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We have developed and packaged a comprehensive approach �to driving down TB

Oct 2015

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Zero TB Karachi: GeneXpert Cartridge Use�2014 - 2019

Q4 2016

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Early Findings: Mobile X-ray based Active Case Finding as part of comprehensive Search Treat Prevent strategy

  • Initial rapid increase in TB notifications in Karachi
    • 39% increase All Forms TB from 2015 to 2017/18
  • Followed by rapid decline in TB notifications
    • 28% decrease DR-TB from 2017/18 to 2019 in Karachi
    • 7% decrease All Forms TB from 2017/18 to 2019 in Karachi
    • 30% decrease All Forms TB from 2017 to 2019 in Korangi
      • 20% decrease from 2017 to 2018; 13% decrease from 2018 to 2019
    • 31% decrease Bac+ TB from 2017 to 2019 in Korangi
      • 20% decrease from 2017 to 2018; 13% decrease from 2018 to 2019
  • Increase in number needed to screen (NNS) using mobile X-ray
    • 43% increase in NNS in community camps from 2017 to 2019 in Karachi
  • Doubling (21% to 47%) of New patients as proportion of DR-TB

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Karachi w/o Korangi Town: Notifications and Case Notification Rates: 2010 - 2019

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Karachi w/o Korangi Town: Resource Inputs vs Case Notification Rates; 2010 – 2019

Year

Year

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KARACHI CITY - PEDIATRIC (AF) DSTB CASE NOTFICATION RATES

2010 - 2019

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KARACHI CITY – New DRTB Case Notification Rate

2010 - 2019

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ZERO TB PROGRAM – DISTRICT WISE RATES OF HH CONTACTS ON TB PREVENTIVE THERAPY; 2010 - 2019

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Data Source: ENRS from IHK, OICD, JPMC and DMDC

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