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Pediatric Tuberculosis

CORE Group’s Pediatric TB Interest Group

Why aren’t children with tuberculosis getting the attention and care they deserve? CORE Group’s TB Working Group has decided to focus special attention on this issue to accelerate community-based approaches to pediatric TB care and prevention.

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Here are the group’s key points from our kick-off phone call in July, 2011:

  • Pediatric TB is an area of huge concern, especially since it is not being addressed in a substantive way, despite the fact that it affects millions and can be effectively addressed.
  • Lack of data about the scale and the scope is a major problem in addressing the issue. This needs immediate attention through systematic collection of data and research. (See below for a beginning list of ideas on how to do that.)
  • Community-level programming will be an important piece of the response to ped TB care and control, and may include case finding including screening and referrals, contact tracing, support of treatment and preventative therapy, community mobilization.
  • Integrated program efforts are called for, e.g. linking TB efforts with maternal health, child health (including nutrition), HIV and health systems efforts. This is will entail building strategic, logical and practical connections between people and programs that currently have few or no linkages whatsoever.
  • Advocacy efforts can make the case for addressing ped TB, and how—to policymakers, practitioners, scholars, donors.
  • There is a pressing need for practical case studies and best practices: what is being done NOW that can provide useful models for key stakeholders. We all need to be on the lookout for examples. Please forward any to Ann Hendrix-Jenkins at  This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

  • We all need to collect and contribute insights and ideas about practical tools, approaches, messages and ways forward.

Interest Group Notes, Activities and More:

In support of World TB Day 2012 spotlight on Pediatric TB, CORE Group’s Tuberculosis Working Group presented three webinars from world leaders in the fight against pediatric TB.

CORE Group convenes a Pediatric TB Interest Group

On July 11, 2011, CORE Group hosted a conference call that demonstrated the passion of a wide range of groups when it comes to pediatric TB. For more information in addition to the points above, read the meeting notes

Mapping out Pediatric TB

Special feature: A "map" of issues related to Pediatric TB, created by CORE Group Individual Associate Devasena Gnanashanmugam, M.D. Click here to view it and learn more. 

Getting the word out: Blogging on Children and TB

On behalf of the group, Ann Hendrix-Jenkins contributed this blog to RESULTS and Action’s websites in September 2011.

CORE Group's TB Working Group and Community Child Health Working Group co-host a "powerbreakfast roundtable"--2012

The momentum generated by last year's roundtable--and an interim year of activities--continues to build. These two Working Group have come together to foster meaningful change around pediatric TB by exploring changes to the national mechanisms of "Integrated Management of Childhood Illness" as well as the Community IMCI framework. 

The Union and RESULTS lead a “powerbreakfast roundtable”--2011

At CORE Group’s fall meeting of the Community Health Network, Anne Detjen and Hannah Alsdurf of The IUATLD, along with Mandy Slutsker of RESULTS, hosted a roundtable on the topic of Pediatric TB.  This was a wonderful opportunity to raise awareness and interest in the issue among community health programmers who typically focus on maternal and child health. For more details, read the notes from this October 13, 2011 gathering in Washington, D.C.

Online Presentation: Pediatric Tuberculosis: Missed Opportunities. A South African Perspective.

Presented by Dr. Anneke Hesseling, Professor and Director, Pediatric TB Research Program, Desmond Tutu Research Centre, Stellenbosch University, South Africa. June 8, 2011.

Dr. Hesseling shares her clinical expertise AND her practical programming experience in addressing pediatric TB is low resource settings. Despite the difficulties of diagnosing and treating pediatric TB, Dr. Hesseling makes the case that practical, effective approaches do exist, in accordance with guidelines from the World Health Organization. Dr. Hesseling maps out ways forward, which are urgently needed to address this huge, neglected problem.

Click on this link to watch a 45 minute long "rerun" of this presentation. (You'll need speakers to hear the audio portion. To view the slides only, click on this link.)

 

Tools/Resources

WHO: Childhood Tuberculosis

WHO maintains a page on pediatric TB that contains data and valuable links.

Children and Tuberculosis: Expsosing a Hidding Epidemic
What is pediatric TB and what can we do about it? Find out in this concise, current overview from Action/RESULTS.

A Call to Prioritise Children in the Global TB Response.
In this one page brief, World Vision lays out the case for addressing the issue, lists its own experiences, and makes a call on behalf of the “silent sufferers” of TB.

Chehera: The human face of TBThis beautiful and moving series of artworks created by people with TB can be used to get attention, raise awareness, and generate dialogue.

Desk-guide for Diagnosis & Management of TB in ChildrenThe International Union Against TB and Lung Disease (the Union) created this accessible and practical clinical overview of pediatric TB.


Links

IRIN Plus News: Stepping up pediatric TB diagnosis
This news account describes the pediatric TB work of The Elizabeth Glaser Pediatric AIDS Foundation in Kenya. (March 24, 2011)

Rapid TB Test Reliable in Kids
The new Gene Xpert technology may be useful for diagnosing some children with TB. (July 17, 2011)

Stop TB Partnership Call to Action for Childhood TB
Key stakeholders met in Sweden issue this call. (March 17-18, 2011)

 
 
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