Discussion

It is apparent from the study that almost 5-12 persons are residing in 56% of the
households. as we know that T.B is an air borne disease having transmission from one
person to another specially in closed atmosphere so in these households having more
persons the chances of T.B are likely to be more as compared to the household with less
no. of persons. It is very distressing that 43% of children in the study area are not
attending the school as we know that education imparts a lot of things to the students
about their healthy way of life so the children depriving of education are unable to
conceive these healthy ideas and are ultimately at more risk of developing different
ailments.

It is very encouraging that immigration status of the children in the study area is up to the
mark although the BCG coverage is 98% in the community and same has been reported
from different parts of the country but in spite of this the new emerging cases of T.B puts a
question mark on the efficiency of BCG which has been documented in different studies
from 0 to 80%.this situation demands careful evaluation of the efficiency of BCG vaccine.
So in future a better plan can be done to curtail the emergence of new T.B cases.

Regarding the distribution of livestock almost 79% of the households are having one or
other type of dairy animals. In most of the places the human beings and the animals are
residing under the same roof. these households are also involved in the handling of these
dairy animals like milking etc so increasing the risk of development of bovine T.B in these
individuals. 23% of the household resides in katcha or semi pakka houses as we know that
the tuberculosis organisms develop in the damp atmosphere so these houses are excellent
places of breading of these bacilli and putting these households to catch these infections
especially in closed atmosphere.

Although it is a small scale study with a small sample size however it is very encouraging
that only 3% of the study population is suffering from T.B.

This may probably be their 100% claimed for complete compliance for T.B treatment so
preventing the emergence of secondary cases. Secondly it may be because of the high
coverage of BCG vaccination which is a corner stone for the prevention of T.B in the
community. Thirdly most of the people are residing in the pakka houses so limiting the
flourishing of this bug.

The study revealed that more than 80% household consult govt. health facility for their
T.B patients. This is probably because of the establishments of DOTS corners at govt.
hospitals from where they could receive medicines regularly free of cost which is regarded
as heart of the clot’s strategy.

Although dots corners have been established at almost every Govt. health facility still 27%
o0f households claimed the non availability of the centers. This situation demands
immediate consideration and needs to be rectified.

65% of households gave the lame excuse of expensiveness of treatment because dots
centers provide free and regular media. Any how these people need to be imparted health
education regarding the free media availability at these dots centers.

The presence of staff at dots centers need to be assured so that patients can get medicine at
the given time regularly.