WHO calls for urgent action as South-East Asia leads in tuberculosis burden
New Delhi (PTI): The South-East Asia region continues to carry a disproportionate share of the tuberculosis burden, one of the leading infectious diseases in the world, said a World Health Organisation (WHO) official said on Tuesday.
On the World TB Day, the WHO called for stronger national leaderships, sustained investment and continued engagement of communities and people to control the spread of the disease.
In a statement, Dr Catharina Boehme, officer-in-charge, WHO South-East Asia, said, "The region accounts for approximately 34 per cent of people developing the disease globally and nearly 40 per cent of deaths. In 2024 alone, an estimated 3.68 million people developed TB, and approximately 433,000 lives were lost, including 13,000 among people living with HIV."
This year's theme -- "Yes! We Can End TB" -- is a timely reminder that progress is within reach when political commitment, science and innovation, and community leadership come together, Dr Boehme said.
Since 2015, South-East Asia has achieved 23 per cent reduction in TB deaths, and 16 per cent decline in TB incidence, outpacing the global average decline of 12 per cent.
Treatment coverage has expanded significantly to more than 85 per cent, with over 3.1 million people initiating treatment in 2024. The member states continue to achieve treatment success rates above the global average, including for drug-resistant TB, while expanding preventive treatment for people living with HIV and household contacts, she said.
The national programmes are strengthening TB services, integrating them within primary health care and universal health coverage, and using data and innovation to reach those still being missed. These gains reflect the sustained efforts of governments, health workers, communities and partners across the region.
Nevertheless, the region remains off track to meet the "End TB" milestones.
Drug-resistant TB remains a serious challenge, with an estimated 150,000 MDR (multidrug-resistant tuberculosis) and RR-TB (Rifampicin-Resistant tuberculosis) cases each year in the region.
Socio-economic drivers continue to fuel transmission as undernutrition and diabetes are major risk factors, and 44 per cent of TB-affected households face catastrophic costs due to the disease.
To drive progress, the focus needs to be on accelerating the pace of decline in TB incidence and deaths, especially in high-burden settings, through integrated approaches embedded within primary health care to provide people-centred care, Boehme said.
There is a need to close the detection and treatment gaps through universal access, rapid diagnostics and shorter treatment regimens.
Boehme also stressed harnessing new technologies, including artificial intelligence, to expand access to quality care that leaves no one behind.
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Harish Rana, India's first person to be allowed passive euthanasia, dies in AIIMS
New Delhi (PTI): Harish Rana, the first person in India to be allowed passive euthanasia, passed away on Tuesday at AIIMS-Delhi after more than 13 years in a coma, sources said.
The 31-year-old, who has been in a coma since 2013, was shifted from his Ghaziabad home to the palliative care unit at Dr BR Ambedkar Institute Rotary Cancer Hospital at the All India Institute of Medical Sciences (AIIMS) on March 14.
Three days before that, the Supreme Court, in a landmark judgment on March 11, allowed passive euthanasia for Harish, who was a BTech student at Panjab University who fell from a fourth-floor balcony in 2013 and suffered severe head injuries.
He had been in a coma since, with artificial nutrition support and occasional oxygen support.
Passive euthanasia is the intentional act of letting a patient die by withholding or withdrawing life support or the treatment necessary to keep him alive.
Harish's nutritional support was gradually withdrawn after he was admitted to the hospital, the sources said on Tuesday.
Harish's family had said after the apex court judgment that the withdrawal of artificial life support would not bring any personal benefit to the family, but in the larger public interest, the decision could help others facing similar situations.
His father, Ashok Rana, had said passive euthanasia would restore Harish's dignity after years of irreversible suffering.
Pinki Virani, a journalist and activist who filed a petition for euthanasia to Aruna Shanbaug in 2011, thanked the doctors and nurses at AIIMS for “compassionately applying passive euthanasia”, and urged that one should let their family members know “if they would want to exercise this right for themselves”.
“May Harish Rana rest in peace. May his parents and his brother find a quiet peace of their own amid what has been a very long loss for them... I continue to be grateful to the Supreme Court for allowing the right to die with dignity in 2011... It's a choice, and if they so choose, they can help the process by making their wishes – pertaining legally to passive euthanasia – known so that their final exit is free from guilt and trauma,” Virani told PTI.
The top court had rejected Virani's plea on behalf of Shanbaug, who remained bedridden in a vegetative state in a Mumbai hospital since a brutal sexual assault in November 1973.
The Mumbai nurse finally died of pneumonia in 2015.
In its March 11 judgement, the apex court had directed AIIMS-Delhi to ensure that life support is withdrawn with a tailored plan so that dignity is maintained.
A specialised medical team headed by Dr Seema Mishra, professor and head of the department of anaesthesia and palliative medicine, was constituted to implement the process, the first in India.
The team comprised doctors from departments of neurosurgery, onco-anaesthesia and palliative medicine, and psychiatry.
The Supreme Court, in its March 11 judgment, allowed passive euthanasia for a person for the first time in the country.
Ruling on the long-discussed emotive issue, a bench of Justices J B Pardiwala and K V Viswanathan asked the Union government to consider bringing a comprehensive legislation on passive euthanasia.
The top court noted that Rana survived only through clinically administered nutrition via 'percutaneous endoscopic gastrostomy' tubes, and medical boards had unanimously concluded that continuation of treatment would merely prolong biological existence without any possibility of recovery.
When primary and secondary boards have certified withdrawal of life support, there is no need for judicial intervention, the apex court said.
It also asked the Centre to ensure that the chief medical officers in all districts maintain a panel of registered medical practitioners for nomination to secondary medical boards.
The court made a special mention of Rana's parents, Ashok and Nirmala Rana, expressing its appreciation to them for showing immense love and care for their son.
“His family never left his side,” the court said.
The order allowing passive euthanasia is in line with the court's 2018 Common Cause judgment, which was modified in 2023 and recognised the fundamental right to die with dignity.
In the 2018 judgement, a constitution bench recognised passive euthanasia and the right to die with dignity as a fundamental right under Article 21 of the Constitution.
The court had held that passive euthanasia could be carried out using “advance medical directives”.
On January 24, 2023, a five-judge Constitution bench modified the 2018 guidelines to ease the process of granting passive euthanasia to terminally ill patients.
A primary and a secondary medical board will have to be formed for an expert opinion on the withdrawal of artificial life support for a patient in a vegetative state, the guidelines said.
