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Fueling Recovery, Saving Lives: How Food Fights TB
“A meal can be as powerful as medicine when it comes to beating tuberculosis.”

🔬 Breakthrough from the RATIONS Trial
A landmark study in Jharkhand (2019–2022) proved that nutritional support significantly enhances TB treatment outcomes:
- 2,800 pulmonary TB patients and 10,000+ household contacts participated.
- New TB cases dropped by 48%.
- Mortality among severely underweight patients (under 35 kg) fell to just 7%.
- Nutrition uplifted both patients and their families.
💰 Economic Benefits Backed by Data
A companion economic modelling study found:
- 361,000 deaths and 880,000 new TB cases can be averted by 2035 with 50% coverage.
- Just $167 per DALY (disability-adjusted life-year)—a high-impact, cost-effective strategy.
🎯 Targeting Makes It Smarter
The study suggests focusing on high-risk household contacts, especially in low-resource settings.
This targeted nutrition approach is more effective, financially efficient, and easier to implement.
📉 Nutrition as Prevention
- Better nutrition improves BMI, reducing the reactivation of TB.
- Improved recovery rates and lower transmission risks make it a double win.
- Nutrition helps contain the disease before it spreads.
🧭 Policy Takeaways
Policymakers must:
- Integrate nutrition support into TB programs.
- Prioritise underweight and high-risk families.
- Support families, not just individual patients, for long-term success.
💡 Final Word
TB is not just a medical challenge—it’s a nutrition emergency too.
The RATIONS trial shows that nutrition can break the chain of infection, death, and poverty.