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Jintana Ngamvithayapong-Yanai, PhD. JSPS-Fellow, Research Institute of Tuberculosis, Japan

TB/HIV...From Killing to Caring and Cure. Jintana Ngamvithayapong-Yanai, PhD. JSPS-Fellow, Research Institute of Tuberculosis, Japan TB/HIV Research Foundation, Chiang Rai, Thailand 7 th International Congress on AIDS in Asia and Pacific,

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Jintana Ngamvithayapong-Yanai, PhD. JSPS-Fellow, Research Institute of Tuberculosis, Japan

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  1. TB/HIV...From Killing to Caring and Cure... • Jintana Ngamvithayapong-Yanai, PhD. • JSPS-Fellow, Research Institute of Tuberculosis, Japan • TB/HIV Research Foundation, Chiang Rai, Thailand • 7th International Congress on AIDS in Asia and Pacific, • Kobe, Japan July 1-5, 2005

  2. Acknowledgement • TB/HIV patients and families • Japanese Foundation for AIDS Prevention (JFAP) and Ministry of Health, Welfare and Labor, Japan supported the TB/HIV research conducted in Chiang Rai, Thailand.

  3. Chiang Rai, Thailand New TB rate by HIV status per 100,000 persons 1987-2002 China Vietnam Myanmar Laos Chiang Rai Bangkok Cambodia

  4. TB treatment outcome of some pulmonary TB patients by HIV status

  5. Killing…despite HIV-Negative TB “I have been coughing for a year but I just bought anti cough syrup from the drug stores. Eventually, my sisters begged to me to have a blood test. They accompanied me to a private laboratory. I dared not to listen to the test result by myself. My sisters did that for me. They were extremely delighted to tell me that my blood was” negative”. I did not believe them...I thought they were afraid that I would commit suicide...so they lied to me. Even when they went to buy 2 dozen of beers and cerebrated with my family, I still hardly believed them. Only when the second test was done in the hospital, I became convinced. Doctor said I have tuberculosis not AIDS. ”

  6. ...We have many works that we have to do in the health center. TB/HIV patients usually died soon after a few weeks of TB treatment. Finally,they would die because of AIDS anyway. We can not help them. They are less priority. (Focus Group Discussion with health center staff.) TB/HIV Research Project(RIT-JATA) Attitude of health staff regarding TB/HIV

  7. Fatalism (accept to die) among people with HIV/AIDS before the era of ARV “My relatives said, “Going to hospital does not help. You will not be cured. Don’t go. If you can live…you just live. If you can not live, just prepare for the next birth in the next world. Whatever will be will be… Let it be.” Many of my siblings and relatives (seven) have died of AIDS. I am the only remaining person! I accepted not to go to the hospital. Just die…just die.” (a TB(HIV+) male patient having major TB drug reactions but nobody brought him to the hospital)

  8. AIDS stigma and fatalism No hope…No motivation to take TB medicine

  9. TB/HIV… Caring but still killing

  10. Knowledge… Hope… Strength… for Curing TB

  11. “Love”can increase adherence I LOVE my mom and dad. Doctor said if I take medicine, I will not spread TB. Therefore, I must take the medicine. I must prevent my parents from getting TB from me. A 35 years old TB(HIV+) patient

  12. I miss my daughter… Unfortunately, my daughter died after TB was cured because no poor patients could pay for anti-retrovirus drugs. But now several TB/HIV patients in my community can survive, they can live with their family and can feed the family. I missed my daughter….

  13. I am survived… and my children will survive

  14. I am survived and my mother will survive

  15. Caring…Promoting VCT for TB patients

  16. TB/HIV patient AIDS program TB program TB/HIV Research Project(RIT-JATA) What will happen if there is a strong collaboration between AIDS and TB programs?

  17. TB/HIV From Killing to Caring and Cure TB cured, HIV managed, and lives saved.…

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