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Introduction to DOTS

DOTS (directly observed treatment, short-course), is the name given to the tuberculosis control strategy recommended by the World Health Organization. According to WHO, “The most cost-effective way to stop the spread of TB in communities with a high incidence is by curing it. DOTS is the most effective strategy available for controlling TB. The DOTS report was released to the public on March 20, 1995, at New York City’s Health Department. The five key components of DOTS are i. Political commitment to control TB; ii. Case detection by sputum smear microscopy examination among symptomatic patients; iii. Patients are given anti- TB drugs under the direct observation of the health care provider/community DOT provider; iv. Regular, uninterrupted supply of anti-TB drugs; and v. Systematic recording and reporting system that allows assessment of treatment results of each and every patient and of whole TB control programme.

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