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1. How do you understand TB?

2. How does TB infection spread? Coughing Sneezing Singing

3. A TB patient can infect……….. A TB patient can infect 10-15 persons/year

4. How does TB settle in lungs?

5. How does PTB end? 90 – 95% Immunity ↑ Immunity ↓ 5 – 10% Containment Healing Spread

6. How does TB spread in a body? 85% Pulmonary TB 15% Extrapulmonary TB

7. Extra-pulmonary TB

8. Extra-pulmonary TB

9. Extra-pulmonary TB

10. Extra-pulmonary TB

11. Can TB be cured? Why can’t we control TB infection?

12. Although TB is infectious and lethal, it can be cured and controlled.

13. TB situation in Myanmar One of 22 high TB burden countries One of 27 high MDR countries One of 41 high TB-HIV burden countries All TB: 612/100,000 Infectious: 240/100,000 80% Urban>Rural National Prevalence study, 2009/10 Global TB control, 2010

14. National TB Control Strategy Case detection D O T S DOTS Directly Observed Treatment Short Course

15. How people seek for their health? To relieve their illness, where people go to? Who are the private health services providers? (both formal and informal) ? ? ?

16. How do private health care providers take part in TB control?