Post-tuberculosis Health: A Holistic Perspective on Multisystem Sequelae and Long-Term Wellbeing

Area of Science:

• Public Health
• Infectious Diseases
• Rehabilitation Medicine

Background:

• Tuberculosis (TB) cure does not eliminate long-term health challenges for survivors.
• Survivors face physical (pulmonary, cardiovascular, neurological), psychological, and social difficulties.
• Current TB care predominantly focuses on lung disease, overlooking broader patient needs.

Purpose of the Study:

• To highlight the multisystemic and social sequelae of tuberculosis.
• To advocate for a comprehensive, people-centered approach to post-tuberculosis care.
• To emphasize the need for integrated medical, rehabilitative, and community support.

Main Methods:

• Literature review on post-tuberculosis sequelae.
• Analysis of current care models for tuberculosis survivors.
• Framework development for holistic patient management.

Main Results:

• Post-tuberculosis disease encompasses diverse and significant long-term health impacts.
• Existing care paradigms are insufficient, often neglecting non-pulmonary and social dimensions.
• A gap exists in integrated strategies for survivor wellbeing and societal participation.

Conclusions:

• A holistic, people-centered framework is essential for tuberculosis survivors.
• Integrating medical, rehabilitative, and community-based strategies can restore health and participation.
• Addressing multisystem and social needs is critical for comprehensive tuberculosis aftercare.