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tuberculosis -the opportunity in our lifetime
Lucica Ditiu | Executive Secretary | Stop TB Partnership
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theachievem
ents
peopletreated for TB since 199556 million
Reduction in TB mortality
Since 199045%
Lives savedSince 199522 million
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theachievem
ents
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125
10792
79
68
58
50
target global
10 / 100k / 100k
0 2000 2010 2020year
TB incidence
theburden
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Population ofMarseille, France
0.8MILLION
People whodied of TB
in 2012
1.3MILLION
theburden
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1.3MILLION
People whodied of TB
in 2012
theburden
South-EastAsia40%
Africa38%
WesternPacific
9%
EasternMediterranean
8%
Europe
3%
Americas
2%
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1.3MILLION
8.6 MILLIONestimated TB cases
5.7 MILLIONnew cases
diagnosed
and treated
MDR-TB450,000estimated new cases
theburden
77,000MDR-TB cases
diagnosed and on
treatment
XDR
45, 000
estimated
cases of
XDR
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continuoustransmission
7 billion peoplein the world today
2 billion peopleinfected with TB
10%200 million
will develop TB
1 TB caseinfects up to
10 / year
8.6
milliondeveloped TB in 2012
WHO 2012 Global Tuberculosis Report; CDC 2013; Styblo 1985; Basu 2009
1 MDR caseinfects up to
4 / year
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theburden Why is MDR a public health crisis?
0
100
200
300
400
500
600
700
Est. number of MDR TB
cases in the World today
Est. number new MDR
TB cases
New cases diagnosed New cases on treatment
Thousands
17,000 patients on
waiting list for treatment
Less than 25% of estimated
new MDR cases were
detected in 2012
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theburden Where are the missing three million?
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globalchallenge
airline flightsincrease in number of
departuressince 2000
36%worldwide MDR-TB high
burdencountries
217%
2011, World Bank, International Civil Aviation Organization, Civil Aviation Statistics of the World and ICAO estimates
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economicchallenge micro-
economicimpact of TB on
households
50%decrease inyearly income
of schoolchildren quitschool whenparent has TB
11%of income lostwith TB death
15yrs
Rajeswari R, Balasubramanian R, Muniyandi M, Geetharamani S, Thresa X, Venkatesan P, 1999. Socio-economic impact oftuberculosis on patients and family in India. Int J Tuberc Lung Dis 3: 869877.Stop TB Partnership. (2000). Tuberculosis and Sustainable Development.
Up to
75%must take out aloan
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21802035
the road to 10 / 100,000TB incidence
Scale-up to 100% coverage of proveninterventions
Prioritized focus on vulnerable groups-including women and children
Integration within country-regioncontext and system
New tools
today125
10
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thelessonslearned
lives saveddue to TB & HIV
integration
(2005-2011)
25 fold increasecases detected & treated
due to prioritized
interventions invulnerable populations
doubleddetection & treatment
through engagement
with TB communities
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return on investment for every one dollarspent on the most cost-effective health interventions
tuberculosiscase finding& treatment
US$ 30
HIVcombination prevention
US$ 12
local surgicalcapacityUS$ 10
heart attacksacute low-cost management
US$ 25
expandedimmunization
US$ 20
malariaprevention & treatment
US$ 20
economic
opport-unity
Report of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda, 2013
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We must acceleratetoday to drive progresstomorrow
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Thank you
