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Disease Control

WHO DOTS strategy not adopted in Russia due to inadequate understanding

Published in TB and Outbreaks Week, December 20th, 2005

The World Health Organization Directly Observed Therapy-short course strategy has not fully been adopted in Russia due to inadequate understanding of DOTS by physicians and patients.

"Russia has the ninth highest tuberculosis burden in the world. After a period of decline starting in the 1960s, the case notification rate tripled during the 1990s," scientists in England report.

According to R.A. Atun and colleagues at the University of London Imperial College of Science & Technology, "Historically, case-finding, treatment and reporting practices in Russia have differed from those advocated by WHO and the international community: Directly Observed...

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