The Indian journal of tuberculosis · 2025
Prevalence of Tuberculosis and Latent TB infection and its associated factors among rickshaw drivers; opportunities and challenges of a structured active case finding intervention at New Delhi, India.
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Dhawan Shikha, Chopra Kamal Kishore, Sidiq Zeeshan, Bansal Pankaj, Khan Arbaz, Khatun Farida, Asad Seevan, Tyagi Himshweta, Mehta Gaurav, Puri Shalini, Taley Ngilang, Lohiya Sheelu, Khanna Vishal, Vashishat Bhagirath Kumar, Khanna Ashwani, Chalga Manjeet Singh, Seevan Raja, Suresh Vani, Mathew Shalu, Prasad Sham, Menon Anju, Suman G, Cheluvaraj Pavithra, Rajan Babitha, Lalitha K, Brahmachari Samir, Singh Manjula
Аннотация
BACKGROUND: A confluence of social and economic conditions along with other health related risk factors among migrant rickshaw drivers usually establish breeding ground for Tuberculosis (TB) and latent TB infection (TBI).
METHODS: Indian Council of Medical Research (ICMR), Central TB Division (CTD), National TB Elimination Program (NTEP) and SHARE INDIA conducted a study with tailored interventions for detecting TB and TBI among rickshaw drivers in five zones of New Delhi, India. TB symptomatic and TBI positives were liked to NTEP facilities for diagnostic, treatment and TB Preventive Therapy (TPT) as required.
RESULTS: From a total of 1836 cycle rickshaw drivers and 2164 e-rickshaw drivers enrolled in the study, TBI prevalence was 14-29% across the five study sites. Only 3% TBI positives could be initiated on TPT due to migrant nature of these participants. The study reports a TB prevalence of 1.4% with TB diagnosed in six cycle rickshaw drivers and one e-rickshaw driver. It is evident from the data that replacement of cycle rickshaw by e-rickshaw in Delhi had a reduction of TB incidence among rickshaw drivers that do strenuous pedaling.
CONCLUSIONS: Through this study we sought to close the gap and enhance the health status for migrant population such as rickshaw drivers through equitable access to quality TB care and treatment by bringing them under NTEP services.
METHODS: Indian Council of Medical Research (ICMR), Central TB Division (CTD), National TB Elimination Program (NTEP) and SHARE INDIA conducted a study with tailored interventions for detecting TB and TBI among rickshaw drivers in five zones of New Delhi, India. TB symptomatic and TBI positives were liked to NTEP facilities for diagnostic, treatment and TB Preventive Therapy (TPT) as required.
RESULTS: From a total of 1836 cycle rickshaw drivers and 2164 e-rickshaw drivers enrolled in the study, TBI prevalence was 14-29% across the five study sites. Only 3% TBI positives could be initiated on TPT due to migrant nature of these participants. The study reports a TB prevalence of 1.4% with TB diagnosed in six cycle rickshaw drivers and one e-rickshaw driver. It is evident from the data that replacement of cycle rickshaw by e-rickshaw in Delhi had a reduction of TB incidence among rickshaw drivers that do strenuous pedaling.
CONCLUSIONS: Through this study we sought to close the gap and enhance the health status for migrant population such as rickshaw drivers through equitable access to quality TB care and treatment by bringing them under NTEP services.