TB Infection Control

I am not reponding to this discussion but I would like to present brefly the aspect of a ward in wich TB patients must be hospitalised or a room for consultation in order to reduce contamination.
THe room or the ward for consultation or hospitalisation must be as wide as possible. It must have large windows and large doors. Those windows and doors must be opened for a long time like all the day for facilitating aeration. They must be also oriented to the direction of the air (winds). 

Jean Pierre TARIKA
Kirehe District Hospital
Phone: +250788842998
       +250728842998

This might be the recommended standards by the Regulatory authority, but is it
the ideal? things are difficult in th erural africa where incidentally, the TB
burden is extermely high.
Might this be a contributing factor to the rapid spread of TB in the rural areas
in africa and especially Kenya?
a visit to community households during defaulter tracing of TB clients clearly
indicated that a higher percentage of our clients are at risk of infecting care
givers given the conditions described by jean tarika.
it is clear then that our caregivers are likely to be infected or worse still
that our clients are likely to acquire a worse resistant strain thatr can lead
to MDR-TB.

OPTION
Advocacy with clear applicable and cost effective messages is the better option.
unfortunately, more bidgetary allocation is directed to TB treatment at the
health facility level.

we need to brainstorm and see how we can help the rural communities prevent the
spread of this disease.

in view of the data available, TB wars can br fought effectively with the
assistance of the community that bears the burden.