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Tough TB quadruples in WCape

Cases of extensive drug-resistant tuberculosis (XDR-TB) have more than quadrupled in the Western Cape in the past three months, the Cape Times reported in June this year.

The newspaper cited provincial health department figures.

They also reported that the Brooklyn Chest TB Hospital has no room for more patients. It has 22 beds in the isolation wards to treat XDR-TB cases.

This comes as the City of Cape Town has drawn up contingency plans in the event of an XDR-TB outbreak.

8 people died
Since World TB Day in March, 45 XDR-TB cases have been notified in the province. Eight people have died, according to department figures. In March, there were 10 known XDR-TB cases in the province.

XDR-TB, which withstands first- and second-line antibiotic treatment, is almost impossible to treat. It has killed 290 patients nationwide.

Department spokeswoman Faiza Steyn said most patients with XDR-TB were admitted as quickly as possible to Brooklyn.

"At times, patients do have to wait for a bed at Brooklyn Chest Hospital," Steyn said.

Some patients were treated in side wards at the hospital, while the rest were in isolation at prisons in the province, she said.

Reducing the risk
City health director Ivan Toms said the department and clinics had implemented steps to reduce the health risk of TB and XDR-TB.

"These include clinic designs to separate waiting areas for TB clients, ensuring good airflow in TB areas, providing masks to coughing TB patients, and respirators for all staff in the TB area," he said.

He said that in the last quarter, Cape Town achieved its best cure rate of 79 percent for TB.

According to XDR-TB statistics, 437 cases have been reported, with 290 deaths among them. Most were in KwaZulu-Natal, where the strain was first detected. – (Sapa)

Read more:
Tough TB worries WHO
Multi-drug resistant TB

June 2007

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