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Doing the right thing for tuberculosis control in the Torres Strait Islands

Anastasios Konstantinos, Graham Simpson, Tania C Sorrell and Ben J Marais
Med J Aust 2011; 195 (9): . || doi: 10.5694/mja11.10925
Published online: 7 November 2011

To the Editor: Recent articles in the Journal have noted the first case of extensively drug-resistant tuberculosis (TB) in New Zealand,1 and emphasised the exponential increase in cost and complexity of managing drug-resistant TB.2 We thus wish to caution against the proposed premature closure of TB treatment services for Papua New Guinea (PNG) citizens who access health care in the Torres Strait Islands.


  • 1 Queensland Tuberculosis Control Centre, Queensland Health, Brisbane, QLD.
  • 2 Thoracic Medicine and Regional TB Control Unit, Cairns Base Hospital, Cairns, QLD.
  • 3 Sydney Institute for Emerging Infectious Diseases and Biosecurity, University of Sydney, Sydney, NSW.



Competing interests:

No relevant disclosures.

  • 1. Johnson PD. Extensively resistant tuberculosis in the lands Down Under. Med J Aust 2011; 194: 565-566. <MJA full text>
  • 2. Goh TL, Towns CR, Jones KL, et al. Extensively drug-resistant tuberculosis: New Zealand’s first case and the challenges of management in a low-prevalence country. Med J Aust 2011; 194: 602-604. <MJA full text>
  • 3. Gilpin CM, Simpson G, Vincent S, et al. Evidence of primary transmission of multidrug resistant tuberculosis in the Western Province of Papua New Guinea. Med J Aust 2008; 188: 148-152. <MJA full text>
  • 4. Gandhi NR, Nunn P, Dheda K, et al. Multidrug-resistant and extensively drug-resistant tuberculosis: a threat to global control of tuberculosis. Lancet 2010; 375: 1830-1843.
  • 5. World Health Organization. The Stop TB Strategy. Building on and enhancing DOTS to meet the TB-related Millennium Development Goals. Geneva: WHO, 2006. http://whqlibdoc.who.int/hq/2006/WHO_HTM_STB_2006.368_eng.pdf (accessed Oct 2011).
  • 6. Tuberculosis Coalition for Technical Assistance. International standards for tuberculosis care. The Hague: TCTA, 2006 http://www.stoptb.org/assets/documents/resources/publications/acsm/istc_report.pdf (accessed Oct 2011).
  • 7. Reynolds PN, Turnidge JD, Gottlieb T, Moore MJ. Cross-border patients with tuberculosis: position statement from the Thoracic Society of Australia and New Zealand, Australian Society for Microbiology, Australasian Society for Infectious Disease and the Public Health Association of Australia. Med J Aust 2011; 195: 523-524. <eMJA full text> <MJA full text>

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