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MDR, XDR, TDR tuberculosis: ominous progression

Udwadia, Z.F.

Thorax 67(4): 286-288

2012

ISSN/ISBN: 1468-3296
PMID: 22427352
DOI: 10.1136/thoraxjnl-2012-201663
Document Number: 254211
Any man's death diminishes me because I am involved in mankind, and therefore never send to know for whom the bell tolls; it tolls for thee. (John Donne, Meditation XV11) The growing TB epidemic is no longer an emergency only for those who care about health, but also for those who care about justice. (P D O Davies) For 2 weeks in January, India coughed and the rest of the world paid attention. Drug-resistant tuberculosis (TB), languishing from a decade of neglect by the Indian Revised National Tuberculosis Control Program (RNTCP), was headline news in every Indian newspaper and several international ones as well. What captured local and international attention was a report documenting the isolation of the first cases of totally drug resistant TB (TDR-TB) from India.1 The Indian government's response, after initial denial, swung from the ridiculous to the sublime. The WHO response was.

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