Household Interventions to Prevent TB

Household-level tuberculosis/HIV interventions led to modest reductions in TB rates.

Tuberculosis (TB) is a massive problem in southern Africa, driven in part by the HIV epidemic. The estimated annual TB incidence in South Africa is >900 per 100,000 population (vs. 3.4/100,000 in the U.S. in 2011). In the ZAMSTAR (Zambia, South Africa Tuberculosis and AIDS Reduction) study — a community-randomized trial in Zambia and the Western Cape province of South Africa — researchers examined public health interventions designed to reduce the prevalence and transmission of TB by facilitating either rapid sputum diagnosis or integration of TB and HIV services in the community.

Twenty-four communities were randomized to one of four groups: a strengthened TB-HIV program at the clinic; clinic plus community-level enhanced TB case-finding (E…

Reviewing Author

Mary E. Wilson, MD

Disclosures

Consultant/Advisory BoardOneHealthTrust (formerly Center for Disease Dynamics, Economics, and Policy); Global Health Institute, University of Wisconsin

RoyaltiesUpToDate

Editorial BoardsJournal of Travel Medicine

Mary E. Wilson, MD

Disclosures

Consultant/Advisory BoardOneHealthTrust (formerly Center for Disease Dynamics, Economics, and Policy); Global Health Institute, University of Wisconsin

RoyaltiesUpToDate

Editorial BoardsJournal of Travel Medicine

Household Interventions to Prevent TB

Topics

Reviewing Author