Publications by authors named "Georges Hermana"

Article Synopsis
  • The project aimed to implement contact investigation (CI) methods in national tuberculosis programs across eight countries, focusing on children under 5 years and people living with HIV (PLHIV).
  • Over 9,000 home and clinic visits were conducted, revealing that 2.6% of children and 10.1% of PLHIV screened were diagnosed with active TB, with a high treatment uptake for both groups.
  • The initiative showed that CI can be effectively scaled up within existing TB programs in several African countries, leading to a successful implementation in six out of the eight participating nations by the end of 2021.
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Over the past 15 years, and despite many difficulties, significant progress has been made to advance child and adolescent tuberculosis (TB) care. Despite increasing availability of safe and effective treatment and prevention options, TB remains a global health priority as a major cause of child and adolescent morbidity and mortality-over one and a half million children and adolescents develop TB each year. A history of the global public health perspective on child and adolescent TB is followed by 12 narratives detailing challenges and progress in 19 TB endemic low and middle-income countries.

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Background: The Central African Republic (CAR) has one of the heaviest burdens of tuberculosis (TB) in the world, with an incidence of 423 cases per 100 000 population. Surveillance of resistance to rifampicin with GeneXpert MTB/RIF was instituted in the National TB Reference Laboratory in 2015. The aim of this study was to evaluate, after 3 years, resistance to rifampicin, the most effective firstline drug against TB.

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