LITERATURE REVIEW

 

Global TB -- Literature Review HIV 529

Homepage: Global Tuberculosis Control: WHO Report 2007
(www.globalhealthreporting.org/tb.asp): This is the WHO Report for TB for 2007.
Highlights are the following:

The Global TB Epidemic

  • There were an estimated 8.8 million new cases of tuberculosis in 2005 including 7.4 million in Asia and sub-Saharan Africa.
  • There were a total of 1.6 million deaths due to tuberculosis including 195,000 persons with HIV.
  • The TB incidence rate for 2005 was stable or declining in all six WHO regions.

DOTS and "Stop TB Strategy"

  • DOTS is the major component of the “Stop TB Strategy” and was applied in 187 of 212 countries in 2005; these represent 89% of the world population.
  • The number of cases of HIV co-infection and multidrug-resistant TB (MDR-TB) diagnosed and treated in 2005 was increasing, but was substantially below the Global Plan for 2006. HIV testing in TB patients was increasing in the African Region, but little effort was made to screen HIV-infected persons for TB.
  • Facilities to diagnose and treat MDR-TB are not widely available and the scale of XDR-TB is not well known.
  • Treatment of MDR-TB was reported as successful in about 60% by the Green Light Committee.
  • The Stop TB Strategy emphasizes linkages between national TB programs with health care providers and communities, but no country succeeded in making all of the recommended activities operational on a national scale.