Tuberculosis and slim disease in Africa

doi:10.1136/bmj.309.6963.1230b

From trainee to consultant, BMJ Group offers doctors around the world tailored information, special events, learning resources and recruitment services at every step along their career path.

... by doctors, for doctors, for patients
We are open for entries!

Online learning

BMJ Learning

High-quality CME / CPD for doctors and other healthcare professionals. BMJ Learning features hundreds of accredited, peer-reviewed learning modules in text, video, and audio formats. Find out more

Courses and Qualifications

BMJ Masterclasses

BMJ Masterclasses, led by experts, help clinicians to use the latest evidence and recent guidelines in practice and meet their CPD/CME requirements. Find out more

Exam Preparation

The leading provider of online exam preparation, helping over 167,000 healthcare professionals to pass their exams. Find out more

onExamination

Search all BMJ comment articles:

From

Limit by

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

P Godrey-Faussett,
A Mwinga,
M Hosp,
R Baggaley,
J Porter,
R Msiska

Zambart Project, Department of Medicine, University Teaching Hospital, PO Box 50110, Lusaka, Zambia Kara Counselling and Training Trust, Lusaka Department of Clinical Sciences, London School of Hygiene and Tropical Medicine, London National AIDS, STD, and TB Prevention and Control Programme, Ministry of Health, Lusaka

EDITOR, - S B Lucas and colleagues found that tuberculosis was associated with the wasting that is characteristic of so many deaths related to HIV infection in Africa.1 They conclude that the aim should be prophylaxis or earlier diagnosis and treatment.

Preventive treatment for tuberculosis in Africa continues to excite controversy. The International Union against Tuberculosis and Lung Diseases and the World Health Organisation issued a joint statement in October 1993 which recommended “isoniazid preventive therapy for individuals with both tuberculosis and HIV infections.”2 Meanwhile, in December 1993, one of the final recommendations of the African regional meeting of the international union was that “Preventive …