In the remote pastoralist community of Hada Gora Kebele, West Guji, our team faced an unexpected reality: a single household where every member was suffering from TB. This is where TB often hides—silently spreading through families and the community at large due to a lack of awareness and access to care.
The Turning Point
While conducting symptom-based screening under the Urban TB LON II Project, our team identified an 8-year-old child exhibiting the signs and symptoms of TB. Swift intervention led to a GeneXpert-confirmed diagnosis.
Recognizing the high risk of household transmission, we immediately expanded our screening to the rest of the family. The results were immediate and critical: four family members—ranging from a 5-year-old child to an 80-year-old elder—were confirmed positive and successfully linked to lifesaving treatment at Soda Health Center.

Why This Matters
This case confirms that childhood TB is a clear warning sign of community transmission. When we find one case, we must look further. We aren’t just screening; we are saving entire families and safeguarding our community. We will not stop until we reach all people with TB and drug-resistant TB (DR-TB) cases.
We owe this success to the unwavering commitment of the Urban TB LON II project team and our dedicated healthcare workers. We are also deeply grateful for the support of the U.S. Government, which helps us reach and save lives in Ethiopia’s most challenging TB hotspot areas.
Our Commitment
Our mission is clear: to ensure no one is left behind. By bringing proactive screening directly to households, we are breaking the chain of transmission and bringing hope to those in the hardest-to-reach places.