Global Tuberculosis Report -- 2012.pdf

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TREATMENT SUCCESS (%) a1995–2010YEARNUMBERNOTIFIEDSIZE OFCOHORTCOHORT AS% NOTIFIED% OF COHORTCURED COMPLETED DIED FAILED DEFAULTEDNOTEVALUATEDSenegal 1995 563 634 113 45 11 5 10 25 42000 1 056 931 88 40 8 4 3 23 232005 920 920 100 58 5 8 5 13 112008 1 144 972 85 70 5 7 4 10 52009 1 112 889 80 67 4 7 5 10 8• 56 60 • 2010 1 029 1 029 100 56 4 6 3 7 24Seychelles 1995 0 –2000 0 –2005 2 –2008 0 0 –2009 0 0 –• 0 0 • 2010 0 0 –Sierra Leone 1995 41 69 168 72 14 3 4 4 12000 441 –2005 330 328 99 68 7 6 3 15 12008 389 153 39 78 7 5 1 6 32009 467 466 100 56 13 10 3 15 4• 87 75 • 2010 547 543 99 65 11 5 2 15 2South Africa 1995 179 –2000 56 202 24 847 44 43 8 8 3 19 192005 60 588 64 923 107 29 29 11 2 16 132008 64 470 38 754 60 53 11 11 3 13 92009 65 916 34 122 52 53 8 10 3 12 15• 0 35 • 2010 60 580 60 580 100 31 4 5 2 7 52Swaziland 1995 489 –2000 1 249 –2005 470 1 113 237 7 21 11 3 5 542008 1 319 1 418 108 14 34 15 11 9 172009 1 474 1 474 100 14 41 17 9 10 8• 0 50 • 2010 1 440 446 31 32 18 17 21 7 6Togo 1995 93 93 100 16 17 5 4 19 382000 133 –2005 179 128 72 73 2 14 4 7 02008 196 194 99 73 2 14 4 7 02009 214 237 111 68 3 18 3 4 5• 33 82 • 2010 240 240 100 78 4 6 4 8 1Uganda 1995 955 –2000 1 505 1 209 80 34 30 13 0 13 102005 2 430 –2008 3 177 2 491 78 31 48 8 1 12 02009 4 014 2 856 71 31 39 7 1 15 7• 0 65 • 2010 3 952 2 764 70 31 34 8 1 12 13United Republic 1995 1 335 1 455 109 66 10 11 1 8 4of Tanzania 2000 1 772 3 356 189 49 24 14 1 6 62005 5 032 5 067 101 37 39 13 1 4 62008 4 474 4 474 100 34 47 10 1 3 42009 4 217 4 217 100 34 49 8 1 3 5• 76 84 • 2010 3 785 3 714 98 37 47 9 1 3 4Zambia 1995 243 –2000 1 455 894 61 52 15 11 4 5 122005 5 496 5 496 100 24 60 9 1 3 42008 5 236 2 958 56 0 80 9 0 4 62009 2 485 5 444 219 33 53 9 1 4 0• 0 0 • 2010 6 310 –Zimbabwe 1995 737 –2000 1 063 – 51 14 17 1 8 92005 5 941 4 667 79 13 46 16 0 13 112008 3 631 1 109 31 63 10 12 1 7 72009 4 685 1 203 26 72 8 11 0 5 4• 0 74 • 2010 4 685 1 629 35 63 11 13 3 5 5AFRICAN REGIONa TREATMENT SUCCESS = percent cured + percent completed then rounded to the nearest digit.GLOBAL TUBERCULOSIS REPORT 2012 Data can be downloaded from www.who.int/tb/data 163
–% OF TB PATIENTS WITHKNOWN HIV STATUS2005–2011YEAR% OF TBPATIENTS WITHKNOWN HIVSTATUSNUMBER OF TBPATIENTS WITHKNOWN HIVSTATUSPATIENTSNOTIFIED(NEW ANDRETREAT)NUMBER OFHIV-POSITIVETB PATIENTS% OF TESTEDTB PATIENTSHIV-POSITIVE% OF HIV-POSITIVE TBPATIENTS ONCPT% OF HIV-POSITIVE TBPATIENTS ONARTNUMBER OFHIV-POSITIVEPEOPLEPROVIDED IPTAlgeria 2005 21 5012009 21 8232010 22 530– – 2011 21 597Angola 2005 38 3172009 5 2 023 42 686 306 15 14 92010 5 2 434 49 987 1 620 67 43 43– 10 • 2011 10 5 107 48 926 987 19 80 80Benin 2005 15 503 3 457 57 112009 96 3 845 3 987 633 16 98 442010 98 3 774 3 841 592 16 97 57• 15 99 • 2011 99 4 259 4 320 721 17 339Botswana 2005 23 2 291 10 104 1 829 80 18 7622009 75 6 795 9 088 4 415 65 31 36 11 7322010 81 6 147 7 632 4 018 65 79 43 738• 23 80 • 2011 80 5 369 6 733 3 441 64 82 45Burkina Faso 2005 33 1 213 3 645 559 46 68 322009 90 4 602 5 111 903 20 97 532010 93 4 761 5 135 839 18 98 60• 33 82 • 2011 82 4 572 5 543 765 17 94Burundi 2005 6 627 02009 50 3 625 7 323 1 305 36 47 32 6172010 71 5 511 7 719 1 260 23 95 40– 71 • 2011 71 4 817 6 828 1 036 22 95 48 0Cameroon 2005 0 0 22 073 0 02009 72 18 218 25 174 7 383 41 86 50 6742010 78 19 117 24 552 8 314 43 81 51• 0 81 • 2011 81 20 280 25 126 7 731 38 1 373Cape Verde 2005 98 298 305 14 5 1002009 80 282 352 57 20 02010 365• 98 90 • 2011 90 352 390 47 13Central African 2005 3 338Republic 2009 42 3 749 8 996 1 230 33 66 35 02010 39 2 638 6 760 862 33 0 62– 33 • 2011 33 1 890 5 724 733 39 12 9Chad 2005 6 5052009 8 6512010 39 3 801 9 697 663 17 53 45– 38 • 2011 38 4 124 10 774 959 23Comoros 2005 100 112 112 2 2 100 1002009 91 117 129 0 0 02010 119 0 0 0• 100 82 • 2011 82 98 119 4 4 25 25Congo 2005 9 9612009 24 2 357 9 935 99 4 2 22010 40 4 106 10 321 757 18 3 3– 20 • 2011 20 2 247 11 143 687 31 24 26Côte d'Ivoire 2005 20 4 079 20 026 1 551 38 38 142009 75 17 253 23 009 5 207 30 71 31 02010 73 16 991 23 210 4 112 24 80 27• 20 80 • 2011 80 18 297 22 920 4 820 26 80 36Democratic 2005 2 1 885 99 558 386 20 74 1Republic 2009 27 31 312 116 025 6 126 20 45 21 0of the Congo 2010 24 28 997 118 636 5 273 18 24 9• 2 27 • 2011 27 30 636 114 290 4 942 16 54 23Equatorial 2005Guinea 2009 46 331 720 121 37 14 552010 92 786 853 225 29 85 31– 100 • 2011 100 911 913 234 26 21Eritrea 2005 3 6122009 3 0222010 2 991– – 2011 3 093 0Ethiopia 2005 3 3 211 125 135 1 321 41 88 29 1 9832009 37 56 040 150 221 11 098 20 68 41 2 4032010 43 66 955 156 928 9 809 15 69 39 6 636• 3 41 • 2011 41 65 140 159 017 5 442 8 62 39 30 816Gabon 2005 7 185 2 611 185 100 100 02009 32 1 130 3 559 667 59 52 522010 27 1 130 4 180 667 59 52 52• 7 46 • 2011 46 2 252 4 916 578 26Gambia 2005 2 1202009 94 2 045 2 186 326 16 112010 93 1 962 2 111 224 11 93 46– 72 • 2011 72 1 726 2 386Ghana 2005 7 844 12 124 340 40 100 372009 65 9 870 15 286 2 218 22 72 24 02010 67 10 147 15 145 2 676 26 77 18• 7 79 • 2011 79 12 587 15 840 2 919 23 71 28Guinea 2005 7 0902009 63 5 444 8 614 1 288 24 40 72010 51 5 776 11 324 1 483 26 87 41– 56 • 2011 56 6 548 11 606 1 670 26 72 63Guinea-Bissau 2005 11 200 1 816 110 55 100 30 02009 30 664 2 188 268 402010 46 1 046 2 259 396 38• 11 51 • 2011 51 1 053 2 070 439 42Kenya 2005 14 15 658 108 401 8 954 57 44 172009 88 96 676 110 065 42 294 44 92 342010 91 96 930 106 083 40 069 41 100 48• 14 93 • 2011 93 97 136 103 981 38 172 39 97 64Lesotho 2005 1 156 11 404 127 81 792009 78 10 563 13 515 8 084 77 94 282010 84 11 005 13 138 8 459 77 96 27• 1 82 • 2011 82 10 380 12 628 7 909 76 90 40Liberia 2005 3 114 3 456 14 12 02009 100 5 964 5 964 72 1 42 49 02010 53 3 533 6 668 283 8 8 0• 3 55 • 2011 55 4 355 7 965 454 10 55 100Madagascar 2005 9 1 759 19 475 16 12009 9 2 176 23 447 7 0 712010 65 16 439 25 106 39 0 36• 9 58 • 2011 58 15 532 26 722 40 0164 Data can be downloaded from www.who.int/tb/data GLOBAL TUBERCULOSIS REPORT 2012
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GLOBALTUBERCULOSISREPORT2012
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ContentsAbbreviationsivAcknowledgem
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AcknowledgementsThis report on glob
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WHO Western Pacific RegionShalala A
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Executive SummaryThe World Health O
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CHAPTER 1IntroductionBOX 1.1Basic f
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TABLE 1.1 Targets for the scale-up
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TABLE 1.2 Reporting of data in the
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BOX 2.1Uncertainty in estimates of
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TABLE 2.2 Estimated burden of disea
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FIGURE 2.5 Estimated TB incidence r
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FIGURE B2.2.1Reporting of notificat
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FIGURE 2.8Estimated TB incidence ra
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FIGURE 2.11 Countries (in blue) for
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FIGURE 2.12 Trends in estimated TB
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● producing and widely disseminat
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FIGURE 2.16 Progress in global cove
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BOX 2.6Efforts by the Task Force to
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CHAPTER 3TB case notificationsand t
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BOX 3.1 1Definitions of TB casesDef
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TABLE 3.3 Contribution of public-pr
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BOX 3.4Integrating community-based
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TABLE 3.4 Estimates of the case det
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TABLE 3.5 Treatment success for new
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CHAPTER 4Drug-resistant TBKEY FACTS
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FIGURE 4.2 Percentage of new TB cas
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BOX 4.1Frequencies of resistance to
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FIGURE 4.6 Number of MDR-TB cases e
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FIGURE 4.7Notified cases of MDR-TB
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egimens globally, providing more su
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5.1 Funding for TB care and control
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TABLE 5.2 NTP budgets, available fu
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FIGURE 5.5Trends in domestic and do
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FIGURE 5.6Domestic funding as a per
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FIGURE 5.8Cost per TB patient succe
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FIGURE 5.10 Total cost and unit cos
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● The 14 countries not included i
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on public health by an external Exp
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evised as a result of the introduct
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TABLE 6.2 Incorporation of WHO poli
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FIGURE 6.3The Supranational Referen
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of TB disease by 65%, irrespective
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FIGURE 7.3Percentage of TB patients
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BOX 7.1Accelerating progress in pro
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TABLE 7.2 Assumptions used to estim
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FIGURE 8.1 The development pipeline
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sputum specimens and TB isolates fr
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cal trial sites and building labora
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new TB vaccine candidate. A Phase I
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This annex explains the methods tha
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2011. On average, 15 data points we
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may suffer from biases. These biase
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TABLE A1.3Parameter estimates used
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5. Estimates of TB prevalence, 1990
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the Republic of Moldova, Romania, t
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AFGHANISTANPopulation 2011 32 milli
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BRAZILPopulation 2011 197 millionHI
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CHINAPopulation 2011 1 348 millionH
Page 122 and 123: ETHIOPIAPopulation 2011 85 millionH
Page 124 and 125: INDONESIAPopulation 2011 242 millio
Page 126 and 127: MOZAMBIQUEPopulation 2011 24 millio
Page 128 and 129: NIGERIAPopulation 2011 162 millionH
Page 130 and 131: PHILIPPINESPopulation 2011 95 milli
Page 132 and 133: SOUTH AFRICAPopulation 2011 50 mill
Page 134 and 135: UGANDAPopulation 2011 35 millionHIG
Page 136 and 137: VIET NAMPopulation 2011 89 millionH
Page 138: ANNEX 3Regional profiles
Page 141 and 142: WHO REGION OF THE AMERICASPopulatio
Page 143 and 144: WHO EUROPEAN REGIONPopulation 2011
Page 145 and 146: WHO WESTERN PACIFIC REGIONPopulatio
Page 148 and 149: SUMMARY BY WHO REGIONTable A4.1 Est
Page 150 and 151: MORTALITY (EXCLUDING HIV) PREVALENC
Page 152 and 153: NEW AND RELAPSENOTIFICATION RATE aY
Page 154 and 155: -% OF TB PATIENTS WITHKNOWN HIV STA
Page 156 and 157: AFRICAN REGIONTable A4.1 Estimates
Page 162 and 163: INCIDENCE (INCLUDING HIV) INCIDENCE
Page 164 and 165: NEW AND RELAPSENOTIFICATION RATE aY
Page 166 and 167: NEW AND RELAPSENOTIFICATION RATE a1
Page 168 and 169: TREATMENT SUCCESS (%) a1995-2010YEA
Page 170 and 171: TREATMENT SUCCESS (%) a1995-2010YEA
Page 176 and 177: YEARTOTALCONFIRMEDCASES OFMDR-TB aE
Page 178 and 179: MALEYEAR 0-14 15-24 25-34 35-44 45-
Page 180 and 181: REGION OF THE AMERICASTable A4.1 Es
Page 192 and 193: % OF COHORTTREATMENT SUCCESS (%) a1
Page 200 and 201: YEARTOTALCONFIRMEDCASES OFMDR-TB aE
Page 202 and 203: MALEFEMALEYEAR 0-14 15-24 25-34 35-
Page 204 and 205: EASTERN MEDITERRANEAN REGIONTable A
Page 218 and 219: MALEFEMALEYEAR 0-14 15-24 25-34 35-
Page 220 and 221: EUROPEAN REGIONTable A4.1 Estimates
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MORTALITY (EXCLUDING HIV) PREVALENC
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INCIDENCE (INCLUDING HIV) INCIDENCE
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INCIDENCE (INCLUDING HIV) INCIDENCE
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NEW AND RELAPSENOTIFICATION RATE a1
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% OF COHORTTREATMENT SUCCESS (%) a1
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-% OF TB PATIENTS WITHKNOWN HIV STA
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YEARTOTALCONFIRMEDCASES OFMDR-TB aE
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MALEFEMALEYEAR 0-14 15-24 25-34 35-
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SOUTH-EAST ASIA REGIONTable A4.1 Es
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SMEAR LABS % OF SMEARPER 100K LABS
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Estimates of mortality, prevalence
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YEARPOPULATION(MILLIONS)MORTALITY (
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YEARPOPULATION(MILLIONS)INCIDENCE (
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YEARPOPULATION(MILLIONS)INCIDENCE (
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TREATMENT SUCCESS (%) a1995-2010YEA
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TREATMENT SUCCESS (%) a1995-2010YEA
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-% OF TB PATIENTS WITHKNOWN HIV STA
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Page 279 and 280:
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SMEAR LABS % OF SMEARPER 100K LABS
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