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
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