||Social aspects of the tuberculosis problem in India.
||Rao KN, Ed: Textbook on TB in India; TB Association
of India, New Delhi, 1981 p. 527-533.
A number of factors - cultural, social, political,
economic and technical - have determined the nature of society's
response to TB. Changes in these factors have brought about changes
in society's response. For example, advances in the diagnosis and
treatment of TB have greatly modified the earlier perception of
TB as a social stigma. Social considerations related to isolation
and prolonged sanatorium treatment have become much less relevant.
In recent times, consideration of the social aspects of TB involves
examining how the individual and the community react to the disease,
the level of awareness of TB in the community etc. To break this
vicious cycle, the expenditure in a well-conceived TB programme
should be considered as an investment.
Treatment default is on two accounts, fault of
the patient and, organizational lapses of the services. Inadequate
staff and equipment, irregular drug supply etc. outweighs the lapses
on the part of patients. Hence, a patient may be called a defaulter
only after he/she does not utilise the optimal services provided.
The TB social workers' role in India is to strengthen treatment,
organization and whenever possible, provide treatment under supervision.
Socio-etiological factors in India, example, rise in standard of
living leading to better nutrition, less close contact, increase
in the host resistance, genetic selection and attenuating virulence
of bacilli could lead to the reduction in the problem of TB. Economics
of TB should be evaluated as total suffering, that is, loss of work,
cost of treatment, due to death and morbidity leading to a vicious
cycle of poverty and sickness in the community.
|KEYWORDS: SOCIAL ASPECTS; SOCIAL PATHOLOGY; SOCIO-POLITICAL;