n South African Medical Journal - Tugela Ferry's extensively drug-resistant tuberculosis - 10 years on : izindaba

Volume 105, Issue 7
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



'Smooth seas do not make skilful sailors.' (African proverb) For 3 stormy years from the time Tugela Ferry's doctors first uncovered what turned out to be an alarming countrywide extensively drug-resistant tuberculosis (XDR-TB) prevalence (2005 - 2007), they diagnosed 110 new XDR-TB cases per year. Yet by implementing a combination of interventions with a remarkable team, the tap was turned down to less than 10 cases in 2012, making the Church of Scotland Hospital (CoSH) an international beacon of best practice. Izindaba returned there after 6 years to find out how they are helping to quell the general TB epidemic itself.

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