling on all people around the world to follow five key steps to stop the spread of the disease. 

The “Pass the message to kick out coronavirus” campaign promotes five key steps for people to follow to protect their health in line with WHO guidance;
1) focused on hand washing
2) coughing etiquette,
3) not touching your face,
4) physical distance and
5) staying home if feeling unwell. 

The “Pass the message to kick out coronavirus” campaign promotes five key steps for people to follow to protect their health in line with WHO guidance, focused on hand washing, coughing etiquette, not touching your face, physical distance and staying home if feeling unwell. 

“FIFA and its President Gianni Infantino have been actively involved in passing the message against this pandemic since the very beginning,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus at the virtual launch of the campaign at WHO headquarters in Geneva, Switzerland. “Be it through campaigns or funding, FIFA has stood up to the coronavirus, and I am delighted that world football is supporting WHO to kick out the coronavirus. I have no doubt with this type of support that together we will win.” 

“We need teamwork to combat the coronavirus,” said FIFA President Gianni Infantino. “FIFA has teamed up with WHO because health comes first. I call upon the football community worldwide to join us in supporting this campaign to pass the message even further. Some of the greatest players to have played the beautiful game have put their names to the campaign and are united in their desire to pass the message to kick out COVID-19.”

 Twenty-eight players are involved in the video campaign, which is being published in 13 languages. Sami Al Jaber (KSA), Alisson Becker (BRA), Emre Belözoğlu (TUR), Jared Borgetti (MEX), Gianluigi Buffon (ITA), Iker Casillas (ESP), Sunil Chhetri (IND), Youri Djorkaeff (FRA), Han Duan (CHN), Samuel Eto’o (CMR), Radamel Falcao (COL), Laura Georges (FRA), Valeri Karpin (RUS), Miroslav Klose (GER), Philipp Lahm (GER), Gary Lineker (ENG), Carli Lloyd (USA), Lionel Messi (ARG), Mido (EGY), Michael Owen (ENG), Park Ji-sung (KOR) , Carles Puyol (ESP), Célia Šašić (GER), Asako Takakura (JPN), Yaya Touré (CIV), Juan Sebastián Verón (ARG), Sun Wen (CHN) and Xavi Hernández (ESP).


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Read more: Pass the message: Five steps to kicking out coronavirus- WHO

Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

Second case of Coronavirus #COVID19 confirmed in Nepal

Coronavirus (COVID-19) Action plan – Ministry of Federal Affairs & General Administration

Coronavirus disease (COVID-19)Preventive measures (Updated)

March 23, 2020 0 comments
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National Plan, Policy & GuidelinesOutbreak NewsPublic HealthPublic Health ProgramsResearch & Publication

Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

by Public Health Update March 23, 2020
written by Public Health Update

Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

Frequently Asked Questions about Novel Corona Virus 1 1 scaled


Trained personnel for sample collection. and transport

S.NProvinceNameOrganizationPostPhone noTraining Date
1Bagmati-KathmanduDr. Shankhar KafleNPHLCons. Pathologist98455874282076/10/14
2Bagmati-KathmanduMr. Saroj SharmaKanti Childern HospitalJoint Chief
Med.Technologist
98414613422076/10/14
3Bagmati-KathmanduMr. Hari Prasad kattelTUTHDeputy Controller98412673402076/10/14
4Bagmati-KathmanduDr. Bhagat Lal ShresthaCentral Jail HospitalMedical Officer98511975102076/10/14
5Bagmati-KathmanduMr. Pragyan DahalGrande Int. HospitalClinical Microbiologist98620214832076/10/14
6Bagmati-KathmanduDr. Jwalanta PoudelNPHLCons. Pathologist98452855042076/10/14
7Bagmati-KathmanduDr. Rajendra MaharjanNepal APF HospitalPathologist98037331682076/10/14
8Bagmati-KathmanduMr. Dipendra YadavNepal APF HospitalLab Technician98414125712076/10/14
9Bagmati-KathmanduMr. Pankaj ChoudharyNPHLLab Technician98670027222076/10/14
10Bagmati-KathmanduMs.Abina OjhaNPHLLab Technician98166775802076/10/14
11Bagmati-KathmanduMs.Sunuta NeupaneBhaktapur HospitalLab Technician98411436582076/10/14
12Bagmati-KathmanduMs.Manita PoudelShree Birendra Hospital,ChhauniStaff Nurse98419662412076/10/14
13Bagmati-KathmanduMs.Gyayatri PrajapatiCivil Service HospitalLab Technician98492824932076/10/14
14Bagmati-KathmanduMs.Narmada ThakaliCivil Service HospitalNursing In charge98412345262076/10/14
15Bagmati-KathmanduMs. Usha KafleBhaktapur HospitalLab In charge98418755772076/10/14
16Bagmati-KathmanduMr. C.N. ChoudharyPatan HospitalTechnologist98510646532076/10/14
17Bagmati-KathmanduMs. Rita BajracharyaPatan HospitalMed Lab Technologist98415315992076/10/14
18Bagmati-KathmanduMs. Hema GurungKathmandu Model HospitalMed Lab Technologist98410762632076/10/14
19Bagmati-KathmanduDr. Nabin KhadkaKathmandu Model HospitalMedical Officer98496516472076/10/14
20Bagmati-KathmanduMs.Resma DongolGrande Int. HospitalStaff Nurse98419511202076/10/14
21Bagmati-KathmanduMs. Reecha ThapaShree Birendra Hospital ChhauniLab Technician98436886952076/10/14
22Bagmati-KathmanduDr. Nayanum PokharelKanti Children HospitalClinical Microbiologist98638531112076/10/14
23Bagmati-KathmanduMr. Prem TripathiNPHLMed. Technologist98415227722076/10/14
24Bagmati-KathmanduMr. Subhash ku.ThakurPMWH (Thapathali)Med . Technologist98510677392076/10/14
25Bagmati-KathmanduMr. Diwash ShresthaTUTHMed . Technologist985122073822076/10/14
26Bagmati-KathmanduMs. Sarada GhalePMWH (Thapathali)Med.Lab Assistant98419458202076/10/14
27Bagmati-KathmanduMr. Pramananda BhandariSukraraj Tropical HospitalMed.Technologist98415902832076/10/14
28Bagmati-KathmanduMr. Prithibi Bikram KhadkaNational Truma CentreLab Technician98526605352076/10/14
29Bagmati-KathmanduDr. Shreejana PandeyBir HospitalClinical Microbiologist98511611312076/10/14
30Bagmati-KathmanduMr. Krishna Gopal DevVayodha HospitalLab In charge98436458012076/10/14
31Bagmati-KathmanduMr. Birendra Ku.MahatoVayodha HospitalTechnologist98490999332076/10/14
32Bagmati-(Outside Kathmandu)Mr. Shreejendra ShresthaBharatpur HospitalLab Technician984539851222076/11/23
33Province 1Dr. Chhaya ShahKoshi Hospital,BiratnagarMicrobiologist98418011272076/11/23
34Province 1Mr. Ashok ShiwakotiProvince Public Health LaboratoryLab Tech ( Officer )98424076552076/11/23
35Province 2Dr. Nira PathakNarayani Hospital, BirgunjPathologist98474077492076/11/23
36Province 2Mr. Saroj Ku ThakurPradesh Hospital JanakpurMicrobiologist98444318662076/11/23
37Province 2Mr. Yugal Kishor YadavProvince Public Health LaboratoryLab Tech.( Officer)98618308772076/11/23
38GandakiMr. Sandip PokharelPokhara Academy of Health ScienceLab Technician98233503862076/11/23
39GandakiMs. Subhadra DulalProvince Public Health LaboratoryLab Technician98065625732076/11/23
40Province 5Ms. Kalpana GhimireProvince Public Health LaboratoryLab Technician98670028022076/11/23
41Province 5Ms. Shreejana PokharelProvince Public Health LaboratoryLab Technician98475029572076/11/23
42KarnaliMr. Om Raj AcharyaProvince Public Health LaboratoryLab Tech ( Officer)98480507742076/11/23
43KarnaliMr. Kalam Kumar ThapaProvince Public Health LaboratoryLab Tech ( Officer)98482954812076/11/23
44KarnaliMr. Bharat psd DevkotaKarnali Province HospitalLab Technician98480371202076/11/23
45SudurpashchimMr. Mahesh Prakash BhattaProvince Public Health LaboratoryLab Technician98605639412076/11/23
46SudurpashchimMr. Hari Krishna RanaSeti HospitalLab Technician98484879652076/11/23

Last updated: 17:51 March 23, 2020


Contact person

During Office Hours

Mr. Rajesh Kumar Gupta
(9851239988)

If Sample Brought After Regular Office Hours (09:00 Am To 04:00 Pm), Contact:

Mr. Dinesh Thapa Magar
(9886128922)

Mr. Naresh Thapa Magar
(9803152149)


COVID-19 PoE Screening

COVID-19 PoE Screening

COVID-19 PoE Screening


Algorithm to Suspect COVID-19

rev guidelines

Information obtained from : NPHL, For more information please visit official website of NPHL


Second case of Coronavirus #COVID19 confirmed in Nepal

Coronavirus (COVID-19) Action plan – Ministry of Federal Affairs & General Administration

COVID-19 Health Desk Operation Guideline MoSD, Sudurpachim Province

Coronavirus disease (COVID-19)Preventive measures (Updated)

March 23, 2020 0 comments
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