1. Narayana Holla
  2. Global initiatives
  3. Tuesday, 19 October 2021

Dear viewers

            we wish to share the sucess story with thne viewers in response to the "call" by the STF Chair of Karnataka.

            In view of achieving the targets set for End TB by 2025 under NTEP India [viz: Incidence-44, Prevalence-65, Mortality-3 per lakh population per year, Zero catastrophic cost; elevating the annual declining rate from 2.5% to 10%]  National Strategic plan has incorporated PMPT and screening.

            For obtaining the reliable outcome from the screening tests, adequate operational knowledge, skills and stringent maintenance of quality of the lab reagents, temperature considerations of specimen and reagents, interpretation of the results as per negative / positive cut off’s,  periodic & regular calibrations of the equipments / appliances are mandatory to take accurate decisions for appropriate actions and interventions.

            Several operational gaps were observed in performing 120year old TST and the recent IGRAs, seriously affecting the results and the linked diagnostic decisions. Hence, the State Task Force Committee, NTEP of GoK initiated CMEW on PMPT; TST & IGRAs, the first one was held at JJMMC, Davangere on 16th Sep followed by the second one for all the DTOs, WHO Consultants at NTI Bengaluru on 29th Sep 2021. OM was sent to all the Medical Colleges for conducting similar CMEWs inviting Dr Narayana Holla, Prof & HOD, Department of Community Medicine, KVG Medical College as resource person who has already conducted the above two workshops.

            Charity begins at home. Dr Neelambikai Natarajan - Dean KVGMCH took the lead and 4 sessions of CMEW was held in KVG Medical College hospital mainly for the Post Graduates           (75 of  86 attended) and interns (113 of 128 attended) and 2 students also proactively attended [totally 190] as shown in the table given below.


Table showing date wise participation of delegates KVG MCH.

Date wise participation

09-10-2021: Pg's=  20; Interns: 19; Students: 2.  Total: 41

11-10-2021: Pg's=  12; Interns: 34; Students: 0.  Total: 46

12-10-2021: Pg's=  25; Interns: 42; Students: 0.  Total: 67

13-10-2021: Pg's=  18; Interns: 18; Students: 0.  Total: 36


      Grand Total: PGs=75; Interns=113; Students=2=190   

             Pre and Post tests were conducted, feedback was also taken. All have expressed their desire to know more about the screening tests and have agreed that CMEW enriched their knowledge. Dr Nagappa, Senior Post Graduate from the Department of Pediatrics expressed in his feedback that the CMEW was “the real GOLD of Gold In Tube (GIT) test”.

            I am greatly indebted to all the makers / doers & the participants from JJMMC till date.

            Way forward: As aspired by the STF Chair, I hope, all the DTOs and TB Nodal Officers, WHO consultants will offer more and more opportunities to replicate the CMEWs throughout Karnataka.

A few Phots depicting all 4 sessions attached.

Best wishes

Dr Narayana Holla & Team

Department of Community Medicine

KVG Medical College & Hospital

Sullia, Dakshina Kannada

Karnataka, India














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