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The fidings in the current study revealed the vulnerability condition upon which tuberculosis patients live,highlighting the social exclusion of this population with their low educational level, their low income status, their poverty condition and their diffiulty in understanding their basic needs, such as the
necessity of a well-balanced diet to prevent the adverse effects caused by the drugs during the treatment. Managers identifid social stigma, prejudice, denial of the disease with a resultant resistance
to treatment, street-dwelling individuals and drinking and smoking habits as major diffiulties for tuberculosis control in the city. It is quite clear that the managers approach the universe of vulnerability
within its three inseparable dimensions: individual, social and programmatic. A better understanding of the real needs of tuberculosis patients as well as the prioritization of the disease are of utmost importance in the municipal public health agenda, which is based on a higher involvement of managers in the participation, discussion and definition of the application of resources for the disease control and
a public health policy that encompasses tuberculosis social issues.
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