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MEDICAL PROFESSION LESS AWARE OF DOTS AND LESS INVOLVOING AND CALLOUS IN ATTITUDE INFRA STRUCTURE NOT ENOUGH FOR TREATING 3.5 MILLIOONS OF CASES CASE FINDING IS LESS THAN OPTIMUM CASE HOLDING IS POOR AND MUCH OF DEFAULTERING DIRECT OBSERVATION NOT EFFECTIVE AND NOT EVALUATED HIV/AIDS ADDING FUEL TO THE FIRE INCRAESED MDRTB POINTS TO LACK OF PROPER SUPERVISION DURING TREATMENT. IF TREATMENT IS REALLY OBSERVED, MDRTB IS LESS LIKELY TO OCCUR.