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Aids 2014 conference unveils breakthrough in Aids-TB treatment

Tuberculosis is the biggest killer of people with Aids each year, causing 20 per cent of HIV-related deaths, with therapies for the two conditions unable to be given together because of side effects.

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A doctor examines chest X-rays at a tuberculosis clinic in Gugulethu, Cape Town. Photo: AP

Tuberculosis is the biggest killer of people with Aids each year, causing 20 per cent of HIV-related deaths, with therapies for the two conditions unable to be given together because of side effects.

But a drug combination unveiled at the Aids 2014 symposium in Melbourne on Monday allows tuberculosis (TB) to be treated in patients while taking their HIV drugs, offering the potential to save millions of lives.

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At present, treatment of resistant TB can take two years. The length of the treatment and side effects, which can include irreversible hearing loss, means many people never complete it. This increases the potential for developing drug resistance.

TB is considered the quintessential disease of the poor. For the past 50 years, TB treatment has remained much the same, while the disease has grown increasingly resistant to available drugs.

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PaMZ represented the first "game-changing" treatment for TB in decades, said Dr Mel Spigelman, president of the alliance.

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