Summary

Top 13 papers analyzed

Growing evidence shows that communicable and non-communicable diseases co-exist and interact, especially in low- and middle-income countries. HIV and TB remain major public health threats but people living with HIV and TB are also increasingly suffering from non-communicable diseases like heart disease and diabetes. An integrated approach is needed to address the interacting epidemics of communicable and non-communicable diseases. Antiretroviral therapy is the cornerstone of both HIV and TB treatment. To maximise the benefits, expanded HIV testing and uptake of antiretroviral therapy is needed, as articulated in the UNAIDS 90-90-90 strategy. Antiretroviral therapy reduces the risk of TB, improves survival in those with TB, and lowers the risk of heart and other diseases. However, some antiretroviral drugs can increase the risk of heart disease so attention is needed to reduce other risk factors like smoking, high blood pressure and high cholesterol. Statins, ACE inhibitors and smoking cessation interventions may provide benefits. Diabetes also interacts with TB, increasing the risk of developing TB and worsening outcomes. Bi-directional screening and integrated management of diabetes and TB could improve diagnosis, treatment and health outcomes. Changes to diabetes treatment may be needed in those with TB. Metformin looks promising as a potential host-directed therapy adjuvant for TB treatment. More research is needed on the links between communicable and non-communicable diseases but implementation efforts are also needed to integrate care for these interacting epidemics. Breaking down the silos between programs tackling infectious diseases like HIV and TB and those tackling non-communicable diseases is critical to reducing preventable mortality and unlocking potential health benefits. An integrated approach makes sense but will require overcoming significant challenges. With collaborative action across disease areas, progress can be made against HIV, TB and non-communicable diseases that continue to severely impact health especially in low- and middle-income countries. Integrating care for interacting communicable and non-communicable diseases could make gains against premature mortality and ultimately support progress towards universal health coverage.

Tuberculosis preventive therapy (TPT) is crucial for eliminating TB globally, especially for children at risk. Barriers and solutions in the TB infection care cascade need to be addressed for successful implementation of TPT.

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J Pediatr Infect Dis Soc - Journal of the Pediatric Infectious Diseases Society

2022

Cited By:

2

Bedaquiline and delamanid are new and effective drugs against resistant tuberculosis (TB) with optimal efficacy in adults. However, further studies are needed to confirm their safety and efficacy in the pediatric population.

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Expert Opin Pharmacother - Expert Opinion on Pharmacotherapy

2015

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51

The number of tuberculosis cases has decreased over the past 10 years in Britain, but the disease still poses a significant risk. The success of treatment depends on proper prescription, patient compliance, and supervision by experienced physicians.

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Thorax

1990

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508

Mortality in people with HIV and COVID-19 is associated with suboptimal HIV control and comorbidities. Vaccination and proper management of HIV and comorbidities are crucial for reducing mortality.

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medRxiv

2022

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1

Pneumothorax is a significant cause of morbidity and mortality in India. The study found that secondary spontaneous pneumothorax is more common than primary, with pulmonary tuberculosis being the leading cause.

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The Indian journal of chest diseases & allied sciences - Indian journal of chest diseases & allied sciences

2015

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12

Advancements in adult tuberculosis research have deepened our understanding of host susceptibility and resistance mechanisms, as well as the effects of HIV infection on TB transmission. Multidrug-resistant disease is a global health problem.

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Curr Opin Pulm Med - Current opinion in pulmonary medicine

2001

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17

The World Health Organization has released new guidelines for the management of latent tuberculosis infection (LTBI). The guidelines recommend systematic testing and treatment for certain high-risk groups, including people living with HIV and patients receiving certain types of treatment. Viral replication is a strong risk factor for TB progression, and targeted testing and treatment based on viral replication status could be more efficient than testing all HIV-infected patients.

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J Acquir Immune Defic Syndr - Journal of Acquired Immune Deficiency Syndromes

2016

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10

High mortality rates during the first year of antiretroviral therapy (ART) in resource-limited settings emphasize the need for earlier HIV diagnosis and initiation of ART. Strategies to address this burden should include screening and prophylaxis for opportunistic infections, optimized management of specific diseases and treatment complications, and program strengthening.

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Current Opinion in Hiv and Aids - Current Opinion in HIV and AIDS

2010

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110

Advances in TB diagnosis and treatment in children include more effective tests, improved sampling methods, and paediatric-friendly drug dosing. However, research on drug-resistant TB in children is still ongoing. Adequate funding and effective national TB programs are crucial in achieving the goal of ending the TB epidemic.

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Curr Opin Pediatr - Current opinion in pediatrics

2017

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10

A study in Estonia found that 5% of patients with active tuberculosis had extensively drug-resistant disease, with risk factors including previous treatment, HIV infection, homelessness, and alcohol abuse. Targeting these factors could aid tuberculosis control efforts.

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Ann Intern Med - Annals of Internal Medicine

2009

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76

There is a growing association between communicable and non-communicable diseases in low- and high-income countries. Reducing these diseases requires implementing specific treatments for each disease while recognizing the interactions and benefits of overlapping treatments.

Published By:

Public health action - Public Health Action

2015

Cited By:

26

Treatment of latent tuberculosis infection (LTBI) is important for tuberculosis control, but poor adherence to treatment regimens is a major limitation. A study comparing 4 months of rifampin therapy with 9 months of isoniazid therapy found that rifampin had fewer adverse effects and better treatment completion rates, highlighting its potential as an alternative treatment for LTBI.

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Ann Intern Med - Annals of Internal Medicine

2008

Cited By:

4

The text discusses the potential benefits of using Bacillus Calmette-Guerin (BCG) vaccination as a preventive and therapeutic approach for asthma. Studies have shown that BCG vaccination can improve lung function and reduce medication use in asthmatic patients, particularly in young women. The vaccination may work by inducing immune responses and promoting regulatory T cell development, which helps suppress asthma symptoms.

Published By:

Allergy Asthma Immunol Res - Allergy Asthma and Immunology Research

2014

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8