1. Prevalence of Tuberculosis Lima and Iquitos, Peru Natalie Bowman nmb2003@columbia.edu

2. Tuberculosis Tuberculosis is one of the oldest and most deadly human diseases, and is caused by Mycobacterium tuberculosis 8 million new cases and 2-3 million deaths per year, mostly in poor nations and HIV+ patients TB is almost always curable with correctly administered antibiotics

3. PRISMA Prisma is a Peruvian NGO that deals with health and other social issues For more information (in Spanish): www.prisma.org.pe www.prisma.org.pe Dr. Robert Gilman, JHU School of Public Health

4. Prevalence of TB infection among students in Iquitos Administer PPDs to students in medicine, agronomy, and forestry at UNAP to establish prevalence Test them again in a year to compare rates of exposure Also in Lima Mountains

5. Tuberculosis in Lima Lima has very high prevalence of TB > 300 per 100,000 in some of the poorest neighborhoods Hospital Dos de Mayo—a large public hospital

6. How clean is the air? To investigate the infectivity of the air in the TB wards, put guinea pigs on the roof Pump all the air from the ward through the room Several got sick (TB and mysterious guinea pig pneumonia) Can be repeated after anti-TB measures to compare

7. Thank-yous Dr. Bob Gilman Dr. Mayuko Saito, Dr. Rod Escombe Prisma Johns Hopkins School of Public Health Julianna

9. the international health organization proudly presents… the second year slide show