Mario C. Raviglione, M.D.Director, Stop TB Department

WHO, Geneva, Switzerland

TB prevention, care and control, 2010-2015:Framing global and WHO strategic priorities

Stop TB Symposium "Addressing poverty through quality TB control and research"

3 December 2009, Cancun, Mexico

Stop TB Symposium "Addressing poverty through quality TB control and research"

3 December 2009, Cancun, Mexico

Achievements by DOTS/Stop TB Strategy: 1995-2007

1. 43 million cases treated

2. 36 million cured

3. Up to 8 million deaths averted compared to non-DOTS treatment

4. Case fatality rate halved (from 7.6% to 4%)

5. Treatment success rate at its highest ever (87% in 2007)

Innovative action needed in 4 spheres:"Moving beyond the TB box"

TB controlsphere

Development sphere

Research sphere

Health system sphere

This is not

enough

This is not

enough

Global & WHO strategic priorities

TB sphere• Supporting NTPs in coherent pursuit of Stop TB Strategy• Supporting all partners in TB and MDR-TB prevention, care and control; TB advocacy; TB monitoring & evaluation•Emphasizing early and active case detection to stop transmission

Health system sphere• Eliminating financial barriers • Overcoming human resources crisis• Laboratory strengthening• Drug quality and rational use• TB/HIV service integration & PAL• Infection control• Improving governance, management and responsiveness

Development sphere• Social protection; housing & urban planning; nutrition/food security; migration; labour

• Refugees; crises response

• Human Rights agenda

• Poverty reduction strategies

Research sphere• Facilitate TB Research Movement • Advocate for growth in basic research, R&D and operational research