National Tuberculosis Elimination Program NTEP India objectives strategies newer initiatives 2025

https://en.wikipedia.org/wiki/National_TB_Elimination_Progra…

https://www.pib.gov.in/PressReleasePage.aspx?PRID=2244661&re…

mkdir -p /home/daytona/workspace/tb-presentation && ls /home/daytona/workspace/t…

~/tb-presentation/create_tb_pptx.js

const pptxgen = require("pptxgenjs");

const pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Tuberculosis: Epidemiology & NTEP Strategies";
pres.author = "Medical Summary";

// ─── COLOR PALETTE ───────────────────────────────────────────────────────────
const C = {
  deepRed:   "8B1A1A",   // dominant dark red (TB awareness colour)
  midRed:    "C0392B",   // accent
  warmRed:   "E74C3C",   // highlight
  offWhite:  "FAF6F2",   // slide bg
  lightCream:"FDF3EF",
  cardBg:    "FFFFFF",
  textDark:  "2C1A1A",
  textMid:   "5D3A3A",
  textLight: "9B6B6B",
  accentGold:"D4A017",
  accentTeal:"1A7A8A",
  lightTeal: "E8F5F7",
  lightRed:  "FCE8E8",
};

// ─── HELPER FUNCTIONS ─────────────────────────────────────────────────────────
function addSlideHeader(slide, title, subtitle) {
  // Dark header bar at top
  slide.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 0, w: 10, h: 1.05,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  // Red accent stripe
  slide.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 1.05, w: 10, h: 0.06,
    fill: { color: C.warmRed }, line: { color: C.warmRed }
  });
  slide.addText(title, {
    x: 0.35, y: 0.12, w: 8.8, h: 0.65,
    fontSize: 22, bold: true, color: "FFFFFF",
    fontFace: "Calibri", margin: 0
  });
  if (subtitle) {
    slide.addText(subtitle, {
      x: 0.35, y: 0.72, w: 8.8, h: 0.3,
      fontSize: 11, color: "F0C0C0",
      fontFace: "Calibri", margin: 0
    });
  }
}

function addSlideFooter(slide) {
  slide.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 5.45, w: 10, h: 0.175,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  slide.addText("TB Epidemiology & NTEP  |  Summary Document", {
    x: 0.3, y: 5.455, w: 9.4, h: 0.16,
    fontSize: 7.5, color: "F5C5C5", fontFace: "Calibri",
    align: "center", margin: 0
  });
}

function addCard(slide, x, y, w, h, headerText, headerColor, items, headerFontSize, itemFontSize) {
  headerColor = headerColor || C.deepRed;
  headerFontSize = headerFontSize || 10.5;
  itemFontSize = itemFontSize || 9.5;

  slide.addShape(pres.shapes.RECTANGLE, {
    x, y, w, h,
    fill: { color: C.cardBg },
    line: { color: "E0D0D0", width: 1 },
    shadow: { type: "outer", color: "000000", blur: 4, offset: 2, angle: 135, opacity: 0.08 }
  });
  slide.addShape(pres.shapes.RECTANGLE, {
    x, y, w, h: 0.32,
    fill: { color: headerColor }, line: { color: headerColor }
  });
  slide.addText(headerText, {
    x: x + 0.1, y: y + 0.03, w: w - 0.15, h: 0.28,
    fontSize: headerFontSize, bold: true, color: "FFFFFF",
    fontFace: "Calibri", margin: 0
  });

  const textItems = items.map((item, i) => ({
    text: item,
    options: { bullet: { type: "bullet", characterCode: "25B8" }, breakLine: i < items.length - 1, fontSize: itemFontSize, color: C.textDark, fontFace: "Calibri" }
  }));
  slide.addText(textItems, {
    x: x + 0.12, y: y + 0.36, w: w - 0.22, h: h - 0.42,
    valign: "top"
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 1 — TITLE SLIDE
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.deepRed };

  // Large white cross / TB ribbon visual block
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 0, w: 10, h: 5.625,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  // Decorative bottom band
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 4.9, w: 10, h: 0.725,
    fill: { color: "6B1010" }, line: { color: "6B1010" }
  });
  // Gold accent line
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 4.88, w: 10, h: 0.06,
    fill: { color: C.accentGold }, line: { color: C.accentGold }
  });
  // Left white sidebar
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 0, w: 0.35, h: 5.625,
    fill: { color: "6B1010" }, line: { color: "6B1010" }
  });

  s.addText("TUBERCULOSIS", {
    x: 0.6, y: 0.8, w: 8.8, h: 0.9,
    fontSize: 44, bold: true, color: "FFFFFF",
    fontFace: "Calibri", charSpacing: 8, margin: 0
  });
  s.addText("Epidemiology, Prevention & NTEP Strategies", {
    x: 0.6, y: 1.72, w: 8.8, h: 0.55,
    fontSize: 18, color: "F5C0C0",
    fontFace: "Calibri", margin: 0
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.6, y: 2.38, w: 3.5, h: 0.05,
    fill: { color: C.accentGold }, line: { color: C.accentGold }
  });
  s.addText([
    { text: "National Tuberculosis Elimination Programme (NTEP)", options: { breakLine: true } },
    { text: "India's Mission: TB Elimination by 2025", options: {} }
  ], {
    x: 0.6, y: 2.55, w: 8.5, h: 0.7,
    fontSize: 12.5, color: "FFDDCC", fontFace: "Calibri", margin: 0
  });
  s.addText([
    { text: "Source: ", options: { bold: true, breakLine: false } },
    { text: "Park's Textbook of Preventive & Social Medicine  |  Murray & Nadel's Respiratory Medicine  |  MoHFW India 2025", options: {} }
  ], {
    x: 0.6, y: 4.92, w: 9.2, h: 0.28,
    fontSize: 7.5, color: "F0C0C0", fontFace: "Calibri", margin: 0
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 2 — GLOBAL & INDIA BURDEN
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "Global & Indian Burden of Tuberculosis", "Scale of the TB epidemic — worldwide and India's share");
  addSlideFooter(s);

  // Big stat boxes — row 1
  const stats = [
    { val: "1.7 Billion", label: "People infected\nglobally (latent TB)", color: C.deepRed },
    { val: "10 Million", label: "New TB cases\nper year (2018)", color: C.midRed },
    { val: "1.2 Million", label: "Deaths due to TB\nper year (2018)", color: "7B2020" },
    { val: "26%", label: "India's share of\nglobal TB cases", color: C.accentTeal },
  ];
  stats.forEach((st, i) => {
    const x = 0.25 + i * 2.42;
    s.addShape(pres.shapes.RECTANGLE, {
      x, y: 1.22, w: 2.25, h: 1.25,
      fill: { color: st.color }, line: { color: st.color },
      shadow: { type: "outer", color: "000000", blur: 5, offset: 2, angle: 135, opacity: 0.15 }
    });
    s.addText(st.val, {
      x: x + 0.05, y: 1.27, w: 2.15, h: 0.58,
      fontSize: 22, bold: true, color: "FFFFFF",
      fontFace: "Calibri", align: "center", margin: 0
    });
    s.addText(st.label, {
      x: x + 0.05, y: 1.85, w: 2.15, h: 0.55,
      fontSize: 9, color: "FFE0D0",
      fontFace: "Calibri", align: "center", margin: 0
    });
  });

  // India-specific data table
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.25, y: 2.6, w: 9.5, h: 0.3,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  s.addText("INDIA — TB Burden 2019 (Population: 1,366 million)", {
    x: 0.35, y: 2.62, w: 9.2, h: 0.25,
    fontSize: 11, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });

  const tableData = [
    ["Parameter", "Number (thousands)", "Rate per 100,000"],
    ["Total Incidence", "2,640 (1,800–3,630)", "193 (132–266)"],
    ["HIV+TB Incidence", "71 (49–98)", "5.2 (3.6–7.2)"],
    ["MDR/RR-TB Incidence", "124 (73–189)", "9.1 (5.3–14)"],
    ["Mortality (HIV-negative)", "436 (404–469)", "32 (30–34)"],
    ["Mortality (HIV-positive)", "9.5 (6–14)", "0.69 (0.44–1)"],
  ];
  s.addTable(tableData, {
    x: 0.25, y: 2.9, w: 9.5, h: 2.25,
    fontSize: 9.5, fontFace: "Calibri",
    color: C.textDark,
    border: { type: "solid", color: "E0CACA", pt: 0.5 },
    fill: "FFFFFF",
    rowH: 0.35,
    colW: [3.2, 3.3, 3.0],
    align: "center",
    valign: "middle",
    autoPage: false,
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 3 — EPIDEMIOLOGICAL TRIAD (AGENT, HOST, ENVIRONMENT)
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "Epidemiological Triad of Tuberculosis", "Agent, Host, and Environmental factors driving TB transmission");
  addSlideFooter(s);

  // Agent Card
  addCard(s, 0.2, 1.2, 3.1, 3.95, "AGENT — M. tuberculosis", C.deepRed, [
    "Acid-fast, aerobic, non-spore-forming bacillus",
    "7 phylogenetic lineages (Indo-Oceanic L1, East-Asian L2, Euro-American L4, etc.)",
    "Airborne droplet nuclei (1–5 microns)",
    "Source: Sputum of active pulmonary TB cases",
    "Survives hours in air; killed by UV light & heat",
    "1 smear+ve case infects 10–15 persons/year",
  ], 10.5, 9);

  // Host Card
  addCard(s, 3.45, 1.2, 3.1, 3.95, "HOST — Risk Factors", C.midRed, [
    "HIV (20–30x increased risk)",
    "Malnutrition & underweight",
    "Diabetes mellitus",
    "Age: <5 yrs, 15–30 yrs, elderly",
    "Tobacco & alcohol use",
    "Prior TB infection / fibrotic CXR lesions",
    "Immunosuppressive drugs (TNF-alpha inhibitors)",
  ], 10.5, 9);

  // Environment Card
  addCard(s, 6.7, 1.2, 3.1, 3.95, "ENVIRONMENT", C.accentTeal, [
    "Overcrowding (most important factor)",
    "Poor ventilation & low sunlight",
    "Urban slums & congregate settings",
    "Poverty & low socioeconomic status",
    "Prison & shelter populations",
    "Industrial exposure (silica dust)",
    "Indoor air pollution",
  ], 10.5, 9);

  // ARI note at bottom
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 5.18, w: 9.6, h: 0.22,
    fill: { color: "FDF0E0" }, line: { color: C.accentGold }
  });
  s.addText("Annual Risk of Infection (ARI): 1% ARI = 50 new smear+ve cases/year per 100,000 population — best indicator of TB burden trend", {
    x: 0.28, y: 5.19, w: 9.44, h: 0.2,
    fontSize: 8.5, color: "5A3A00", fontFace: "Calibri", margin: 0, italic: true
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 4 — PREVENTION OF TB
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "Prevention of Pulmonary Tuberculosis", "Two fundamental pillars: Case-finding + Treatment, and BCG Vaccination");
  addSlideFooter(s);

  // Pillar 1
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 1.18, w: 4.7, h: 0.35,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  s.addText("PILLAR 1 — Case-finding & Treatment (Most Powerful Weapon)", {
    x: 0.28, y: 1.2, w: 4.55, h: 0.3,
    fontSize: 10, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });
  const p1items = [
    { text: "Passive Case-finding: Symptomatic patients (>60%) self-present; persistent cough most common.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Intensified Case-finding (ICF): Provider-initiated; targets vulnerable groups — PLHIV, contacts, homeless, prisoners.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Screening tools: Symptom screening → Chest X-ray → Xpert MTB/RIF (CB-NAAT).", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "TB Preventive Treatment (TPT): 6H / 3HP / 1HP regimens for household contacts, PLHIV, high-risk groups.", options: { bullet: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
  ];
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 1.53, w: 4.7, h: 2.35,
    fill: { color: C.lightRed }, line: { color: "E0BABA" }
  });
  s.addText(p1items, { x: 0.3, y: 1.58, w: 4.5, h: 2.25, valign: "top" });

  // Pillar 2 — BCG
  s.addShape(pres.shapes.RECTANGLE, {
    x: 5.1, y: 1.18, w: 4.7, h: 0.35,
    fill: { color: C.accentTeal }, line: { color: C.accentTeal }
  });
  s.addText("PILLAR 2 — BCG Vaccination", {
    x: 5.18, y: 1.2, w: 4.55, h: 0.3,
    fontSize: 10, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });
  const p2items = [
    { text: "Efficacy: ~80% against severe childhood TB & TB meningitis; variable for adult pulmonary TB.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "India policy: Given at birth (institutional) or at 6 weeks (with DPT + OPV) intradermally, 0.1 mg/0.1 ml, above left deltoid.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Reaction: Papule at 2–3 weeks → 4–8 mm scar by 6–12 weeks; Mantoux+ve in 8–14 weeks.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Neonates: 0.05 ml dose to prevent local abscess from thinner skin.", options: { bullet: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
  ];
  s.addShape(pres.shapes.RECTANGLE, {
    x: 5.1, y: 1.53, w: 4.7, h: 2.35,
    fill: { color: C.lightTeal }, line: { color: "B0D8DE" }
  });
  s.addText(p2items, { x: 5.2, y: 1.58, w: 4.5, h: 2.25, valign: "top" });

  // Infection control section
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 3.98, w: 9.6, h: 0.3,
    fill: { color: "6B1010" }, line: { color: "6B1010" }
  });
  s.addText("ADDITIONAL PREVENTION MEASURES — Infection Control & Social Determinants", {
    x: 0.3, y: 4.0, w: 9.3, h: 0.25,
    fontSize: 10, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });
  const addItems = [
    { text: "Admin: Rapid ID & isolation of infectious cases; cough etiquette; triage protocols.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Environmental: Natural/mechanical ventilation; UV germicidal irradiation (UVGI) in health facilities.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "PPE: N95 respirators for HCWs in high-risk settings.", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Social determinants: Reduce overcrowding, poverty, malnutrition; multisectoral response; nutrition supplementation.", options: { bullet: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
  ];
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 4.28, w: 9.6, h: 0.95,
    fill: { color: "FEF8F0" }, line: { color: "E8D8B0" }
  });
  s.addText(addItems, { x: 0.3, y: 4.3, w: 9.4, h: 0.9, valign: "top" });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 5 — NTEP OVERVIEW
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "NTEP — National Tuberculosis Elimination Programme", "India's flagship TB programme under National Health Mission (NHM)");
  addSlideFooter(s);

  // Timeline bar
  const timeline = [
    { year: "1962", label: "NTP\nLaunched", color: C.textLight },
    { year: "1992", label: "RNTCP\nIntroduced", color: C.textMid },
    { year: "1997", label: "RNTCP\nNationwide", color: C.deepRed },
    { year: "2017", label: "NSP\n2017–25", color: C.midRed },
    { year: "2020", label: "RNTCP →\nNTEP", color: "C0392B" },
    { year: "2025", label: "TB Elimination\nTarget", color: C.accentGold },
  ];
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 1.85, w: 9.6, h: 0.06,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  timeline.forEach((t, i) => {
    const x = 0.3 + i * 1.58;
    s.addShape(pres.shapes.ELLIPSE, {
      x: x + 0.45, y: 1.68, w: 0.22, h: 0.22,
      fill: { color: t.color }, line: { color: "FFFFFF", width: 1.5 }
    });
    s.addText(t.year, {
      x: x + 0.2, y: 1.35, w: 0.7, h: 0.28,
      fontSize: 10, bold: true, color: t.color,
      fontFace: "Calibri", align: "center", margin: 0
    });
    s.addText(t.label, {
      x: x + 0.1, y: 2.0, w: 0.9, h: 0.42,
      fontSize: 7.5, color: C.textMid,
      fontFace: "Calibri", align: "center", margin: 0
    });
  });

  // Objectives + Vision
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 2.6, w: 4.65, h: 0.3,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  s.addText("OBJECTIVES", {
    x: 0.3, y: 2.62, w: 4.45, h: 0.25,
    fontSize: 10.5, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 2.9, w: 4.65, h: 2.35,
    fill: { color: C.lightRed }, line: { color: "E0BABA" }
  });
  s.addText([
    { text: "Eliminate TB in India by 2025 (<1 case/million population)", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Reduce TB incidence by 90% and mortality by 95% (vs. 2015 baseline)", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Zero TB-affected families face catastrophic costs", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Universal access to quality TB care (public + private)", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "SDG 3: End TB Epidemic by 2030 (India targets 5 years ahead)", options: { bullet: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
  ], { x: 0.3, y: 2.95, w: 4.45, h: 2.25, valign: "top" });

  // Four pillars
  s.addShape(pres.shapes.RECTANGLE, {
    x: 5.1, y: 2.6, w: 4.7, h: 0.3,
    fill: { color: C.accentTeal }, line: { color: C.accentTeal }
  });
  s.addText("NSP FOUR PILLARS", {
    x: 5.2, y: 2.62, w: 4.5, h: 0.25,
    fontSize: 10.5, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });

  const pillars = [
    { icon: "D", label: "DETECT", sub: "Xpert/CB-NAAT, UDST, ICF", color: C.deepRed },
    { icon: "T", label: "TREAT", sub: "Daily regimens, DR-TB mgmt", color: C.midRed },
    { icon: "P", label: "PREVENT", sub: "BCG, TPT, infection control", color: C.accentTeal },
    { icon: "B", label: "BUILD", sub: "Nikshay, private sector, NHM", color: "7B5A00" },
  ];
  pillars.forEach((p, i) => {
    const px = 5.15 + i * 1.17;
    s.addShape(pres.shapes.RECTANGLE, {
      x: px, y: 3.0, w: 1.1, h: 2.2,
      fill: { color: p.color }, line: { color: p.color },
      shadow: { type: "outer", color: "000000", blur: 4, offset: 2, angle: 135, opacity: 0.12 }
    });
    s.addText(p.label, {
      x: px + 0.02, y: 3.05, w: 1.06, h: 0.42,
      fontSize: 13, bold: true, color: "FFFFFF",
      fontFace: "Calibri", align: "center", margin: 0
    });
    s.addText(p.sub, {
      x: px + 0.04, y: 3.55, w: 1.02, h: 1.55,
      fontSize: 8.5, color: "FFEECC",
      fontFace: "Calibri", align: "center", wrap: true, valign: "top"
    });
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 6 — KEY STRATEGIES OF NTEP
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "NTEP — Key Strategies", "Core operational strategies driving TB elimination in India");
  addSlideFooter(s);

  const strategies = [
    {
      title: "DOTS", color: C.deepRed,
      items: ["Directly Observed Treatment Short-course", "Cornerstone of RNTCP/NTEP", "Ensures treatment adherence", "Free drugs at DOT centres"],
    },
    {
      title: "Universal DST (UDST)", color: C.midRed,
      items: ["All newly diagnosed TB patients tested upfront for drug resistance", "CB-NAAT / Xpert MTB/RIF: 90-min result", "Line Probe Assay (LPA): 1st & 2nd line", "Guides appropriate regimen choice"],
    },
    {
      title: "Daily Drug Regimens", color: "7B2020",
      items: ["Shift from thrice-weekly to daily dosing", "Reduces risk of acquired drug resistance", "Better pharmacokinetics & outcomes", "Applied across all TB categories"],
    },
    {
      title: "Private Sector Engagement", color: C.accentTeal,
      items: ["Mandatory TB notification by private providers", "Nikshay platform for notifications", "Incentives for private labs & providers", ">50% TB burden in private sector"],
    },
    {
      title: "DR-TB Management", color: "1A5A6A",
      items: ["Dedicated DRTB centres nationwide", "Shorter MDR-TB regimens (9-month)", "BPaLM regimen (Bedaquiline, Pretomanid,  Linezolid, Moxifloxacin)", "Delamanid for XDR-TB"],
    },
    {
      title: "Multisectoral Response", color: "5A7A00",
      items: ["24 line ministries involved", "Nutrition, housing, education links", "Social protection for TB patients", "Whole-of-government approach"],
    },
  ];

  strategies.forEach((st, i) => {
    const col = i % 3;
    const row = Math.floor(i / 3);
    addCard(s, 0.2 + col * 3.25, 1.22 + row * 2.12, 3.1, 2.0, st.title, st.color, st.items, 10, 8.5);
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 7 — NEWER INITIATIVES
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "NTEP — Newer Initiatives (2018–2025)", "Recent programme innovations accelerating TB elimination in India");
  addSlideFooter(s);

  const initiatives = [
    {
      year: "2012", name: "Nikshay Platform",
      desc: "Web-based TB case notification & patient tracking system. Real-time monitoring of treatment outcomes. Used by public & private providers.",
      color: C.textMid,
    },
    {
      year: "2018", name: "Nikshay Poshan Yojana",
      desc: "Direct benefit transfer of Rs. 500/month to all TB patients for nutritional support during treatment — countering drug side effects & malnutrition.",
      color: C.midRed,
    },
    {
      year: "2022 Sep", name: "PM TB Mukt Bharat Abhiyaan",
      desc: "Jan Andolan (people's movement) to unite all sections of society. Objectives: Additional patient support, community engagement, leverage CSR funds.",
      color: C.deepRed,
    },
    {
      year: "2022", name: "Ni-kshay Mitra Programme",
      desc: "Volunteer 'friends of TB patients' — individuals, NGOs, corporates — provide nutritional, diagnostic & vocational support beyond government facilities.",
      color: "7B2020",
    },
    {
      year: "2024 Dec", name: "100-Day TB Mukt Bharat Abhiyan",
      desc: "Intensive drive in 347 high-priority districts across 33 States/UTs. Vulnerability mapping, systematic screening, 30,000+ elected reps, 24 ministries involved. Now expanded nationwide.",
      color: "C0392B",
    },
    {
      year: "Ongoing", name: "New Drug Regimens",
      desc: "BPaLM for MDR-TB; shorter 6-9 month regimens; Bedaquiline & Delamanid conditional access. UDST enabling precision treatment for all TB patients.",
      color: C.accentTeal,
    },
  ];

  initiatives.forEach((init, i) => {
    const col = i % 2;
    const row = Math.floor(i / 2);
    const x = 0.2 + col * 4.88;
    const y = 1.22 + row * 1.47;

    s.addShape(pres.shapes.RECTANGLE, {
      x, y, w: 4.7, h: 1.38,
      fill: { color: C.cardBg },
      line: { color: "E0D0D0", width: 0.75 },
      shadow: { type: "outer", color: "000000", blur: 3, offset: 1.5, angle: 135, opacity: 0.07 }
    });
    // Year badge
    s.addShape(pres.shapes.RECTANGLE, {
      x, y, w: 1.0, h: 0.3,
      fill: { color: init.color }, line: { color: init.color }
    });
    s.addText(init.year, {
      x: x + 0.03, y: y + 0.04, w: 0.94, h: 0.22,
      fontSize: 8.5, bold: true, color: "FFFFFF", fontFace: "Calibri",
      align: "center", margin: 0
    });
    // Initiative name
    s.addText(init.name, {
      x: x + 1.05, y: y + 0.04, w: 3.55, h: 0.25,
      fontSize: 10.5, bold: true, color: init.color,
      fontFace: "Calibri", margin: 0
    });
    // Description
    s.addText(init.desc, {
      x: x + 0.12, y: y + 0.34, w: 4.46, h: 0.98,
      fontSize: 8.5, color: C.textDark, fontFace: "Calibri",
      valign: "top", wrap: true
    });
  });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 8 — NTEP STRUCTURE & AGE / SEX DISTRIBUTION
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  addSlideHeader(s, "NTEP Programme Structure & India TB Profile", "Organizational hierarchy and demographic distribution of TB cases");
  addSlideFooter(s);

  // Structure
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0.2, y: 1.22, w: 5.0, h: 0.3,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  s.addText("NTEP ORGANISATIONAL STRUCTURE", {
    x: 0.3, y: 1.24, w: 4.8, h: 0.25,
    fontSize: 10.5, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });

  const levels = [
    { name: "Central TB Division (CTD)", level: "National", color: C.deepRed, w: 3.8 },
    { name: "State TB Cell (STC)", level: "State", color: C.midRed, w: 3.4 },
    { name: "District TB Centre (DTC)", level: "District", color: "B03030", w: 2.9 },
    { name: "TB Unit (TU)", level: "Sub-district", color: "8B2020", w: 2.5 },
    { name: "DOT Centre / Microscopy Centre (DMC)", level: "Peripheral", color: "6B1515", w: 4.2 },
    { name: "DRTB Centres", level: "Specialized", color: C.accentTeal, w: 2.4 },
  ];

  levels.forEach((lv, i) => {
    const lx = 0.3 + (5.0 - lv.w) / 2;
    const ly = 1.6 + i * 0.55;
    s.addShape(pres.shapes.ROUNDED_RECTANGLE, {
      x: lx, y: ly, w: lv.w, h: 0.38,
      fill: { color: lv.color }, line: { color: lv.color }, rectRadius: 0.05
    });
    s.addText(`${lv.name}  |  ${lv.level}`, {
      x: lx + 0.08, y: ly + 0.06, w: lv.w - 0.12, h: 0.26,
      fontSize: 9, bold: true, color: "FFFFFF",
      fontFace: "Calibri", align: "center", margin: 0
    });
    if (i < levels.length - 1) {
      const arrowX = 0.3 + (5.0 - 0.15) / 2;
      s.addShape(pres.shapes.RECTANGLE, {
        x: arrowX, y: ly + 0.38, w: 0.15, h: 0.17,
        fill: { color: "CCAAAA" }, line: { color: "CCAAAA" }
      });
    }
  });

  // Age & key stats panel
  s.addShape(pres.shapes.RECTANGLE, {
    x: 5.45, y: 1.22, w: 4.35, h: 0.3,
    fill: { color: C.accentTeal }, line: { color: C.accentTeal }
  });
  s.addText("KEY INDIA TB PROFILE", {
    x: 5.55, y: 1.24, w: 4.15, h: 0.25,
    fontSize: 10.5, bold: true, color: "FFFFFF", fontFace: "Calibri", margin: 0
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 5.45, y: 1.52, w: 4.35, h: 3.73,
    fill: { color: C.lightTeal }, line: { color: "B0D8DE" }
  });
  s.addText([
    { text: "Age Distribution", options: { bold: true, breakLine: true, fontSize: 10.5, color: C.accentTeal, fontFace: "Calibri" } },
    { text: "15–30 years: Dominant age group (active transmission)", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Southern states (KL, KA, TN, AP): Shift to 50+ year group", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "\n", options: { fontSize: 5, breakLine: true } },
    { text: "Case Distribution", options: { bold: true, breakLine: true, fontSize: 10.5, color: C.accentTeal, fontFace: "Calibri" } },
    { text: "78% of notified cases: Pulmonary TB", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "22% of notified cases: Extra-pulmonary TB", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "80% of notified cases: Known HIV status", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "17% tested with rapid diagnostics at diagnosis", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "\n", options: { fontSize: 5, breakLine: true } },
    { text: "Drug Resistance", options: { bold: true, breakLine: true, fontSize: 10.5, color: C.deepRed, fontFace: "Calibri" } },
    { text: "New cases: 2.8% MDR/RR-TB", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Previously treated: 14% MDR/RR-TB", options: { bullet: true, breakLine: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
    { text: "Treatment Coverage: 82% (2019)", options: { bullet: true, fontSize: 9, color: C.textDark, fontFace: "Calibri" } },
  ], { x: 5.55, y: 1.57, w: 4.15, h: 3.63, valign: "top" });
}

// ════════════════════════════════════════════════════════════════════════════
// SLIDE 9 — END SLIDE
// ════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.deepRed };

  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 0, w: 10, h: 5.625,
    fill: { color: C.deepRed }, line: { color: C.deepRed }
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 4.5, w: 10, h: 1.125,
    fill: { color: "6B1010" }, line: { color: "6B1010" }
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 0, y: 4.48, w: 10, h: 0.05,
    fill: { color: C.accentGold }, line: { color: C.accentGold }
  });

  s.addText("TB MUKT BHARAT", {
    x: 0.5, y: 0.8, w: 9, h: 1.0,
    fontSize: 46, bold: true, color: "FFFFFF",
    fontFace: "Calibri", charSpacing: 6, align: "center", margin: 0
  });
  s.addText("TB-Free India by 2025", {
    x: 0.5, y: 1.88, w: 9, h: 0.55,
    fontSize: 20, color: "FFD0C0",
    fontFace: "Calibri", align: "center", margin: 0
  });
  s.addShape(pres.shapes.RECTANGLE, {
    x: 3.2, y: 2.55, w: 3.6, h: 0.05,
    fill: { color: C.accentGold }, line: { color: C.accentGold }
  });
  s.addText([
    { text: "Detect  |  Treat  |  Prevent  |  Build", options: { bold: true, breakLine: true } },
    { text: "NTEP — National Strategic Plan 2017–2025", options: {} },
  ], {
    x: 0.5, y: 2.75, w: 9, h: 0.7,
    fontSize: 13, color: "F5C5C5", fontFace: "Calibri", align: "center", margin: 0
  });

  s.addText([
    { text: "Sources: ", options: { bold: true } },
    { text: "Park's Textbook of Preventive & Social Medicine (24e)  •  Murray & Nadel's Respiratory Medicine  •  MoHFW / PIB India 2025", options: {} }
  ], {
    x: 0.5, y: 4.54, w: 9, h: 0.5,
    fontSize: 8, color: "F0C0C0", fontFace: "Calibri", align: "center", margin: 0
  });
}

// ── WRITE FILE ──────────────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/tb-presentation/TB_Epidemiology_NTEP.pptx" })
  .then(() => console.log("SUCCESS: File written."))
  .catch(err => { console.error("ERROR:", err); process.exit(1); });

cd /home/daytona/workspace/tb-presentation && node create_tb_pptx.js

node -e "const p = require('pptxgenjs'); const pr = new p(); console.log(Object.…

~/tb-presentation/create_tb_pptx.js

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/tb-presentation/create_tb_pptx.js'

cd /home/daytona/workspace/tb-presentation && node create_tb_pptx.js

ls -lh /home/daytona/workspace/tb-presentation/TB_Epidemiology_NTEP.pptx