Re: Problems with ART roll out in Tirupati. What to do If CD4 counts are not available ?

[Guest guest]

Dear Meera & the FORUM,

It is really sad to hear such sad state of affairs. Send Moc patient to find

what is really happening. Keep NACO informed. As requested I have given the

formula below:

Calculate CD4/ CD8 Counts from available TC & DC.

Eg:

Total Count as reported is 8000 cells/ccm.

Differential count - Lmphocyte is 30%

Therefore the absolute lymphocyte count is 30% of 8000 = 2400 cells (lymph) Of

the Lymphocytes 80% are T cell % 20% are B Cell. So therefore 80% of 2400 =

1920 and 20% of 2400 = 480

If the total T Cell - 60% are T4 cells ------CD4 Cells.

30% are T8 cells -----CD8 Cells

10% are other cells – killer/non killer.

Therefore 60% of 1920 = 1152 cells are CD4.

30% of 1920 = 575 cells are CD8.

There fore CD4 IS 1152 Cells and CD 8 is 576 cells.

Please tell your doctors. Meera I will send you a module to train doctors on

pediatric care - HIV related. That will also be useful

Dr.Manorama

E-MAIL: <pmanorama@...>