hßv  Mycobacterium tuberculosis bvGgi RxevYyNwUZ `xNÆÕ©vqx ‰K msò×vgK eÅvwa| ‰ ˆivM TB bvGgI cwiwPZ| hßv ‰KwU cÉvPxb ˆivM| mÁ¿eZ cçg kZGKi cÉ^g w`K ˆ^GKB ‰wU gvivñK ˆivM wnGmGe weGewPZ nGq AvmGQ| hßv RxevYyi wewf®² RvZ M†ncvwjZ c÷ I ebÅcÉvYxG`i gGaÅI msò×gY NUvq| ‰ ˆivM mPivPi dzmdzGmi ÞwZ KGi, wK¯§ k¼vmZ¯¨, AwÕ© I AwÕ©mw®¬, Z½K, jwmKvMÉw¯©, A¯¨, wKWwb ‰es Õ²vqyZ¯¨I Avò×gY KGi| k¼vmMÉnGYi mgq RxevYy dzmdzGm cÉGek KiGjB mvaviYZ msò×gY NGU| `ƒwlZ Lv`ÅMÉnGYI msò×gY NUGZ cvGi| hßvMÉÕ¦ eÅwî×i nuvwP I Kvwk ˆ^GK wbMÆZ Kd ev ^y^yi KYvàwj AGbÅi kixGi I evZvGm RxevYy Qovq| ‰me RxevYy evZvGm, ÷Ó• Kd I ^y^yGZ ‰es aƒjvevwjGZ `xNÆKvj mwò×q ^vGK| ˆivMwU AbÅG`i Zzjbvq ‰KB cwievGii ˆjvKG`i gGaÅ AwaK cwigvGY msò×wgZ nGq ^vGK, ˆKbbv ‰K cwievGii m`mÅiv ‰KB evwoGZ emevm KGi, ‰KB ˆUweGj Lvevi Lvq I ciÕ·Gii NwbÓ¤ msÕ·GkÆ AvGm| ZGe hßv eskvbyò×wgK bq|

‰B ˆivGMi meÆvwaK cÉPwjZ I cwiwPZ aibwU nGjv dzmdzmxq hßv| ÷i‚GZ dzmdzmxq hßvi DcmMÆàwj cÉKvwkZ bvI nGZ cvGi| mwò×q A^ev cÉv^wgK AeÕ©vi cieZÆx chÆvGq dzmdzmxq hßvq Kvwk, `yeÆjZv, IRbnËvm, Kd I ^y^yi mvG^ mvgvbÅ iî×cvZ, dzmdzGmi Õ©vbmn eyKeÅ^v ‰es R¾i (hv w`Gbi ˆejvq axGi axGi e†w«¬ cvq) BZÅvw` DcmMÆ cÉKvk cvq| AwaK msLÅvq RxevYy kixGii AbÅvbÅ AãcÉZÅGã weÕ¦vGii dGj wgwjqvwi hßv (miliary tuberculosis) ˆ`Lv ˆ`q| ‰ RvZxq hßvq gwÕ¦GÓ•i Aveibx Avò×v¯¦ nGj ˆgwbbRvBwUm hßv bvgK gvivñK ˆivGMi cÉGKvc NGU|

kZ kZ eQi aGi hßv `ywbqvGRvov AbÅZg cÉavb NvZK eÅvwa nGq AvGQ| ‰LbI ‰wU AbÅZg cÉavb RbÕ¼vÕ©Å mgmÅv| ‰KvwaK Jla (multidrug) cÉwZGivaÞg RxevYy Drcwîi AvGM 1990 mvGji w`GK hßv hG^Ó¡B nËvm ˆcGqwQj| M†nnxb, D«¼vÕ§ I ˆRjLvbvi KGqw`G`i gGaÅ ‰B ˆivGMi cÉGKvc AwaK| MZ kZGK ˆKej hßv ˆivGMB 20 ˆKvwUi ˆewk ˆjvK gviv ˆMGQ| eZÆgvGb hßv weÕ¦vGii nvi nGjv cÉwZ ˆmGKG´£ 1 Rb ‰es `wÞY-cƒeÆ ‰kxq AçGj Š`wbK 2000 ˆjvGKi g†ZzÅ| ‰K wnmve ˆ^GK Rvbv hvq ˆh evsjvG`Gk cÉwZ 2 wgwbGU 1 Rb hßvq Avò×v¯¦ nGœQ ‰es cÉwZ 10 wgwbGU 1 Rb gviv hvGœQ| wek¼ eÅvsGKi Z^Åvbyhvqx ‰B fqvbK ˆivGMi KviGY evwlÆK g†ZzÅ msLÅv cÉvq 52,000 ‰es ‰B msLÅvwU AvwaGKÅi wnmvGe weGk¼ PZz^Æ Õ©vGb iGqGQ| cÉwZGivaGhvMÅ ‰B ˆivGM eQGi 3 jÞvwaK gvbyl msò×wgZ nq ‰es nviwU cÉwZ 1 jGÞ 111 Rb| `k eQi AvGM cÉwZ 1 jGÞ msò×gGYi nvi 40 ˆ^GKI Kg wQj|

1993 mvGji bGfÁ¼i gvm ˆ^GK wek¼ Õ¼vÕ©Å msÕ©vi KvwiMix mnvqZvq wek¼ eÅvsK I evsjvG`k miKvGii ˆhŒ^ DG`ÅvGM RvZxq hßv KvhÆò×g (NTP) ÷i‚ nq ‰es AvR chƯ¦ cÉvq 3 jÞ 13 nvRvi 800 Rb hßv ˆivMx kbvî× Kiv nGqGQ| ‰G`i 80 kZvsGkiI ˆewk ˆivMxGK wPwKrmvi mvnvGhÅ mvwiGq ˆZvjv mÁ¿e nGqGQ| ‰B mvdjÅ mGî½I evsjvG`Gk hßv ˆivGMi cwiwÕ©wZ ‰LbI AvkâvRbK, ˆKbbv ˆ`Gk iGqGQ AZÅwaK Rb NbZ½, wbÁ²gvGbi Avevmb, `vwi`Ë I wkÞvi wbÁ² nvi|

1993 mvGj wek¼ Õ¼vÕ©Å msÕ©v KZ‡ÆK hßv ‰KwU ‘wek¼ msKU’ wnGmGe ˆNvwlZ nIqvq AZÅwaK hßvò×v¯¦ AbÅvbÅ ˆ`Gki gGZv evsjvG`kI hßvGivM weÕ¦vi ˆivGa Directly Observed Treatment/DOTS - Short Course bvGg mvaviGYÅ cwiwPZ JlGai Z`viKgƒjK nÕ¦GÞGci DG`ÅvM MÉnY KGi| ‰wU ‰KwU mvkÉqx eÅeÕ©v wnGmGe cÉgvwYZ nGqGQ| 1964-1966 mvGj meÆcÉ^g RvZxq chÆvGq hßvGivGMi Dci AbywÓ¤Z Rwic ˆ^GK Rvbv hvq ˆh RbmsLÅvi cÉvq 56% hßvi mvaviY aib, cÉavbZ k¼vmcÉk¼vGmi gvaÅGg msò×wgZ dzmdzmxq hÞÄvq KgGewk Avò×v¯¦| 1948 mvGji ˆMvovi w`GK wewmwR wUKv`vb KgÆmƒwPi gvaÅGg ‰B AçGj hßvwbq¯¨Y KvhÆò×g ÷i‚ nq| 1954 mvGj cyGivGbv XvKvi bxgZwjGZ ‰KwU hßv nvmcvZvj cÉwZÓ¤vi gvaÅGg evsjvG`Gk meÆcÉ^g msMwVZ hßv wPwKrmvi mƒòcvZ NGU| cieZÆxKvGj wefvMxq m`Gi AviI 3wU ˆK±`Ê cÉwZwÓ¤Z nq| eZÆgvGb ˆRjvm`Gii nvmcvZvj, XvKvi eÞeÅvwa nvmcvZvj, XvKvi kÅvgjxGZ AewÕ©Z RvZxq hßvKvhÆò×g wKÑwbK I gnvLvjxi RvZxq hßv KvhÆò×Ggi m`i `µ¦Gi hßvGivGMi wPwKrmvi myeÅeÕ©v iGqGQ|

RvZxq hßv KvhÆò×Ggi AaxGb 1993-1998 mvj chƯ¦ cÅvivGgwWKmn 30 nvRvGiiI ˆewk Õ¼vÕ©ÅKgÆxGK hßv kbvwî× I ˆivMwbYÆGq cÉwkÞY ˆ`Iqv nGqGQ| eËÅvK, ˆWwgGqb dvDG´£kb, ˆWwbk-evjvG`k ˆjcÉwm wgkb (DBLM), Õ¼vÕ©Å, wkÞv I A^Æ‹bwZK D®²qb, iscyi w`bvRcyi i‚ivj mvwfÆGmm (RDRS), bÅvkbvj AÅvw´ŸwUwe AÅvGmvwmGqkb Ae evsjvG`k (NATAB) BZÅvw` ˆemiKvwi msÕ©v mÁ·ÉwZ miKvGii mGã ‰KGhvGM KvR KiGQ| KvhÆKi DcG`kgƒjK mZKÆZvi Dci hßvwbq¯¨Y KgÆmƒwPi mvdjÅ eüjvsGk wbfÆikxj| ‰GÞGò h^vh^ cÉwkÞY I RbmGPZbZvi cÉGqvRb iGqGQ| ‰B KgÆmƒwPGZ eÅwî×MZ wPwKrmK, DcGRjv chÆvGqi wewf®² Õ¼vÕ©ÅcÉwZÓ¤vb I wPwKrmv gnvwe`Åvjqàwji A¯¦fzÆwî× I AskMÉnY mdj hßvwbq¯¨GYi RbÅ AcwinvhÆ|  [‰m.‰g ügvqyb Kwei]

AviI ˆ`Lyb  hßv wbivgq I wbq¯¨Y cÉwkÞY BbwÕ¡wUDU |