“To gain lost ground we need to actively go out and find the missing and undiagnosed cases. We cannot rely on patients self-reporting to medical services during the Covid-19 era.
“Lessons learnt in contact-tracing for Covid-19 can be applied to contact-tracing for TB. New technologies such as digital chest X-rays, which on its own found about 58% of the people with TB in 2019, needs to be scaled up and applied strategically in hotspots. TB screening should be integrated into Covid-19 screening and referral pathways for TB testing made known,” he said.
“But many people who have TB are unable to get the care they need. This is not a new problem. Before Covid-19 struck, the gap between the estimated number of people developing TB each year and the annual number of people officially reported as diagnosed with TB was about three million. The pandemic has greatly worsened the situation.”
Prof Heather Zar, head of paediatrics at Red Cross Children's Hospital, said though a decline in TB services was expected he was surprised by the extent, particularly in SA. “This indicates that we were not testing enough people to pick up new TB cases. The reality is that the Covid-19 pandemic was a hammer blow to our efforts to respond to TB, and we must now step up the fight drastically,” he said.
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