This study focuses on the intersection of alcoholism and pulmonary tuberculosis (PTB) and its implications for public health. Conducted at a tertiary care hospital in Mumbai, the research aimed to identify the impact of alcohol consumption on PTB incidence, severity, and treatment outcomes among adult male patients. A descriptive case series approach was employed to study patients attending the outpatient department (OPD) and inpatient department (IPD) in May and June 2023.

The findings revealed a significant association between alcoholism and PTB, with chronic alcoholic patients being more susceptible to TB infection and developing severe complications. Comorbidities such as HIV, uncontrolled diabetes, and hemoptysis were commonly observed in these patients, necessitating comprehensive and integrated healthcare services.

Moreover, the study highlighted the psychiatric impact of alcoholism on PTB patients, with many presenting with depression and suicidal ideation. The challenges of early detection and management of PTB were also noted, indicating the need for stronger primary healthcare and community-based interventions.

In conclusion, this study underscores the need for a multidimensional approach to address the complex issues arising from the intersection of alcoholism and PTB. Comprehensive public health strategies encompassing early detection, treatment adherence, mental health support, and targeted preventive measures are crucial to mitigate the impact of alcohol on PTB risk and improve overall health outcomes.

Keywords: Tuberculosis, Alcohol, Alcohol and TB, Alcohol TB and Hepatic comorbidity.

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Dr Rajendra Tatu Nanavare

Chest Physician (SMC) and Unit head IV Group of T.B. Hospitals, Sewri, Mumbai 15, India