Abstract :
Background & Aims: Primary aim of Active Case Finding (ACF) is to ensure that active TB is detected
early to reduce the risk of adverse outcomes as well as help in reducing TB transmission. There is a
paucity of literature about prevalence of Tuberculosis among street sweepers. WHO described a high
risk group for TB but it doesn’t include street sweepers though we are considering them at risk of TB
due to their occupational exposure. Hence, active case finding among street sweepers is done. Materials
and Methods: Cross-sectional study was conducted for active case finding of TB among street sweepers
of North zone Ahmedabad. Symptomatic screening of all sweepers done and sweepers having any of the
symptoms was investigated further by Chest X-ray and Sputum Microscopy. Sweeper who was
diagnosed positive for TB, treatment was initiated as per NTEP guidelines. Results: Total 1200
sweepers were there in the north zone. At stage 1 43.5 % dropped out. 56 (8.25%, CI: 6.15-10.35) were
having Presumptive TB. 28 sweepers participated for further testing. 50% (56-28=28) dropped out at the
second stage. One Confirmed TB patient was identified and put on Treatment. Conclusion: We could
reach approximately 50% of the total sweepers and the reason behind the low turnout could be the
unprecedented event of covid19. Huge drops out at different stages of the screening process indicates
poor health seeking behaviour, fear etc so further work to be done in this direction. Emphasis on usage
of personal protective gears need to be given.
Keyword :
Presumptive TB, tobacco, personal protective gears