India has an enormous tuberculosis crisis, but the government still does not have an accurate estimate even of how many Indians suffer from the disease. A million cases are still not notified every year, and people remain undiagnosed, or inadequately diagnosed and struggle for accessing full treatment. While TB can be cured by a drug regimen of six months, the emergence and increase in antibiotics resistant TB is a concern.
These stories trace the effects of economic and health policies in on workers with TB and their experiences with drug resistant TB:
Stone-crushing workers in Ajmer suffer as the government’s ‘active case finding’ drive in the district is poorly managed and block levels hospitals lack basic infrastructure.
The government recognises miners as being occupationally vulnerable to TB. For thousands of miners in Rajasthan, however, an epidemic of silicosis is making that diagnosis even more difficult.
Anti-biotics resistance is growing, and the poorest patients find it difficult to access care and counseling. Diagnosed with multi drug resistant-TB, a tailor in Beawar, Rajasthan narrates how he went through a painful medication regime without counselling support only to have his health worsen and dropped out of treatment despite knowing the risks.