Global tuberculosis control - surveillance, planning, financing
WHO Report 2007 - WHO/HTM/TB/2007.376, March 2007
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….The global tuberculosis (TB) epidemic has levelled off for the first time since the World Health Organization (WHO) declared TB a public health emergency in 1993. The Global Tuberculosis Control Report released today by WHO finds that the percentage of the world's population struck by TB peaked in 2004 and then held steady in 2005…..
“………This report draws four main conclusions about progress in TB control, based on routine monitoring and surveillance data:
The first is that NTPs worldwide narrowly missed the 2005 targets for case detection (60%/70%) and treatment success (84%/85%). However, both targets were met in the Western Pacific Region, and in 26 countries including China, the Philippines and Viet Nam.
Second, while the total number of patients diagnosed and treated under DOTS approached target levels in 2005, the numbers known to be HIV-positive or carrying drug-resistant bacteria (MDR-TB) were far fewer than anticipated by the Global Plan to Stop TB in 2006. Therefore a major effort is needed to step up collaborative TB/HIV activities and the management of MDR-TB.
Third, the global TB epidemic appears to be on the threshold of decline. The incidence rate (per capita) worldwide has evidently stabilized or begun to fall, following the earlier downturns in prevalence and mortality.1 The incidence rate is now stable or falling in all WHO regions, including Africa and Europe. This result, if robust, means that MDG target 8 was met before 2005, and more than 10 years before the target date of 2015. However, the total number of new TB cases was still rising slowly in 2005, and in the African, Eastern Mediterranean and South-East Asia regions. In some Asian countries that report high rates of case detection and treatment success, incidence has not apparently been reduced as quickly as expected, for reasons that are not fully understood.
This is linked to the fourth conclusion: that the global TB burden is not yet falling fast enough to satisfy the more demanding targets set by the Stop TB Partnership within the MDG framework. That is, at the current rate of progress, the 1990 prevalence and mortality rates will not be halved worldwide by 2015. The following sections discuss these conclusions in more detail…..”
“…….Although incidence, prevalence and death rates now appear to be in decline, prevalence and death rates are not yet falling fast enough to achieve the MDGs globally by 2015. The decline will be accelerated by finding and curing more patients. The total number of patients diagnosed and treated in 2005 is in line with expectations for 2006, but the marked variations in case detection among WHO regions in 2005 will persist without remedial action. And there were major deficiencies in 2005 in the diagnosis and treatment of HIV-positive and MDR-TB patients, which are reflected in budgets for 2005–2007 (see Financing TB control). The present analysis leads to the conclusion that investment and implementation need to be stepped up especially, but not exclusively, in the African, Eastern Mediterranean and European regions….”
:: Table of contents
:: Key findings
:: Introduction
:: Methods
:: Results
:: Conclusions
:: Annex 1 - Profiles of high-burden countries
:: Annex 2 - Country data by WHO region
The key findings also available in different languages
:: Arabic :: Chinese :: French :: Russian :: Spanish
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