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Occurrence of multiple-drug-resistant tuberculosis grows

World's second-most fatal disease becomes harder to beat as drug resistance grows and patients fail to follow doctors' orders

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Tuberculosis is increasingly difficult to treat as the disease grows more resistant to drugs. Some 120,000 cases are diagnosed on the mainland each year. Photo: SCMP
Zhuang Pinghuiin Beijing

Those fighting tuberculosis (TB) say it is better not to treat the disease than to treat it badly, because doing so just produces more powerful, drug-resistant bacteria, making the world's second-most fatal disease stronger by the day.

The mainland has more cases of multiple-drug-resistant TB (MDR TB) than any other country, with 120,000 new cases each year. Poor case management and a lack of new drugs makes the fight against the disease extremely difficult.

Dr Zhao Yanlin, director of the National TB Reference Laboratory, has said that the mainland has a "serious epidemic" of drug-resistant TB, but the situation "could easily be much worse".

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Also deputy director of the National Centre for Tuberculosis Control and Prevention at the Chinese Centre for Disease Control and Prevention (CDC), Zhao contributed to a paper published in The New England Journal of Medicine in June about a mainland-wide survey of drug resistant TB.

The survey found that 5.7 per cent of new TB cases and a quarter of previously treated cases were multiple-drug resistant.

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Drug-resistant TB emerges when patients fail to follow treatment regimens, which takes six to eight months and use a cocktail of drugs, or stop treatment too soon.

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