HIV, TB cut life expectancy to a mere 36 years in mountainous African kingdom of

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HIV, TB cut life expectancy to a mere 36 years in mountainous African kingdom of

Lesotho

1 hour, 21 minutes ago

By Nastasya Tay, The Associated Press

MORIJA - Medical workers are increasingly concerned that the lethal combination

of HIV infection and tuberculosis may become the world's next major health

crisis.

To mark World TB Day on Wednesday, Medecins Sans Frontieres drew attention to

Lesotho, which has the world's third-highest prevalence of HIV, the virus that

causes AIDS, and the fourth-highest prevalence of tuberculosis. Here, poverty

and violence complicate treatment in a country where life expectancy is a mere

36 years.

Michel Sidibe, head of the U.N. AIDS program, fears the double infection could

become the next new epidemic.

" I'm calling for serious attention to TB, and serious attention to TB-HIV

co-infection, " he said in an interview.

In this mountainous kingdom surrounded by South Africa, some patients battling

HIV and tuberculosis must walk five hours to reach a clinic for their

medication.

" It is a problem for us to come to the clinic because sometimes there are

gangster men waiting down by the side of the river ... and yes, sometimes women

are raped, " said Tlalane Tsiane, a 21-year-old woman infected with TB and HIV.

Many men in Lesotho travel to South Africa to work in the mines and some return

with HIV and a form of tuberculosis that is resistant to multiple antibiotics.

The World Health Organization believes drug-resistant strains present a major

challenge to the global effort to control the disease.

Helen Bygrave, a medical co-ordinator for Medecins Sans Frontieres, also known

as Doctors Without Borders, estimated that between 80 to 90 per cent of

Lesotho's TB patients are infected with HIV.

A person whose immune system is compromised by HIV is particularly susceptible

to tuberculosis, which is caused by bacteria that usually attack the lungs. The

disease is spread through the air when an infected person coughs or sneezes.

There are nearly 9 million new cases of TB worldwide and the disease kills more

than 1.5 million people every year, according to the World Health Organization,

even though it can be cured with a six-month course of antibiotics that costs

only $20.

Sera Thoola, a retired miner of 47, believes that he contracted TB in South

Africa. It is also where he first tested positive for HIV. He has

multi-drug-resistant TB, and is currently taking an average of 49 pills a day to

control his diseases.

Most clinics in Lesotho were set up through partnerships between the government

and international groups. In seeking ways to make the most of scarce resources,

Medecins Sans Frontieres is helping to support and run a program in which nurses

are given training to take on roles doctors might have carried out. Community

health workers later make sure patients are sticking to their treatment regime.