HIV-associated tuberculosis

Treatment outcomes among children, adolescents, and adults on treatment for tuberculosis in two metropolitan municipalities in Gauteng Province, South Africa

BACKGROUND: Gauteng Province has the second lowest tuberculosis (TB) incidence rate in South Africa but the greatest proportion of TB/HIV co-infection, with 68% of TB patients estimated to have HIV. TB treatment outcomes are well documented at the national and provincial level; however, knowledge gaps remain on how outcomes differ across detailed age groups.

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Sexual rights but not the right to health? Lesbian and bisexual women in South Africa’s National Strategic Plans on HIV and STIs

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Yes
Author
Felicity Daly, Neil Spicer, Samantha Willan

Synergies between securing sexual rights and the right to health have been pursued where there are clear public health gains to be made, such as lowering incidence of HIV and other sexually transmitted infections (STI). South Africa’s 1996 Constitution outlawed discrimination on the basis of sexual orientation and promoted the right to health.

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ART and prevention of HIV-associated tuberculosis

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Yes
Author
Stephen D Lawn and Robert J Wilkinson

Antiretroviral therapy (ART) is the most effective preventive strategy against tuberculosis in people with HIV, substantially reducing the risk irrespective of baseline CD4 cell count, tuberculin skin test status, and antimycobacterial drug resistance. This preventive effect occurs at individual, community, and national levels. However, ART is no silver bullet for the control of HIV-associated tuberculosis. First, ART is often started late during HIV progression and many patients have tuberculosis before starting ART.

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