Publications by authors named "Gilda Popescu"

Objective: To implement and assess the mobile X-ray unit (MXU) equipped with digital radiography, computer-aided detection (CAD) software and molecular point of care tests to improve early tuberculosis (TB) diagnosis in vulnerable populations in a TB outreach screening programme in Romania.

Design: Descriptive study.

Settings: Prisons in Bucharest and other cities in the southern part of Romania, homeless shelters and services for problem drug users in Bucharest, and Roma populations in Bucharest and Craiova.

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Article Synopsis
  • - This paper introduces an action framework designed for countries with low tuberculosis (TB) incidence aiming to eliminate the disease, emphasizing a step-by-step approach towards "pre-elimination" and eventual complete elimination of TB.
  • - The framework identifies challenges faced by low-incidence countries, such as decreased political commitment, funding, and awareness as TB rates decline, along with issues related to vulnerable populations and cross-border migration.
  • - Eight priority action areas are outlined to tackle these challenges, including ensuring political support, addressing the needs of at-risk groups, and investing in research, all while emphasizing a multisectoral approach to ensure equitable access to TB diagnosis and treatment.
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The implementation of programmes for Tuberculosis Control (NPTC) in the medium term, starting in 1997, who under the auspices and the coordination of the Ministry of Health, was the guarantor of the achievements in these years in TB control, therapeutic success rate of cases being a constant source of 80%. The global incidence of TB (IG) (new cases and relapses) has decreased in the past 10 years with 42%, from a maximum of 142.2per 100 thousand in 2002, to 79.

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According to the World Health Organization and Stop TB Partnership, tuberculosis among children often remains undiagnosed, the main reported causes being lack of access to health services or because health professionals unrecognizing the signs and symptoms of tuberculosis in this age group. In Romania, consistent with TB endemic levels, the overall incidence progressively decreased from 142.2%ooo in 2002 to 82.

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After reaching the lowest level of tuberculosis mortality rate in 1980, 3.7% hundred thousand (830 deaths), followed by a few years with low levels of mortality, the period following the year 1985 was marked by a gradual increase in the mortality rate and in 1995 it reached 11.3% hundred thousand (2560 deaths).

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