Case Finding Activities ?.?. 51

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• ?????????????????????? 2552
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Case Finding Activities ?.?.
51 ?.?. 52
??????? ???????? 62/??? ???. ????? ??????
325,539 ?? ???????? 12 ? 202 ???. (???????? 10 ? 169 ???) 210 ?? ?????? 103.96 ????????????????????? 12 ?
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Case notification of PTB New SS positive
???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???) ???????????? PTB. New. SS. positive (???)
2551 2551 2551 2551 2552 2552 2552 2552 2552 2552 2552 2552 ???
?.?. ?.?. ?.?. ??? 3 ?. ?.?. ?.?. ??.?. ??? 3 ?. ??.? ?.?. ??.?. ??? 3 ?. ??? 9 ?.
18 25 20 63 16 12 26 54 23 26 25 74 191
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Case notification of PTB SS positive1 ??????
2551 30 ???????? 2552
?????/?? PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive PTB. New. SS. Positive
?????/?? HIV Neg. or unknown HIV DM Other Chronic disease Migrant Multiple diseases Prison Admission rate () ???????????? Admission rate () ??? 3 ?????
?.?. 51 9 3 3 3 0 0 0 (7 ???) 38.89 42.86
?.?. 51 16 2 3 3 0 1 0 (7 ???) 28.00 42.86
?.?. 51 13 3 3 1 0 0 0 (3 ???) 15.00 42.86
?.?. 52 7 2 1 5 0 1 0 (6 ???) 37.50 51.61
?.?. 52 7 2 2 1 0 0 0 (3 ??? ) 25.00 51.61
??.?. 52 17 6 1 1 0 1 0 (7 ???) 26.92 51.61
??.?. 52 10 4 4 3 0 2 0 (7 ???) 30.43 33.78
?.?. 52 14 3 7 0 0 2 0 (10 ???) 38.46 33.78
??.?.52 17 4 1 2 0 1 0 (8 ???) 32.00 33.78
??? 110 28 24 18 0 7 0 (58???) 31.02 -
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????? TB/HIV ?.?.51 ?.?. 52
???????????? ????????????????????????????? (A) ???????????? ????????????????????????????? (A) ??????? ??????? ??????? ??????? ??????? ??????? ??????? ??????? ??????? ???????
???????????? ????????????????????????????? (A) ???????????? ????????????????????????????? (A) ???? HIV ???????? gt 85 ???? HIV ???????? gt 85 ?? HIVve ?? HIVve ???? CD4 (c) ???????? gt 90 ???? CD4 (c) ???????? gt 90 CD4lt250 (d) CD4lt250 (d) ?????ARV (e) ???????? gt 60 ?????ARV (e) ???????? gt 60
???????????? ????????????????????????????? (A) ???????????? ????????????????????????????? (A) ????? (a) ?????? ????? (b) ?????? ????? (c) ?????? ????? (d) ?????? ????? (e) ??????
??-?? 51 82 82 100 15 18.29 11 73.33 7 63.64 7 46.67
??-??? 52 88 86 97.73 18 20.93 18 100 15 83.3 12 66.67
???-?? 52 69 69 100 16 23.19 15 93.75 14 93.33 13 81.25
??? 239 237 99.16 49 20.68 44 89.80 36 81.82 32 65.31
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Treatment outcomes of new smear positive TB
patients ?.?. 50 ?.?. 50
Success Fail Died Default TO
TB ( HIV- , unknown) 25 ??? 96 ( 24 ??? ) 0 4 (1 ??? ) 0 0
TB (HIV) 3 ??? 66.67 (2 ??? ) 0 33.33 (1 ???) 0 0
Total 28 ??? 92.86 (26 ???) 0 7.14 (2 ???) 0 0
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Treatment outcomes of new smear positive TB
patients ?.?. 51 ??.?. 51
Success Fail Died Default TO
TB ( HIV- , unknown) 27 ??? 96.30 (26 ???) 0 3.70 (1 ???) 0 0
TB (HIV) 5 ??? 60 (3 ???) 0 40 (2 ???) 0 0
Total 32 ??? 90.62 (29 ???) 0 9.38 (3 ???) 0 0
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Treatment outcomes of new smear positive TB
patients ??.?. 51 ??.?. 51
Success Fail Died Default TO
TB ( HIV- , unknown) 47 ??? 95.74 (45 ???) 4.26 (2 ???) 0 0 0
TB (HIV) 8 ??? 62.50 ( 5???) 0 37.50 (3 ???) 0 0
Total 55 ??? 90.91 (50 ???) 3.64 (2 ???) 5.45 (3 ???) 0 0
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Case notification ??????????????????? ?? 2552
?????????????????? CAT 4
Cohort ????? ?????????? ?????????? ????????????? ?? DST ?? DST ?? DST
Cohort ????? P EP ????????????? ???? IR ??????? IR ????
??-?? 2551 1 1 0 Fail cat 1 1 0 0
??-??? 2552 0 0 0 0 0 0 0
???-?? 2552 0 0 0 0 0 0 0
??? 1 1 0 0 1 0 0
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• ????????????????????????? Mr. TB
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  ??????????????? 814/2551 ??. 29 ??????? 2551
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• Hospital TB Co-ordinator ????????????
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????????????????????????? (???)

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????????????????????????? (???)

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• ???????????????????????????? Medical indication
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21
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• ????????????????????? Medical indication
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24
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???????????????????????? PT
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• Fast Track

OPD ???????????????????????????????????????
???????? Mask ????????????????????????????????????
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OPD ????????? OPD card ??? Film?????????????????
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31
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• ????????????? 21 -27 ?????? 2551

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Table on case detection type of patients
Fiscal year Number of patients (number/100,000 population) Number of patients (number/100,000 population) Number of patients (number/100,000 population) Number of patients (number/100,000 population)
Fiscal year 2549 2550 2551 2552 ?.?.51- ?.?.52
M 133 / (33.79) 141 / (43.31) 158 / (46.12) 210/ (64.51)
M- 1 / (0.25) 7 / (2.15) 16 / (4.67) 28 / (8.60)
Relapse 1 / (0.25) 2 / (0.61) 4 / (1.17) 7(2.15)
EP 6 / (1.52) 11 / (3.38) 34 / (9.92) 49 / (15.05)
Total 141 / (35.82) 161 / (49.46) 212 / (61.88) 294 / (90.31)
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Sputum Conversion of NM number ( of registered)
Fiscal Year  2549 2550 2551 2552 Cohort1-3/52
Negative 136 / (94.44) 117 / (92.13) 71 / (91.03) 151 / (94.38)
Positive 0 / (0.00) 0 / (0.00) 0 / (0.00) 2 / (1.25)
Not Done 1 / (0.69) 2 / (1.57) 0 / (0.00) 0 / (0.00)
Died 3 / (2.08) 5 / (3.94) 4 / (5.13) 6 / (3.75)
Default 3 / (2.08) 2 / (1.57) 2 / (2.56) 1 / (0.63)
T.O. 1 / (0.69) 1 / (0.79) 0 / (0.00) 0 / (0.00)
Not Eval. 0 / (0.00) 0 / (0.00) 1 / (1.28) 0 / (0.00)
TOTAL 144 / (100) 127 / (100) 78 / (100) 160 / (100)
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Treatment Outcome of NMnumber ( of registered)
2549 2550 2551 2552 Cohort1-3/52
Success 126 / (86.9) 114 / (85.71) 122 / (87.77) 105 / (91.30)
Failed 1 / (1.38) 1 / (0.75) 5 / (3.6) 2 / (1.74)
Died 6 / (4.41) 5 / (3.76) 8 / (5.76) 8 / (6.96)
Default 10 / (6.90) 12 / (9.02) 3 / (2.16) 0 / (0)
T.O. 1 / (1.38) 1 / (0.75) 1 / (0.72) 0 / (0)
Not Eval. 0 / (0) 0 / (0.00) 2 / (1.44) 0 / (0)
TOTAL 145 / (100) 133 / (100) 139 / (100) 115 / (100)
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Percent of TB patients who tested HIV testing
Fiscal Year 2549 2550 2551 2552 Cohort1-3/52
Total number of TB patients who are registered 126 165 194 233
Total number of TB patient who tested HIV testing 62 97 166 231
of TB patient who tested HIV testing 49.21 58.79 85.57 99.14

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Percent of TB/HIV patients who get access to
ART
Fiscal Year 2549 2550 2551 2552 Cohort1-3/52
Total number of TB patient who are HIV status positive 9 9 35 42
Total TB patient who are CD4 count lt 250 cell/cu.mm , and prescribed ARV 0 0 12 20
of TB patient who get access to ARV 0 0 34.29 47.62

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• ??????????????? ?? 2552
• 1. ??????????????????????????????????????????????
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• 3. ?????????????????? ???????????? (
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• ??????????????? 900,000)
  

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• ??????????????? ?? 2552 ( ??? )
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  Service (?????
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• IC ???? ???????? 40,000 )
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• 8. ???????????????????????
  (?????????????????? ???????? 400000 ??? )
  

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• ??????????????? ?? 2552 ( ??? )
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• 10. ?????????????????? ???????????? 24 ??.?.
  52
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47
????????????????? 2552 (???)

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• ????????????????????????? 2,423,075 ???

48
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49
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??????? 2551
50
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Thank you