TB/HIV: a clinical manual - libdoc.who.int - World Health Organization

FOREWORD TO FIRST EDITIONDoctors and other health professionals working in sub-Saharan Africawill be only too aware of the many patients they encounter with TB.They will also be all too well aware of the epidemic of HIV infection andthe effect this has had on dramatically increasing the TB burden.They willknow that in many patients development of clinical TB is the first sign ofunderlying HIV infection. This excellent book is designed for the busyclinician. It summarizes the characteristics of both diseases and of theirinteractions. It concentrates particularly on the clinical problems ofdiagnosis and management, both in adults and children. It summarizesthe other HIV-related diseases which the clinician may encounter inTB/HIV patients. It provides a most useful review to those new to theproblems and a handy reference for the experienced clinician whenfaced with some particular difficulty. It is well set out and easy to use.The modern treatment of TB in HIV-infected patients is highly successful.This not only benefits the patient but reduces the spread of TB tofamilies and the community. Other treatments can help to improve orcontrol many HIV-related diseases.This book well summarizes the rangeof treatments available. It also provides useful guides on counselling andon interagency cooperation, both essential components of TB/HIVmanagement.The enormous problems of HIV and TB in sub-Saharan Africa are nowalso increasing in Asia and South America, where the book should proveequally useful.I congratulate WHO on deciding to produce this valuable book and theauthors on the imaginative and practical way they have presented theproblems and their management.Sir John CroftonProfessor Emeritus of Respiratory Diseases and TuberculosisUniversity of Edinburgh, Scotland12