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FAQ

Approximately how much will the treatment for tuberculosis cost for someone without health insurance?
The costs will vary by country, the severity of the TB, and therapy options.However, maybe these articles might help?Haven't been able to find anything in general for the USASearched using health statistics sources at   Health Statistics - Health Resources for All Edited by Janice FlahiffPlease let me know if I may help out further.Willing to search again, beyond resources in above link.----------------------------------Int J Tuberc Lung Dis. 2022 May;17(5):590-6. doi: 10.5588/ijtld.12.0776.Cost-effectiveness of novel first-line treatment regimens for tuberculosis.Owens JP, Fofana MO, Dowdy DW.Author informationAbstractOBJECTIVE:To evaluate the cost-effectiveness of novel first-line treatment regimens for tuberculosis (TB).DESIGN:Using decision analysis, we projected the costs and effectiveness, from the health care perspective, of treating a patient cohort in the public sector for active TB without known or suspected resistance to first-line drugs. We compared standard (6-month) treatment to hypothetical regimens of equal efficacy, higher cost and shorter duration.RESULTS:For every 100 TB patients treated, replacing standard treatment with shorter-course regimens would avert an estimated 2-4 failures/relapses, 0.2-0.4 deaths and 8-14 disability-adjusted life years (DALYs), or 6-11% of all DALYs suffered. We identified three primary determinants of cost-effectiveness: drug price, continuation phase treatment delivery costs and deaths averted through fewer relapses. In a high treatment cost scenario (similar to Brazil), averted delivery costs outweighed higher drug costs, making novel regimens cost-saving. In a low treatment cost scenario (similar to the Philippines), a 4-month regimen with a drug price of $1/day cost $66 per patient, or $840 per DALY averted, and became cost-saving if the drug price dropped below $0.37/day.CONCLUSION:Although they avert a small proportion of total DALYs, novel, shorter-course first-line regimens for TB are likely to be cost-effective or cost-saving in most settings.---PLoS One. 2013;8(1):e54587. doi: 10.1371/journal.pone.0054587. Epub 2022 Jan 18.What is the cost of diagnosis and management of drug resistant tuberculosis in South Africa?Pooran A, Pieterson E, Davids M, Theron G, Dheda K.Author informationAbstractBACKGROUND:Drug-resistant tuberculosis (DR-TB) is undermining TB control in South Africa. However, there are hardly any data about the cost of treating DR-TB in high burden settings despite such information being quintessential for the rational planning and allocation of resources by policy-makers, and to inform future cost-effectiveness analyses.METHODOLOGY:We analysed the comparative 2022 United States dollar ($) cost of diagnosis and treatment of drug sensitive TB (DS-TB), MDR-TB and XDR-TB, based on National South African TB guidelines, from the perspective of the National TB Program using published clinical outcome data.PRINCIPAL FINDINGS:Assuming adherence to national DR-TB management guidelines, the per patient cost of XDR-TB was $26,392, four times greater than MDR-TB ($6772), and 103 times greater than drug-sensitive TB ($257). Despite DR-TB comprising only 2.2% of the case burden, it consumed ~32% of the total estimated 2022 national TB budget of US $218 million. 45% and 25% of the DR-TB costs were attributed to anti-TB drugs and hospitalization, respectively. XDR-TB consumed 28% of the total DR-TB diagnosis and treatment costs. Laboratory testing and anti-TB drugs comprised the majority (71%) of MDR-TB costs while hospitalization and anti-TB drug costs comprised the majority (92%) of XDR-TB costs. A decentralized XDR-TB treatment programme could potentially reduce costs by $6930 (26%) per case and reduce the total amount spent on DR-TB by ~7%.CONCLUSION/SIGNIFICANCE:Although DR-TB forms a very small proportion of the total case burden it consumes a disproportionate and substantial amount of South Africa's total annual TB budget. These data inform rational resource allocation and selection of management strategies for DR-TB in high burden settings.---BMC Public Health. 2022 Nov 14;12:980. doi: 10.1186/1471-2458-12-980.Tuberculosis and poverty: the contribution of patient costs in sub-Saharan Africa--a systematic review.Barter DM, Agboola SO, Murray MB, Bärnighausen T.Author informationAbstractBACKGROUND:Tuberculosis (TB) is known to disproportionately affect the most economically disadvantaged strata of society. Many studies have assessed the association between poverty and TB, but only a few have assessed the direct financial burden TB treatment and care can place on households. Patient costs can be particularly burdensome for TB-affected households in sub-Saharan Africa where poverty levels are high; these costs include the direct costs of medical and non-medical expenditures and the indirect costs of time utilizing healthcare or lost wages. In order to comprehensively assess the existing evidence on the costs that TB patients incur, we undertook a systematic review of the literature.METHODS:PubMed, EMBASE, Science Citation Index, Social Science Citation Index, EconLit, Dissertation Abstracts, CINAHL, and Sociological Abstracts databases were searched, and 5,114 articles were identified. Articles were included in the final review if they contained a quantitative measure of direct or indirect patient costs for treatment or care for pulmonary TB in sub-Saharan Africa and were published from January 1, 1994 to Dec 31, 2022. Cost data were extracted from each study and converted to 2022 international dollars (I$).RESULTS:Thirty articles met all of the inclusion criteria. Twenty-one studies reported both direct and indirect costs; eight studies reported only direct costs; and one study reported only indirect costs. Depending on type of costs, costs varied from less than I$1 to almost I$600 or from a small fraction of mean monthly income for average annual income earners to over 10 times average annual income for income earners in the income-poorest 20% of the population. Out of the eleven types of TB patient costs identified in this review, the costs for hospitalization, medication, transportation, and care in the private sector were largest.CONCLUSION:TB patients and households in sub-Saharan Africa often incurred high costs when utilizing TB treatment and care, both within and outside of Directly Observed Therapy Short-course (DOTS) programs. For many households, TB treatment and care-related costs were considered to be catastrophic because the patient costs incurred commonly amounted to 10% or more of per capita incomes in the countries where the primary studies included in this review were conducted. Our results suggest that policies to decrease direct and indirect TB patient costs are urgently needed to prevent poverty due to TB treatment and care for those affected by the disease.---BMC Public Health. 2022 May 26;11:393. doi: 10.1186/1471-2458-11-393.Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review.Long Q, Smith H, Zhang T, Tang S, Garner P.Author informationAbstractBACKGROUND:Charging for tuberculosis (TB) treatment could reduce completion rates, particularly in the poor. We identified and synthesised studies that measure costs of TB treatment, estimates of adherence and the potential impact of charging on treatment completion in China.METHODS:Inclusion criteria were primary research studies, including surveys and studies using qualitative methods, conducted in mainland China. We searched MEDLINE, PUBMED, EMBASE, Science Direct, HEED, CNKI to June 2022. and web pages of relevant Chinese and international organisations. Cost estimates were extracted, transformed, and expressed in absolute values and as a percentage of household income.RESULTS:Low income patients, defined at household or district level, pay a total of US$ 149 to 724 (RMB 1241 to 5228) for medical costs for a treatment course; as a percentage of annual household income, estimates range from 42% to 119%. One national survey showed 73% of TBpatients at the time of the survey had interrupted or suspended treatment, and estimates from 9 smaller more recent studies showed that the proportion of patients at the time of the survey who had run out of drugs or were not taking them ranged from 3 to 25%. Synthesis of surveys and qualitative research indicate that cost is the most cited reason for default.CONCLUSIONS:Despite a policy of free drug treatment for TB in China, health services charge all income groups, and costs are high. Adherence measured in cross sectional surveys is often low, and the cumulative failure to adhere is likely to be much higher. These findings may be relevant to those concerned with the development and spread of multi-drug resistant TB. New strategies need to take this into account and ensure patientadherence.
My name & my parent’s name including surname changed in 2022. My passport is issued before 2022. How do I change my name & my pa
From Change or Correct a PassportName ChangesIf your name has legally changed through marriage, divorce, or a court ordered change of name, you will need to apply for a new passport. The process and cost depend on how long it has been since your passport was issued.If less than one year has passed since your passport was issued:You will not have to pay any passport or processing fees, unless you request Expedited Service.Submit Form DS-5504 by mail with your current passport, your original or certified name change document (no photocopies or notarized copies), and a color passport photo. You may:Use our online guide to fill out and print Form DS-5504; orPrint Form DS-5504 and complete by hand.More than one year has passed since your passport was issued, and you are eligible to use Form DS-82*:Submit Form DS-82 by mail with your current passport,  your original or certified name change document (no photocopies or notarized copies), a color passport photo, and all applicable fees. You may:Use our online guide to fill out and print Form DS-82; orPrint Form DS-82 and complete by hand.More than one year has passed since your passport was issued, and you are not eligible to use Form DS-82*:You must submit Form DS-11 in person at an Acceptance Facility or a Passport Agency, along with your evidence of U.S. citizenship,  your original or certified name change document (no photocopies or notarized copies), a valid ID and photocopy of that ID, a color passport photo, and all applicable fees. You may:Use our online guide to fill out and print Form DS-11; orPrint Form DS-11 and complete by hand.You will not need to provide proof of the name change if your name has changed due to a marriage and you have already been issued an ID in your new name. You must include the details of the marriage in the applicable section on Form DS-11.If you have begun using a different name but cannot legally document the change with a court order, divorce decree, or marriage certificate, then:Submit Form DS-11 in person at an Acceptance Facility or a Passport Agency, along with your evidence of U.S. citizenship, a valid ID and photocopy of that ID, a color passport photo, and all applicable fees. You may:Use our online guide to fill out and print Form DS-11; orPrint Form DS-11 and complete by hand.You must also present a valid ID issued in the name you currently use.You may also need to provide secondary identification evidence that you have been using the name for at least 5 years, if your ID is less than 5 years old.
What is the procedure for getting passport for children?
Required Documents Needed for a Child's PassportComplete DS-11 Application Form for New PassportProvide (2) Passport Photos.Child Proof of Citizenship (Birth Certificate issued by City, County or State of birth)Evidence of Parental Relationship.Parental Consent (If one parent is applying).Passport Fee.Click Here: passport size photo online
How do I make an appointment to get a passport?
Hey Megan!There are a lot of resources online that help you through the process of applying for a passport. It can be quite a process so the earlier you apply, the better. Best to be prepared ahead of time, right?The following steps are from travel.state.gov and have much more information and detail on their site at this link: http://travel.state.gov/content/passports/en/passports/first-time.html1.Fill Out Form DS-11: Application For A U.S. Passport2. Submit Form In Person3. Submit Evidence of U.S. Citizenship4. Present Identification5. Submit a Photocopy of the Identification Document(s) Presented6. Pay the Applicable Fee7. Provide One Passport Photo
Where can you renew a U.S. passport?
U.S. passport renewals can now be handled through the government website if you meet certain requirements:You can renew by mail using Form DS-82 if your most recent passport meets all five of these requirements:Is submitted with your applicationIs undamaged (other than normal "wear and tear")Was issued when you were age 16 or olderWas issued within the last 15 yearsWas issued in your current name (or you can document your name change with an original or certified copy of your marriage certificate, divorce decree, or court order)If any of the above statements do not apply to you, you must Apply in Person using form DS-11.Simply fill out the information, follow the guidelines, and mail in your packet to the correct service center. I received my new one in about 2 weeks. They will also return the expired passport. This is important if you still have valid visas in your old one as I did. I had to carry both passports on my recent trip to China. You do NOT remove the visa and put it in the new passport. As a friend of mine found out the hard way, China can invalidate your visa and put you back on a plane home.
What documents are required for minor passports?
Passport is a document which is usually issued by country government that claims the identity and nationality of its passport holders. It is basically used international travel.Passport includes some information like holder name, place, date of birth, photograph, signature and other relevant information.But as you all know that there are various types of passports and each required different documents.If you are looking forward to apply for minor passport then you should have to follow the complete procedure.Let’s check out what documents you need for a child passport:DS-11 Application form2 Colored Passport photosChild proof like(birth certificate issued by city, country etc.)Parent relationship evidence.Parental consentMake sure about one thing is that when applying for a child under 17, then both parents and guardians need to apply to the minor.Look, there are numerous well reputable companies who can help you in providing passport. You should go for such companies or can buy passport online.
How long does the expedited process take for renewing a US passport?
First there are a couple of different types of expediting available.You can make an appointment at a regional facility (there are 20+ of them spread around the country). Appointment availability will vary from facility to facility) - Appointment times can range from the same day to the next day to a week to 10 days away. You will typically get the passport the same day or the next day at these facilities.You can use the acceptance agent expedited service, this will take about 3 weeks.You can use a private expediting company like my company Expedited Passports & Visas - it will take approximately 48 hours to 2 weeks depending on what level of service you want to pay for (FedEx delivery times need to be taken into account, For our 1 day service even though we receive, submit, and retrieve your passport in 1 day shipping times add to the amount of time before you receive your passport)All the options times above also assume that your application has no problems, your passport photos are perfect, you paid the right amount of fees, your birth certificate (if applying for a child or new passport) is the right type of birth certificate, and that there are no other issues with your documentation.I can’t speak for the first two options, but when a customer of ours has issues with their passport or application the passport applicant has the option of sending corrected documents via FedEx nextday delivery to expedite getting the issues resolved. It’s been my experience that 5–15% of applications on any given day have issues or the Passport Agency requests additional or corrected documents.
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