Abstract

We determined the role of adult family members and their social problems in the emergence and development of TB in 30 young children and 50 older children and adolescents. Our research demonstrated that 78.9% of young children got infected with TB from their parents; 90% of mothers were sick, and 50% of them were HIV-positive; about 50% of children did not receive BCG. Ninety-two percent of families had low total income per member, did not have stable earnings, and the number of residential premises was less than the number of family members; the families demonstrated low level of social responsibility for the children. We also observed AIDS dissidence, TB danger denialism, projection of AIDS dissidence onto the child. We established that some situations required involvement of law enforcement agencies. The family role in TB development weakens in older children and adolescents; unsatisfactory living conditions deprive a teenager from personal space, and he/she has to spend more time out. Social problem solving is beyond healthcare capabilities and requires interdepartmental cooperation

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