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Essay / Research Paper Abstract
A 45 page research paper that investigates the applicability of directly observed therapy to the control of the re-emergence of TB in England. The writer offers an extensive literature review that looks at studies in various countries that have addressed the efficacy and cost-effectiveness of DOTS (directly observed therapy, short course), which is the preferred treatment endorsed by the World Health Organization. Bibliography lists 30 sources.
Page Count:
45 pages (~225 words per page)
File: D0_khdots.rtf
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Unformatted sample text from the term paper:
to the fact that antibiotics exist that can cure this disease. Reports from the World Health Organization (WHO) contradict this notion and also indicate that it is not a problem
limited to the developing world. WHOs infectious disease experts estimate that there are 300,000 new cases of multi-drug resistant TB on an annual basis (Arias 21). Within these new cases,
79 percent are "super strains" that are resistant to at least three of the four main drugs used to cure TB (Arias 21). While the treatment for the "normal" TB
bacterium involves a six-month course of treatment, drug-resistant cases are much more expensive to treat and are often fatal (Arias 21). WHOs answer to stemming the spread of TB and
particularly drug-resistant strains of TB, is directly observed therapy (DOT), which is a system that monitors patients to ensure that they take all of their medication, thus short-circuiting the conditions
that lead to the development of drug-resistant strains of the disease. The Evening Telegraph reports that the incidence of TB in England has risen in recent years, with more
than 6,000 cases diagnosed in 2002 ("New ways...TB" 6). This represents a 25 percent increase over the last decade. Each year, nationally, roughly 350 people die from TB in England
("New ways...TB" 6). This resurgence of TB poses a severe public health challenge. The following examination of available literature seeks to determine if implementation of the directly observed therapy can
aid in controlling this disease, with particular emphasis on northern England. Among communicable diseases, TB is the second leading cause of death worldwide and kills roughly 2 million people
per year (Frieden, et al 887). According to Walley, et al, TB is the leading cause of death among adults in the worlds least developed countries (Walley, et al 664).
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