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Officials in Africa's Lesotho, where 10% of the population is infected with MDR and 30% is H.I.V.-positive, are relying on a collaboration between the government and Partners in Health, which provides private funding, to address another challenge in TB care: the need to isolate the sickest patients to prevent them from spreading the disease. Lesotho now boasts its first 10-to-15-room facility equipped with negative airflow, which contains and filters air circulating through TB wards. A single such center is hardly enough, but it is a start. "It shows you it is possible," says Raviglione...
...past five months, Jim has been traveling around the world to document the spread of an ancient disease that has a deadly new face: extensively drug-resistant tuberculosis (XDR-TB). The extraordinary pictures in this week's issue are the foundation for a unique collaboration with TED (Technology, Entertainment, Design)--an organization devoted to "ideas worth spreading." Last year Jim won the TED prize--a grant of $100,000 and his "wish to change the world." That wish was to create a global-awareness movement around XDR-TB. Beginning Oct. 3, TED will unveil multimedia projects in major cities around...
Thousands of years after Tuberculosis ravaged ancient cultures stretching from Greece to Egypt, more than a century after the bacillus responsible for the disease was first identified and decades after the first antibiotic-based treatments appeared, TB continues to thrive. In 2005 the disease was diagnosed in 9.2 million more people, almost exclusively in the developing world, and 1.7 million people died from it. More alarming is a growing subset of TB cases, estimated at half a million, that are resistant to more than one of the handful of anti-TB drugs. While they still make up only...
...doesn't have to be this way. TB is an entirely preventable and treatable disease. And the drug-resistant strains beginning to emerge in Africa, Russia, China and India, say experts, are epidemics of our own making. Unlike HIV, the tubercle bacillus succumbs to powerful medications. But these drugs are not where they need to be, and when they are, spotty monitoring and poor health infrastructure make it hard to ensure that patients take their daily doses for the six months that are needed to eradicate the infection--all of which encourages drug-resistant strains to survive and keep...
Over the past five months, TIME's James Nachtwey has documented the resurgence of TB in seven countries. Turning back the epidemic will require not just newer and more effective drugs but also better ways to detect the disease and a renewed commitment to expanding existing TB-treatment programs. In June the World Health Organization (WHO) recommended a new, rapid test for TB that can provide results in as little as two days. But for most TB-ravaged nations, adopting the technique will require upgrading lab facilities. That's not easy, but it's something WHO hopes will ultimately help...