Tuberculosis (TB) remains a major cause of morbidity and mortality in low- and middle-income countries
- In 2014, 9.6 million estimated TB cases and 1.5 million deaths
- South Africa is the 3rd highest TB incidence in the world with 834 per 100 000 (WHO, 2015)
- 318 000 cases notified in 2014 (WHO, 2015).
TB is fueled by different medical, social, and economic factors
- Overcrowding and many others
Diabetes Mellitus is a major public health problem.
- Type 2 diabetes accounting >90% of DM cases.
- The insidious and initially asymptomatic nature of the disease results in persons not seeking early medical attention (30-85% of cases of type 2 diabetes are undiagnosed).
- At diagnosis, approximately 20% of patients will have complications of the disease.
- Effects of urbanization and an unhealthy lifestyle are important contributors to the rising prevalence of obesity and diabetes
- According to IDF Diabetic Atlas 2015, South Africa has about 2.3 million people with Diabetes
- TB prevalence amongst DM patients is high (10%)
- The incidence of multidrug resistance TB has been reported to be on the rise among DM patients