The following primary health care strategies are recommended for the control of tuberculosis
CASE FINDING, EARLY DIAGNOSIS AND TREATMENT PASSIVE CASE FINDING
All patients who present themselves with symptoms referable to the respiratory system, especially cough lasting for more than three week with blood stained sputum and chest pain; all patients with X-ray lesion suspicious of tuberculosis and all contacts, especially of smear positive individuals: or if they have symptoms, must be examined bacteriologically.
Once the patient has been diagnosed and put on chemotherapy, he is for all practical purposes considered as no risk to close family contacts or community. This is because appropriate chemotherapy will render the patient non-infective very rapidly.
VACCINATION WITH BCG (BACILLUS CALMETTE GUERIN) BCG vaccination induces tuberculin sensitivity in over 95% of individual and confers immunity against tuberculosis. BCG is on of the EPI vaccines and is given at birth to new born infants.
This is often expensive and may not be easily justified especially in countries with limited resources.
GENERAL HEALTH PROMOTION
This includes general measure to reduce chances of airborne infections; e.g. Good housing, avoidance of over-crowding, health education on personal habits with regards to coughing and spiting and good nutrition, proper family planning methods, use of barrier method (condom use) during sexual intercourse, avoidance of multiple sex partners, and also avoid sharing sharp objects with people.