TB globaluri kontrolisangariSi 2010;

qveynebis monacemebi;TB globaluri faqtebi

2010/2011

“samSabaToba”, 16.11.10, n. solomonia

TB globaluri kontroli

janmo-s angariSi 2010

http://www.who.int/tb/country/en/index.html

dReidan 2015 wlis CaTvliT Stop TB globaluri gegmis

farglebSi, srulyofili dafinansebis da implementaciis pirobebSi,

SesaZlebeli gaxdeba 5 milioni adamianis sicocxlis SenarCuneba

• tuberkulozi haer-wveTovani gziT gadamdebi daavadebaa, romelic dabali socialuri fenis axalgazrdebs cxovrebis yvelaze nayofier wlebSi aavadebs. TB sikvdilis umetesi SemTxvevebi ganviTarebad qveynebze modis

• 2009 wels TB-iT gardaicvala 1.7 milioni adamiani, maT Soris 380 000 qali da amdenive HIV-inficirebuli, rac dReSi 4 700 sikvdilis SemTxvevas utoldeboda

• 1990 wlidan TB sikvdilianobis maCvenebeli 35%-iT Semcirda da dResac inarCunebs klebis tendencias

• TB 15-44 asakobrivi jgufis qalebSi sikvdilis gamomwvev daavadebaTa sameulSi Sedis

• 2009 wels dafiqsirda 9.4 milioni TB axali SemTxveva, maT Soris 3.3 milioni qali da 1.1 milioni HIV-inficirebuli iyo

• 2009 wels TB globaluri insidentoba Semcirda da 100 000 mosaxleze 137 SemTxvevas gautolda (2004 wels is piks aRwevda da 142 SemTxvevas Seadgenda); es maCvenebeli nela, magram kvlav iklebs

• 2008 wels globalurad dafiqsirda mkurnalobis warmatebuli gamosavlis yvelaze maRali maCvenebeli - 86%

• DOTS da Stop TB strategiis gavleniT 1995 wlidan dRemde warmatebuli mkurnalobis 41 milioni SemTxveva dafiqsirda da 6 milionze meti sicocxle SenarCunda, maT Soris 2 milioni qalis da bavSvis; 2009 wels DOTS programebis farglebSi 5.8 milioni TB SemTxveva daregistrirda

• TB maRali tvirTis mqone 22 qveynidan 13 2015 wlisaTvis dagegmil aTaswleulis gegmis Sesrulebis, xolo 12 Stop TB TanamSromlobis miznebis miRwevis gzaze dgas

• 2008 wels testirebis maRali maCveneblis pirobebSi (evropa-86%; afrika 53%; ameriaka 41%) ganisazRvra 1.4 milioni adamianis HIV statusi; 2009 wels - 1.6 milioni adamianis HIV statusi; 55 qveynis (maT Soris 16 afrikuli qveynis) mosaxleobis 75%-ma icis Tavisi HIV statusi

• 2009 wels HIV/TB ko-inficirebul pacientTa 37%-ma daiwyo ARV mkurnaloba; 75%-ma Caitara kotrimoqsazoliT prevenciuli mkurnaloba

• MDR-TB mkurnaloba rTuli da ZviradRirebulia; ar eqvemdebareba I rigis TB preparatebiT standartul mkurnalobas

• 2008 wels MDR-TB-is 440 000 axali da 150 000 gardacvalebis SemTxveva dafiqsirda• 2009 wels TB axal SemTxvevaTa 3.3%-Si dafiqsirda MDR-

TB• 2010 wels janmo-s angariSSi gamoqveynda MDR-TB-is

pikuri maCvenebeli - postsabWouri sivrcis zogierT qveyanaSi MDR-TB dafiqsirda axal TB SemTxvevaTa 28%-ze metTan

• bevr qveyanaSi ukve moqmedebs MDR-TB kontrolis gegma, magram globaluri qmedebebi jer kidev arasakmarisia

• II rigis TB preparatebis mimarT rezistentobis ganviTarebis SemTxveaSi viTardeba XDR-TB

• dReisaTvis XDR-TB SemTxveva dafiqsirebulia 58 qveyanaSi

2009 wlis TB globaluri maCveneblebi:• 9.4 milioni (8.9 mln–9.9 mln) insidentobis

SemTxveva, 14 milioni prevalentobis SemTxveva

• HIV-negatiur pirebSi 1.3 milioni sikvdilis SemTxveva (1.2 mln–1.5mln)

• HIV-pozitiur pirebSi 0.38 milioni sikvdilis SemTxveva (0.32 mln–0.45mln)

• TB SemTxvevaTa umetesoba modis samxreT-aRmosavleT aziis (35%), afrikis (30%) da wynari okeanis dasavleT regionis (20%) qveynebze

• SemTxvevaTa 11-13% HIV pozitiuria, maTgan daaxloebiT 80% afrikis mosaxlea

gmadlobT yuradRebisaTvis