This is one of the trickiest aspects of "stopping TB", according to the International Union Against Turberculosis & Lung Disease who published the guide.

The number of cases of multidrug-resistant and extensively drug-resistant (MDR-XDR-) TB in the 27 high-burden MDR-TB countries doubled between 2009 and 2011. Of those estimated to have these forms of TB, only 1 in 5 receives appropriate treatment, and the treatment success rate is usually less than 60% (less than 50% for XDR-TB). XDR-TB has now been reported in 84 countries.

"Urgent action is needed", says Dr Josè A Caminero, lead author of the Union's Guidelines for the Clinical and Operational Management of Multidrug-Resistant Tuberculosis. "But the first important message that we want to send to both patients and everyone tasked with managing TB patients is that, with good clinical and operational case management, all forms of drug-resistant TB (DR-TB) have the potential for cure, including those cases with a very extensive pattern of resistance".

Based on the Union's 93-years of working in the field, the new guide tackles the challenges of fulfilling each patient's potential for cure from both the clinician's and the programme manager's perspective. For example, it details how drug resistance develops, diagnosis which drugs the patient is resistant to, the strengths and weaknesses of different diagnostic and treatment approaches and the clinical impact of factors such as HIV co-infection, other co-morbidities and pregnancy. But it also covers how to build an MDR/XDR-TB programme and issues faced by national TB programmes, such as case finding, infection control, social support, managing supplies of first- and second-level TB medicines and ethical questions and controversies. Throughout the guide the message is clear that the best way to prevent MDR/XDR-TB is to build a good national TB programme with sound management of patients with drug-sensitive tuberculosis.

One important goal of the new guide is to discuss these controversial aspects in depth to ensure that patients receive the best standard of care.
 

Read the guide Guidelines for the Clinical and Operational Management of Multidrug-Resistant Tuberculosis.

Read more here

Ruairi Brugha, Elaine Byrne and Aisling Walsh on Global Learning on Community Systems Strengthening

David Weakliam on Strengthening Health and Community Systems

Kate Golden and Mairead Petersen on Scaling Up Nutrition

Photos from our events can be viewed on our Flickr page.

- Professor Sarah Moore, Associate Vice President Academic, University of Limerick
- Joe Costello, TD, Minister of State for Trade and Development
- Father Michael Kelly, HIV and Education
- Ann Mason, Red Ribbon Project, HIV/AIDS in Limerick
- Dr. Busi Mooka
- Entertainment by Irish World Academy of Music and Dance
- Marcus Horan, Munster Rugby Player, Sport and Health

To download the invite click here or listen to it here

Go to our Flickr page to see pictures from the event.

On 17 April 2012, the IFGH and Trinity College Dublin’s Centre for Global Health (TCD CGH) facilitated a day of workshops on global health and development with approximately eighty-five Transition Year students (aged 15-17) at Donabate Community College.  These interactive workshops aimed to broaden students’ understanding of global health and development topics.  Workshop objectives included encouraging students to think in a critical manner about issues related to global health and development.  They also offered students the opportunity to practice key skills in this field, including presenting and debating.

You can download the full article from here.

The article can also be found in the current issue of Policy & Practice: A Development Education Review  

To download the presentations from each speaker click below

• Louise Watson, London School of Hygiene and Tropical Medicine, “Preliminary Findings of the Cochrane Review on WASH and Under Nutrition” Protocol
• Franck Flachenburg, Environmental Health Adviser, Concern Worldwide “Concern Experiences of Promoting Handwashing with Soap”
• Sarah McDonald, Global Director Sustainability “Lifebuoy’s experience of scaling up handwashing with soap”
• Dr. Robert Cunney, Consultant Microbiologist, Health Protection and Surveillance Centre, Health Services Executive. "Getting healthcare workers (and others) to wash their hands"
• Mr Sean Bay, CEO, Surewash Ltd
   

In accepting the honorary doctorate that RCSI has just now conferred on me I feel greatly honoured, greatly humbled and greatly privileged: honoured that RCSI should recognise in this way the limited contributions I have been able to make in advocating for more and better education for girls, a better deal for orphaned children and a more coherent response to HIV and AIDS; humbled that I should have been singled out from the great number of people world-wide who are dedicating themselves so wholeheartedly to efforts to stem the AIDS epidemic and who see girls’ education as central to this; and privileged that I can represent in some way so many thousands of wonderful people across the world whose lives have been darkened by the shadows of HIV or AIDS but who never lost heart.

Ladies and Gentlemen, forty-nine years ago the great Martin Luther King shared with the world his dream that, among other things, one day his four children would live in a nation where they would be judged not by the colour of their skin but by the content of their character.

Dr. King’s dream speech inspired his people and transformed the face of the United States to such an extent that less than four years ago the country elected its first ever black President, who could affirm: “Where we are met with cynicismand doubt, and those who tell us that we can't, we will respond with that timeless creed that sums up the spirit of a people,Yes We Can!”

Ladies and Gentlemen, Graduating Students, our vision for global health is also a dream, a dream which strongly reaffirms that the enjoyment of good health is a fundamental human right and that in spite of the difficulties and frustrations of the moment the actualization of this right remains a possibility. In the words of Barack Obama, we here at this RCSI conferring ceremony can affirm with that timeless creed that sums up the spirit of this great institution - yes, we can.

Yes, we can eliminate infant and child mortality, and ensure universal vaccination coverage against measles, polio and other diseases.

Yes, we can roll back the malaria which affects over 200 million people each year.

Yes, we can reduce and eventually eliminate the almost nine million new cases of tuberculosis that occur each year.

Yes, we can reach the global targets of zero new HIV infections, zero AIDS deaths and zero HIV-related discrimination.

Yes, we can even address the enormous challenges of neglected tropical diseases which currently affect more than 1,000 million people and thrive in the poorest, most marginalized communities.

Yes, we can ensure the access of all peoples - here and in all other parts of the world - to a level of health care that will help them lead a satisfying, full and productive human life.

Yes, we can do it and we are doing it.

Let me speak for a few moments about my own country, Zambia, where just three months ago a team of nine doctors successfully removed a fourteen-and-a-half kilo tumour from the back of a young man. Of course, the tumour should never have been allowed to grow to such size, but that it could be successfully removed speaks well for the medical services that a developing country can provide.

In recent years, Zambia has also seen considerable improvements in many of the markers for health care:

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  A significant reduction in child mortality;


• 
  HIV infection rates falling steadily and substantially among young women and young men;


• 
  About 90% of adults who are in need of anti-retroviral therapy receiving it, the result being fewer AIDS-related deaths;


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  Among infants a dramatic reduction in deaths arising from the transmission of HIV from parent to child;


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  More widespread use of anti-malarial drugs, an increase in the numbers sleeping under anti-mosquito impregnated bed-nets, and more widespread spraying of mosquito breeding areas.

Yes, we can do it and we are doing it. But we need to do it more quickly. We need to do it more quickly for the sake of the millions whose lives are being blighted by preventable ill-health. We need to do it more quickly for the sake of our own human integrity since we have made promises that too often we honour more in the breach than in the fulfilment.

And for this we need more financial and material resources. We need more civic and political commitment. We need more human resources.

Believing, as RCSI does, that the person is at the centre of everything we do, we need a more enlightened priority system that ranks health, education, social services and job creation higher than bailing out questionable financial institutions, and certainly higher than squandering public resources on doomed investments and extravagant and even corrupt undertakings.

And that requires that every one of us here today pulls together to make this a better and more decent world. It requires that we become radically committed to eliminating scandalous inequalities in the access of people to health care. It means that we firmly believe that each one of us can make a difference for the better.

George Bernard Shaw once said: “Some look at things that are, and ask, why? I dream of things that never were and ask, why not?”

Distinguished Ladies and Gentlemen, Graduating Students, let this conferring day be memorable for the way it motivates each one of us to dream of something that never was - a peaceful, healthy and more just world - and ask “why not? Why can’t I do something to make it so? What am I doing to make this a better world? What more can I do to ensure peace and health and basic justice for all people?”

I thank you.

Michael J. Kelly, S.J.

Lusaka, Zambia

Click here to access the report.