Epidemiology

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Overview

The Department of Epidemiology started its work from 1968 with the BCG trial in tuberculosis in Chingleput district. This area was utilized as the population laboratory for the study of Epidemiology of Tuberculosis. After the BCG Trial, several disease prevalence surveys were undertaken by NIRT Epidemiology unit. The RNTCP was introduced in the BCG trial area in 1999. Disease Survey and Tuberculin survey are being carried out in the BCG trial area to study the impact of DOTS strategy (RNTCP) on the epidemiology of TB. Further, three repeat surveys were carried out in the same area. A case control study was done in 1998 to study the association between Tobacco smoking and Pulmonary TB. The Epidemiology Unit of NIRT has also collaborated with National Tuberculosis Institute, Bangalore, in conducting a nationwide sample survey (tuberculin survey). Mortality surveys were completed in Andhra Pradesh and Orissa. Studies on mortality among cohorts of tuberculosis patients from Chennai Corporation and Thiruvallur district were completed. Following this, prevalence of tobacco use among the urban, semi-urban and rural areas around Chennai City were carried out. Further, in the subsequent disease surveys conducted in Chennai Metropolitan City, the information on exposure to risk factors like smoking, alcohol consumption were collected to study the association between these behavioural risk factors with pulmonary TB. The Department conducted the world's largest TB Prevalence Survey in India from 2019 to 2021. The National TB Prevalence Survey was conducted by the Department in collaboration with Central TB Division and World Health Organization. The survey has provided the TB prevalence for the country as well as TB prevalence of various states/ state group. This will help in monitoring the END TB activities in the country. The department has recently completed the first district wise TB prevalence in the State of Tamil Nadu. Currently, a demonstration project on short-course 3 months regimen with weekly isoniazid and rifapentine for tuberculosis preventive therapy is ongoing.

Head of the Department:

Dr. Sriram Selvaraju, MBBS., MPH., Scientist 'E'


Email id :

selvaraju[dot]s[at]icmr[dot]gov[dot]in

Sr. No. Name of the Staff Designation
1 Dr. Sriram S Scientist E
2 Dr. Devarajulu Reddy S Scientist D
3 Mr. Anbarasan K Technical Officer-C
4 Mr. John Arokiya Doss Y Technical Officer-C
5 Mr. Karthikesan M Technical Officer-C
6 Mr. Mahesh Kumar M Technical Officer-C
7 Mr. Chandrasekaran P Technical Officer-B
8 Mr. Kumaravel P Technical Officer-B
9 Mr. Devanathan A Technical Officer-A
10 Mr. Joseph Raj Kumar S.V Technical Officer-A
11 Mr. Munivardhan P Technical Officer-A
12 Mr. Nithya Kumar D Technical Officer-A
13 Mr. Prem Kumar N Technical Officer-A
14 Mr. Ramesh A.M Technical Officer-A
15 Mr. Ramesh Babu V Technical Officer-A
16 Mrs. Rani V Technical Officer-A
17 Mr. Thangaraj T Technical Officer-A
18 Mr. Venkataramana P.K Technical Officer-A
19 Mr. Venkatesan S Technical Officer-A
20 Mr. Sugumar S Technical Assistant
21 Mr. Surendra Choudhary Technical Assistant
22 Mr. Bharath T.K Senior Technician (1)
23 Mr. David R Senior Technician (1)
24 Mr. John Washington E A Senior Technician (1)
25 Mr. Venkatesan L Senior Technician (1)
26 Mr. Bharathiraja T Technician (2)
27 Mr. Sivaraman P Technician (2)
28 Mr. Manikandan M Lab Assistant-1
29 Mr. Venkateswara Rao B Lab Assistant-1
30 Mr. Albert F Lab Assistant
31 Mr. Duraivel E Lab Assistant
32 Mr. Eswaran G Lab Assistant
33 Mr. Jeeva J Lab Assistant
34 Mr. Karunakaran S Lab Assistant
35 Mr. Karunanidhi R Lab Assistant
36 Mr. Narasimhan R Lab Assistant
37 Mr. Ponnusamy T D Lab Assistant
38 Mr. Prakasam S Lab Assistant
39 Mr. Sivakumar A.M Lab Assistant
40 Mr. Srinivasan N Lab Assistant
41 Mr. Thirumalai K N Lab Assistant

  • Isolation and Characterisation of the first temperate phage capable of lysogenising M. tuberculosis

    In an effort to develop luciferase reporter phage (LRP) constructs with high sensitivity of detection, attempts were made successfully for isolating a temperate mycobacteriophage capable of infecting and lysogenising M. tuberculosis.

    Well stained acid fast bacilli (AFB) were demonstrated in smears prepared from pot stained sputum and smear results were comparable with conventional ZN method.

    The efficiency of the construct was found to be higher than the existing LRPs with cultures as anticipated. The attempt marked the beginning of diverse attempts to improve the LRP diagnostic assay.

  • LRPs for the rapid detection of dormant tubercle bacilli

    The luciferase reporter phages (LRP) show great promise for diagnostic mycobacteriology.

    Since the tuberculosis (TB) cases among HIV infected population result from the reactivation of latent bacilli, development of LRPs capable of detecting dormant bacteria would be useful.

    In a milestone study, 3 LRP constructs were developed using promoters of genes functioning during dormancy. These LRP constructs exhibited detectable luciferase activity in dormant as well as in actively growing M. tuberculosis .

  • Phagebiotics cocktail as substitute for antibiotic supplements in liquid culture of M. tuberculosis

    Organisms of the normal flora that survive the action of the decontaminating agent during sputum processing can cause heavy contamination of the culture, especially liquid culture.

    Antibiotic supplements are used in liquid cultures to control such growth despite reports that these agents have deleterious effect on the tubercle bacilli.

    This study demonstrated a novel hypothesis that a cocktail of phages that infect and lyse these organisms could be used in liquid cultures instead of the antibiotic supplements with better decontaminating efficiency and M. tuberculosis retrieving capacity.

    Further study established the feasibility of using phage lysin supplement to phagebiotics in decontaminating processed sputum samples in liquid culture of M. tuberculosis . The study opened up new possibility of developing a novel biofriendly method of sputum processing.

  • Phagebiotics cocktail as substitute for antibiotic supplements in liquid culture of M. tuberculosis

    Organisms of the normal flora that survive the action of the decontaminating agent during sputum processing can cause heavy contamination of the culture, especially liquid culture.

    Antibiotic supplements are used in liquid cultures to control such growth despite reports that these agents have deleterious effect on the tubercle bacilli.

    This study demonstrated a novel hypothesis that a cocktail of phages that infect and lyse these organisms could be used in liquid cultures instead of the antibiotic supplements with better decontaminating efficiency and M. tuberculosis retrieving capacity.

    Further study established the feasibility of using phage lysin supplement to phagebiotics in decontaminating processed sputum samples in liquid culture of M. tuberculosis . The study opened up new possibility of developing a novel biofriendly method of sputum processing.

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