04 August 2015 - NW2356
Volmink, Mr HC to ask the Minister of Health
(1)What is the current availability of the drugs (a) bedaquiline and (b) linezolid in the country; (2) whether there are any plans for a wider national roll-out of the specified drugs, including but not limited to (i) mines, (ii) prisons and (iii) other communities heavily affected by tuberculosis; (3) whether there are any financing plans in place for purchasing the specified drugs at affordable and sustainable prices?
- (a) 60% of patients on bedaquiline are in South Africa, i.e 361 patients in South Africa out of a total of 600 worldwide.
(b) A tender to procure Linezolid is being prepared. Linezolid is available off code in the meantime.
2. (i) and (ii) For year 1 (1st April 2015 to 31 March 2016) we are prioritising XDR-TB, pre-XDR-TB and MRD-TB with hearing impairment, renal impairment and those to be operated.
Because the main focus will be on XDR-TB, we have started rolling out at our 12 facilities responsible for treating XDR-TB which are:
- Jose Pearson and Fort Grey Hospitals (Eastern Cape);
- Dr J S Moroka (Free State);
- Sizwe Hospital (Gauteng);
- King Dinuzulu Complex Hospital (KZN);
- FH Odendaal (Limpopo);
- Witbank TB Hospital (Mpumalanga);
- Dr Harry Surtie and West End (Northern Cape);
- Tshepong Hospital (North West);
- Brooklyn Chest and Khayelitsha (Western Cape)
The 12 facilities treat all XDR-TB patients in the country.
- Jose Pearson, Fort Grey, King Dinuzulu, Sizwe and Brooklyn Chest Hospitals treat 50% to 60% of all MDR-TB in the country.
- So we believe that there will be a good coverage to years 1, 2 and 3;
- Mines and prisons will follow after 2 to 3 years.
3. A costed plan to make the drugs available has been developed and budgeted for in the HIV Conditional Grant. The drugs will be made available to 3 000 patients in year 1 (1st April 2015 to 31 March 2016), and then gradually increase to 6 000 at the end of year 3.