DHARAMSHALA (CTA): The Department of Health is organising a three-day ‘Advanced nurses training on TB Control’ in Dharamsala from 27 to 29 June 2011 to about 20 nurses and health workers from various Tibetan settlements, monasteries, schools in exile.
At the begining of the training Dr. Kunchok Dorjee of the Deleck Hospital said, these days Tuberculosis has reached at a critical stage in our community as there are growing number of MDR (Multi drug-resistant) patients, who are getting affected directly from MDR patients.
Dr. Kunchok said, this disease is not only prevalent in India but is also in Tibet and China. He said China has largest number of TB patients in the world. He said there is great danger that this disease may spread in whole of Tibet and he is worried about healthcare facilities available to the Tibetans inside Tibet.
Dr. Fulvio Salvo, Representative, Support to Tibetan TB Programme, Italian Association for Solidarities Among People (AISPO) said, â€œI am happy to have this opportunity to work with the TB nurses because if I have to choose one single key person…. I will go for TB nurse, even more than doctors and administrator who are very importantÂ butÂ the nurses are in closest contact with the TB patients, they see them everyday and struggle with the patients everyday in their difficult way to cure themâ€.
He further said, the disease is created by humans so we humans can be the solution.
Kalon Chope Paljor Tsering of the Department of Health, said although there had been decline in number of TB patients in exile but he has come to know through a Polish doctor (who went toÂ Tibet in 2009 to study on TB for about 2-3 years) that there is a huge rise in number of TB patients in Tibet.
Kalon said, The Polish doctor found 40-60% population of various villages in Kham province in eastern Tibet were affected by TB.
Kalon said, for the reasons the doctor told him that it was due to change in food habits, due to transmission of TB from Chinese settlers from China and due to lack of awareness on the disease by the general public. Besides, the Chinese government is not acknowledging the presence of this epidemic disease in Tibet and are not doing anything to prevent it, he added.
The doctor also told Kalon that healthcare facility in Tibet were very poor that for a culture test of the disease the patients from a Tibetan region in Sichuan have to send their sputum samples to Hong Kong. There was not a single well-established TB culture lab available there.
Kalon Chope Paljor Tsering said, this shows poor health care facility to the world’s largest population in China.
Kalon expressed kind gratitude towards AISPO, Italian Cooperation, WHO and John Hopkins University for extending their kind help to control TB in the Tibetan community.
Mr Dawa Phunkyi, CEO of Delek Hospital, spoke about this training being supported by AISPO and Italian Cooperation after Dr Kunchok Dorjee and Ms Tashi Youdon, health staff, went to Tibetan settlements in South India to examine TB cases.
The training is on ‘WHO stop TB strategy and global scenario, Overview of Tibetan TB control programme and collaboration with RNTCP, Nurse’s role in TB control, Diagnostic work-up and newer diagnostics, Treatment, monitoring, ADR, Infection control strategies, DOTS strategy, RNTCP training, ContactÂ investigation algorithm, Effective communication and TB Education, TB data recording and reporting’.
Dr Fulvio Salvo, Dr Kunchok Dorjee, Ms Tashi Youdon, Mrs Tsering Paldon, Dr Kaushal, Dr Rana and Mr Andrea are the resource person.