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Five cases of multi-resistant TB found in Denmark this year

Stephen Gadd
November 5th, 2018


This article is more than 6 years old.

An increasing number of serious diseases are becoming more difficult to treat

Doctors urge vigilence as well as increased efforts to discover new drugs and TB treatments (photo: pixabay/NIAID)

The State Serum Institute has revealed that five cases of multi-resistant tuberculosis have been found in Denmark during the first 10 months of 2018.

The numbers are disquieting because the usual level is about two cases per year.

It also appears as if four out of the five cases discovered this year stem from the same source where a group of patients have infected each other. The chain began with a case going back to 2010.

READ ALSO: Tuberculosis staging a slow comeback

Even though on the face of it the numbers seem low, the institute has urged vigilance.

A complicated course of treatment
“Multi-resistant tuberculosis is an extremely serious illness for which the patient needs a long and complicated course of treatment with a number of different antibiotics. This takes up to 18 months and costs around 1 million kroner per patient all in all,” said Troels Lillebæk, a senior doctor from the institute, in a press release.

The bacteria present in the multi-resistant strain are immune to two of the most important antibiotics used in treating TB: isoniazid og rifampicin.

Major global health threat
Over the last decade, multi-resistant TB has become one of the major global health threats.

“In Denmark we are able to cure most multi-resistant TB patients, but in the rest of the world, only around half of the 500,000 or so can be cured,” said Lillebæk.

“Unfortunately, most of the problem is found in parts of the world where they only have limited resources: that goes especially for eastern Europe, southern Africa and certain parts of Asia,” he added.

New remedies needed
Lillebæk went on to say that new, more effective, faster-working medicaments are needed – as well as new treatment systems so that the treatment time can be cut.

“Multi-resistant tuberculosis bacteria are also potentially associated with a lot of complications and side-effects. It is therefore vital that the condition is diagnosed as quickly as possible so that we can give the patient the correct treatment,” said Lillebæk.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”