its large population and socioeconomic disparities. With regard to leprosy, there was not only success in reducing the numbers of affected people, but also a reduction and near elimination of drug resistance through implementation of a regimented program.
Conclusions and recommendations offered by individual workshop participants regarding drug-resistant TB in India included the following:
As long as people with drug-resistant TB remain untreated or inadequately treated, they have the potential to transmit the disease to others. Infection control in health care facilities and in the community is essential to stop the spread of the epidemic.
Much remains unknown about both the evolution of drug resistance in M.tb. and the transmission of drug-resistant strains among individuals. Certain strains of MDR TB predominate in different countries and regions. An interesting question, said Keshavjee, is whether these strains are more or less fit than other strains in these regions.
Conclusions and recommendations offered by individual workshop participants in the area of preventing transmission of drug-resistant TB included the following: