Global Tuberculosis Control 2010 - Florida Department of Health

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Africa The Americas Eastern Mediterranean 60 140 Rate per 100 000 population 300 200 100 0 60 50 120 50 100 40 80 30 60 20 40 10 20 0 0 Europe South-East Asia Western Pacific 150 200 40 30 20 10 150 100 50 100 50 0 0 1990 1995 2000 2005 1990 1995 2000 2005 1990 1995 2000 2005 0 Africa The Americas Eastern Mediterranean 600 120 400 500 400 300 100 80 60 300 200 Rate per 100 000 population 200 100 0 120 100 80 60 40 100 20 0 0 Europe South-East Asia Western Pacific 500 400 400 300 300 200 40 20 200 100 100 0 0 0 1990 1995 2000 2005 2010 2015 1990 1995 2000 2005 2010 2015 1990 1995 2000 2005 2010 2015
Africa The Americas Eastern Mediterranean 60 50 40 10 8 6 40 30 Rate per 100 000 population 30 20 10 0 15 20 4 10 2 0 0 Europe South-East Asia Western Pacific 40 60 10 5 0 1990 1995 2000 2005 2010 2015 50 40 30 20 10 0 30 20 10 0 1990 1995 2000 2005 2010 2015 1990 1995 2000 2005 2010 2015 In most of the HBCs, notifications have been getting closer to estimated incidence in recent years, notably in Afghanistan, Bangladesh, Cambodia, China, Indonesia, Pakistan, South Africa and the United Republic of Tanzania (). Prevalence rates are falling in all six WHO regions ( ). The most impressive progress is in the Region of the Americas, where the Stop TB Partnership’s target of halving the 1990 prevalence rate has been achieved. Projections suggest that the Western Pacific and Eastern Mediterranean regions are on track to achieve the target by 2015, and the European Region could get close. On current projections, the African and South-East Asian regions will not achieve the target. Mortality rates (excluding TB deaths among HIVpositive people) are falling in all six WHO regions. The best progress towards the 2015 target of halving the 1990 mortality rate is in the Region of the Americas and the Western Pacific Region, both of which appear to have achieved the target already. The Eastern Mediterranean, European and South-East Asia regions are close to reaching the target, and could do so before 2015. In the African Region, achieving the target appears out-of-reach, following a major increase in TB incidence and mortality rates associated with the HIV epidemic throughout the 1990s and up to around 2004. Among the 22 HBCs, mortality rates appear to be falling with the possible exception of Afghanistan and Uganda ( ). Even allowing for uncertainty in these estimates, four countries reached the target of halving the 1990 mortality rate by 2009 (Brazil, Cambodia, China and the United Republic of Tanzania), and six additional countries (India, Indonesia, Kenya, Myanmar, Pakistan and the Russian Federation) have a good chance of doing so by 2015. In the other HBCs, current forecasts suggest that the target may not be achieved. The reductions in mortality associated with progress to date in implementing the DOTS strategy (1995–2006) and its successor, the Stop TB Strategy (launched in 2006) have saved millions of lives since 1995, and continued implementation could save millions more in the years up to 2015 ( ). 1 From 1995 to 2009, 49 1 These results are based on the following manuscript: Glaziou P et al. Lives saved by tuberculosis control and prospects for achieving the 2015 global target for reductions in tuberculosis mortality (submitted for publication in May 2010).
Page 1: Global Tuberculosis Control 2010
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Global Tuberculosis Control 2010 - Florida Department of Health

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