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WHO's View

NGOs can no longer ignore the scale of Cambodia's TB problem believes the World Health

Organization's TB consultant in Cambodia, Dr Pierre-Yves Norval.

WHO is supporting the new national tuberculosis program which kicks off in a month.

Previous programs have failed and WHO cites as reasons insufficient funding, inadequate

drug supplies and no supervision of drug courses.

The disease can spread rapidly when people live in close contact over an extended

period of time. Victims often conceal the disease because of its social stigma and

often avoid help until too late.

According to Dr Norval the presence of HIV can accelerate the onset of TB, which

might otherwise lie dormant in a person's body. This leaves the victim with even

less time to acknowledge the disease and seek treatment.

Control of the disease is essential. The national program will provide medication

free of charge but continuity is essential.

"The problem is not health education," said Dr Norval, "but staff

education, to provide the quality of service needed to implement the drug program."

Short Course Chemotherapy, costing $40 per person, will be implemented within three


The program also hopes to improve training and ensure drug supplies at district level.

Vaccination can prevent complications for children under two years old.

In its fund-raising efforts, WHO points out that hundreds of millions of dollars

are to be spent reconstructing Cambodia's roads. But, it asks, if the TB epidemic

is not checked, who will use them?



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