National TB Control Center

Message from Director – Dr. Prajwol Shrestha

Organizational Overview

The National Tuberculosis Programme (NTP) is fully integrated within the general primary health care system of Government of Nepal. National Tuberculosis Control Centre (NTCC) is the focal point of the NTP. It is responsible for formulating programme policies, strategy and planning. Central laboratory at the NTCC is the focal point for the NTP laboratory network,…

Basic Facts About TB

TB is an infectious disease caused by the bacillus Mycobacterium tuberculosis. It particularly affects the lungs (pulmonary TB) but can affect other sites as well (extra pulmonary TB). The disease is spread in the air when people who are sick with pulmonary TB expel bacteria, for example by coughing. Overall, a relatively small proportion of…

Registration for TB Related Training

TOT on DS/DR TB for Doctors NTCC aims to enhance the capacity of the health workers to effectively manage the TB case in their health facilities. In order to develop efficiency of knowledge and skills of Medical Officers/health workers, it intends to provide TOT on DS/DR TB for Doctors to develop the pool of Trainer…

TB HIV Co-infection

Background and Magnitude of the problem: National Tuberculosis Control Center (NTCC) has been implementing all 6 components of WHO Stop TB Strategy since 2006. The NTP also adopted TB/HIV strategy and policy in 2009. One of the most important and challenging component is TB/HIV as it is needed to coordinate between two programs for effective…

Research

The NTP has identified the following 2 objectives for all research: To improve the quality of caring people with tuberculosis in Nepal. To assist the NTP in planning and implementation of effective TB. Current research includes: Family and Community Volunteer based DOTS research is in progress in the remote hilly areas of Nepal where institutional…

PPM

Endorsement of New Stop Strategy as a national policy of NTP by Government of Nepal in 2006, NTP has proposed serial of activities toward engaging private & public health providers to ensure wider provision of standardized diagnosis, treatment and follow-up in line with national protocol. DOTS orientation/training to public/private practitioners, paramedics, nursing, industrial workers, slum…

Community System Strengthening

The Government of Nepal, National Tuberculosis Control Center developed a comprehensive National strategy plan (2010-2015). The New Strategy builds on the previous national strategy and outlines enhanced and more focused commitment for tackling the TB epidemic, consistent with new STOP TB strategy and Millennium Development Goals in line with the Stop TB Partnership targets. NTCC…

DR TB Management

TB drug resistance is a major problem that threatens the success of DOTS, the WHO-recommended treatment strategy for detection and cure of TB, as well as global tuberculosis control. Drug resistance arises due to the improper use of durgs in chemotherapy of drug-susceptible TB patients. This improper use is a result of a number of…

Childhood TB

In June 2005, WHO’s Strategic, Technical and Advisory Group on TB approved the new Stop TB Strategy.. The new Strategy was addressed to deal with challenges and obstacles that slow the progress in achieving TB control goals. The major identified challenges are the widespread accessibility to quality TB care, TB/HIV co-infection epidemic, multi drug-resistant TB,…

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What is tuberculosis (TB)?

Tuberculosis (TB) is an infectious disease caused by a type of bacteria called Mycobacterium tuberculosis. TB most commonly affects the lungs, when it is called pulmonary tuberculosis, but also can involve any other organ of the body in which case it is called extra-pulmonary tuberculosis. These FAQs are about pulmonary TB. Frequently Asked Questions about Tuberculosis. (2013). [ebook] New Delhi-110002, India: Regional Office for South-East Asia, World Health Organization. Available at: http://www.searo.who.int/about/administration_structure/cds/ en/index.html [Accessed 1 Jan. 2018].

What are the symptoms of pulmonary TB?

The most common symptoms of TB are:

chronic cough
fever, especially rising in the evening
night sweats
chest pain
weight loss
loss of appetite
coughing up blood.

How does a person get TB?

TB is spread primarily from person to person through infected air during close contact. The bacteria get into the air when someone infected with TB of the lung coughs, sneezes, shouts, or spits. A person can become infected when they inhale minute particles of the infected sputum from the air. It is not possible to get TB by just touching the clothes or shaking the hand of someone who is infected.

TB germs spread more easily in crowded conditions as the bacteria sometimes stay alive in the air for a few hours, especially in small closed places with no fresh air. Fresh air scatters the germs and sunlight acts as a bactericide, killing the TB organisms. Exposure to moderately hot temperatures for extended periods of time is sufficient to kill these bacteria. Extra-pulmonary TB does not spread from person to person.

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