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Hospitalization was recommended for the first 2 months of treatment.

Directly observed therapy was provided during hospitalization.

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Over 300 patients received treatment at our August medical camps A new playground is nearly completed and the kids are having so much fun Hope schools opened on Sept 11 for the third term and S.4 candidates are preparing for national exams The new classroom block is nearly completed, only missing windows, doors, and plastering In August the Virginia Tech engineering team installed a new solar system at St.

For patients who declined hospital admission, a 1-month supply of drugs was provided.

After hospital discharge, drugs were supplied on a monthly basis, in accordance with NTLP practices.

Patients were issued a treatment card on which they indicated each dose that was taken.

Drug resistance develops primarily through the selection of naturally occurring mutations in the presence of inadequate treatment [6].

Once initial resistance has developed, acquisition of resistance to additional drugs is more likely, and treatment with standard regimens may be suboptimal [7, 8].

Previous studies on the acquisition of drug resistance are limited by their retrospective design, a focus on new TB cases, selection bias of the study population, missing or incomplete , which may be associated with increased rates of drug resistance [9–13].

has emerged as a major global public health threat.

Resistant strains have been identified in most countries [1].

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