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Drug-Resistant1 TB Threatens Europe
The Olallo Project in Central London was set up to help homeless people from Central and Eastern Europe get back on their feet by helping2 them find a place to live and get a job.
The charity has evolved, though, to serve another pressing need - tackling tuberculosis3 among Britain’s migrant community.
Tough medicine
Rimgaudas Planecinas from Lithuania has just finished an extended 18-month treatment to fight multi-drug-resistant TB, or MDR-TB. He found it difficult to describe the experience. Planecinas said the treatment made him unwell and affected4 his vision. He said he still suffers, even now that the treatment has ended.
He said he has trouble with breathing and weakness. He still feels weak, he said.
In 2011, more than 400 cases of drug-resistant TB were reported in Britain. Compared to other parts of the world, it may not sound like a lot, but it was a 26 percent rise from the previous year.
David Barratt, manager of the Olallo Project, said TB seems to become tougher to beat every year.
“For the last few years the prevalence of multi-drug-resistance cases has been growing. We opened up the service just over a year ago now, initially5 expecting it to be for clients with normal TB looking for six months treatment," said Barratt. "And out of 14 referrals, 13 of them have had multi-drug-resistant TB.”
Person-to-person transmission
Some of Britain’s drug-resistant TB cases can be traced to the eastern half of the continent, where the world’s highest rates are found. TB normally becomes resistant to drugs when an antibiotics6 course is interrupted. But tests from Eastern Europe show that resistant forms of the disease now are being transmitted directly from person to person.
Ibrahim Abubakar is an expert on Tuberculosis from University College London.
“We think about one-third of people who have never been treated with antibiotics now have MDR-TB in those places [Eastern Europe]. And that is very worrying because it means that those people actually acquired MDR-TB from others, not because they used the drugs wrongly,” said Abubakar.
New technology is helping health experts identify drug-resistant TB more quickly in high-risk regions, like in South Africa, which along with Russia, India and China, accounts for two-thirds of drug resistant cases.
Lack of funding
Improved technologies and new drugs are in the pipeline7, but Abubakar said there is not enough funding to stay ahead of the disease.
The World Health Organization said this month it has a $1.6-billion gap in funding for the treatment and prevention of TB. More than half of that is earmarked for sub-Saharan Africa.
“I think that we are far behind where we ought to be," said Abubakar. "Further investment would be necessary if we are going to tackle the worsening situation - especially if we are going to tackle multi- and extensively-drug-resistant TB.”
Without rapid advances, he said, TB could become incurable8.
1 resistant | |
adj.(to)抵抗的,有抵抗力的 | |
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2 helping | |
n.食物的一份&adj.帮助人的,辅助的 | |
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3 tuberculosis | |
n.结核病,肺结核 | |
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4 affected | |
adj.不自然的,假装的 | |
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5 initially | |
adv.最初,开始 | |
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6 antibiotics | |
n.(用作复数)抗生素;(用作单数)抗生物质的研究;抗生素,抗菌素( antibiotic的名词复数 ) | |
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7 pipeline | |
n.管道,管线 | |
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8 incurable | |
adj.不能医治的,不能矫正的,无救的;n.不治的病人,无救的人 | |
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