Tuberculosis Disease - Department of Health

► Mga Responsibilidad mo Bilang Pasyente

Ipaalam ang mga nauukol na impormasyon sa iyong health service provider, gaya ng mga nakaraang at kasalukuyang karamdaman.
Sundan ang schedule ng pag-inom ng gamot araw-araw para masiguro ang paggaling.
Tumulong sa pag-iwas sa pagkalat ng TB sa komunidad sa pamamagitan ng paghikayat sa mga kakilalang nagpapakita ng sintomas ng TB na kumonsulta agad sa Center.
Makiisa sa mga kapwa pasyente sa pamamagitan ng pagsuporta sa kanilang pagpapagaling at pagbahagi ng tamang kaalaman na natutunan habang nagpapagamot.

► Bilang pasyente, karapatan mong

Magamot nang tama at libre na naaayon sa International Standards for Tuberculosis Care.
Tumanggap ng makataong serbisyo nang walang diskriminasyon o panghuhusga.
Mabigyan ng tama, malinaw, at napapanahong impormasyon tungkol sa TB, ireresetang gamot, at posibleng side effects nito.
Base sa mga ibinabahaging mga alternatibo, pumili ng naaangkop na gamutan at ang magiging epekto nito.
Pangalagaan ang iyong pribadong buhay at karangalan tungkol sa iyong kondisyong medikal.
Makamit ang hustisya at lunas kung nalabag ang karapatan mo bilang pasyente.
Mabigyan ng seguridad sa trabaho pagkatapos ng gamutan at rehabilitasyon.

Gabay sa Publiko

► If I have TB, what can I do to prevent spreading it to other people?

If you are infectious while you are taking rest at home, you can do the following things to protect others near you.• Take your medicines as directed. This is very important!

Always cover your mouth with a tissue when you cough, sneeze, or laugh. Put the tissue in a closed bag and throw it away safely.
Isolate yourself from others and avoid close contact with anyone. Sleep in a bedroom away from other family members for the first few weeks.
Air out your room often to the outside of the building (if it is not too cold outside). TB spreads in small closed spaces where air doesn’t move.
Put a fan in your window to blow out air that may be filled with TB bacteria. If you open other windows in the room, the fan also will pull in fresh air. This will reduce the chances that TB bacteria will stay in the room and infect someone who breathes the air.

After you take the medicines for about 2 or 3 weeks, you might no longer be able to spread TB bacteria to others. If your doctor or nurse agrees, you will be able to go back to your daily routine, including returning to work or school. But remember, you will only get well if you take your medicines exactly as directed by your doctor or nurse. Think about people who may have spent time with you, such as family members, close friends, and co-workers. The local health department may need to test them for TB infection. TB is especially dangerous for children and HIV-infected persons. If these people are infected with TB bacteria, they need medicines right away to keep them from developing active TB disease. Source: World Health Organization, 2013

► How can MDR-TB be prevented?

The most important thing a person can do to prevent the spread of MDR-TB is to take all their medications exactly as prescribed by their health-care provider. No doses should be missed and treatment should never be stopped early. Patients should tell their health-care provider if they are having trouble taking the medications. If patients plan to travel, they should talk to their health-care providers and make sure they have enough medicine to last while away. Health-care providers can help prevent MDR-TB by quickly diagnosing cases, following recommended treatment guidelines, monitoring patients’ response to treatment, and making sure therapy is completed. Another way to prevent getting MDR-TB is to avoid exposure to known MDR-TB patients in closed or crowded places such as hospitals, prisons, or homeless shelters. If you work in hospitals or health- care settings where TB patients are likely to be seen, you should consult infection control or occupational health experts. Ask about administrative and environmental procedures for preventing exposure to TB. Once those procedures are implemented, additional measures could include using personal respiratory protective equipment. Source: World Health Organization, 2013

Treatment

► Can tuberculosis be cured?

Yes. TB can be cured if the full course of the prescribed drugs is taken regularly, and without interruption. The WHO-approved standardized and effective cure for TB, called DOTS (directly-observed treatment, short-course) is available in all countries of the South-East Asia Region. It takes at least 6–8 months of medication to completely treat the disease. It is very important that the patient takes all the prescribed drugs for the recommended duration. It is dangerous, both for the patient, family members and the community, if he/she stops taking medication before the prescribed course is completed and without medical advice. The TB germs that are still alive become even stronger, or “resistant” to the drugs. Stronger drugs are then needed to kill these “super” TB germs if the treatment is not completed the first time. Source: World Health Organization, 2013

► What is DOTS?

DOTS (directly-observed therapy, short-course) means that the patient taking the medicine should be observed by a nominated person, and the taking of the medicine should be recorded. This ensures that the patient takes the medication regularly, which is essential for the medicines to be effective – and to prevent the bacteria from becoming resistant and the drug from becoming ineffective. The best way to remember to take medicines is to get directly-observed therapy. If following the DOTS regimen, the patient will meet with a health care worker every day or several times a week. This can be at the TB clinic, your home or work, or any other convenient location. You will take your medicines at this place while the health care worker observes. DOTS helps in several ways. The health care worker can help the TB patient remember to take the medicines and complete the treatment. This means he/she will get well as soon as possible. The health care worker will make sure that the medicines are working as they should. This person will also watch for side-effects and answer questions about TB. The TB patient must be checked at different times to make sure everything is going well. He/ she should see their doctor or nurse regularly while taking the medicines. This will continue until the patient is cured. Source: World Health Organization, 2013

► How is TB disease treated?

Tuberculosis is usually treated through the use of a combination of several drugs called antibiotics to kill all the bacteria and preventing them from becoming resistant to one or more drugs. The most common drugs used to fight TB are:

Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Streptomycin

The medication is administered to the patient for at least 6 months as per the advice of the doctor. People with TB of the lungs should initially stay home from work or school so that they do not spread TB bacteria to other people. After taking TB drugs for 2 weeks, they will feel better and may not be infectious to others. However, to be completely cured they would need to take the drugs as prescribed for at least 6-8 months. Source: World Health Organization, 2013

► The NTP has the following mandates:

Develop policies, standards, and national strategic plan
Manage program logistics
Provide leadership and technical assistance to the lower health offices/units
Manage data and use the information to inform programmatic activities
Conduct monitoring and evaluation

The NTP’s TB diagnostic and treatment protocols and strategies, issued through its Manual of Procedures, are based on the policies of the World Health Organization (WHO) and the International Standards for TB Care (ISTC).

► Objectives

Specific Objectives by 2022

Improve the utilization of TB care and prevention services by patients and communities.
Reduce the catastrophic cost of TB-affected households accessing DOTS facilities to 0%.
Ensure adequate and competent human resources for TB elimination efforts.
Improve the use of TB data for effective TB elimination efforts.
Enhance the quality of all TB care and prevention services.
Increase to at least 90% of DOTS facilities that provide expanded integrated patient-centered TB care and prevention services.
Enhance the political stewardship through a high-level political commitment of national government agencies and LGUs to implement localized TB elimination plans in coordination with different sectors.

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