According to Alice Nyatecho, programme officer at Kenya's National AIDS Control Council, there are a number of reasons for an increase in resistance but, most important is the disruption of lives caused by the violence, triggered by disputed election results in December.
"The internally displaced people's situation is very fluid all over the affected areas," she told IRIN/PlusNews."The figures are different every other day and this has made it impossible to have a definite figure as to who is on medication and who is not."
"Some of the internally displaced people will move from one camp to another and start off new records all over again," she added. "In the month of February we had 230,000 internally displaced people registered, but three weeks down the line 20,000 left the camps either because some were taken in by their relatives or decided to relocate to another camp or their rural areas."
Congestion and lack of proper sanitation among the displaced only serve to increase new infections, Nyatecho noted, with unidentified infected people potentially sharing the same tent as uninfected individuals, inadvertently passing on MDR-TB.
Kenya is ranked 10th out of the 22 countries in the world that account for 80 percent of the global TB burden. The Ministry of Health has raised the alarm about the need to deal with the rising number of MDR-TB cases, which in addition to being difficult to treat, costs, in many cases, more than $10,000 per patient, compared to about $20 per patient for a course of the regular Directly Observed Treatment Short-Course, DOTS.
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