Transcript tuberkulozi msoflio mniSvnelobis movlenebi 2010/2011

TB globaluri kontrolis
angariSi 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