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Giampaolo Mezzabotta Medical Officer/Tuberculosis World Health Organization Nepal Country Office

Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessation Kathmandu, April 7 – 8 , 2014 Tobacco as a risk factor for TB and screening strategies. Giampaolo Mezzabotta Medical Officer/Tuberculosis World Health Organization

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Giampaolo Mezzabotta Medical Officer/Tuberculosis World Health Organization Nepal Country Office

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  1. Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessationKathmandu, April 7 – 8, 2014Tobacco as a risk factor for TB and screening strategies GiampaoloMezzabotta Medical Officer/Tuberculosis World Health Organization Nepal Country Office

  2. How tobacco influences TB smoking-related cough can mask TB, thus delaying patients’ care seeking behaviour and making harder for clinicians to recognize TB. SMOKING? * =

  3. Who should be screened for TB? TB prevalence in Nepal is estimated at 241/100,000.

  4. Who is at higher risk of active TB? Setting

  5. Published in 2007 but still the main source of information about TB and tobacco control

  6. The global burden of TB -2012 Estimated number of cases Estimated number of deaths • 8.6 million • 0.5 m in children • 2.9 m in women • 1.3 million* • 74.000 in children • 410.000 in women All forms of TB 1.1 million (13%) 320,000 HIV-associated TB 170,000 Multidrug-resistant TB 450,000 * Including deaths attributed to HIV/TB Source: WHO Global Tuberculosis Report 2013

  7. The Tobacco epidemic

  8. How and where the two epidemics merge?

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