Global Tuberculosis Report -- 2012.pdf

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–% 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 IPTAfghanistan 2005 21 8442009 4 1 175 26 358 5 0 100 1002010 18 5 170 28 238 2 0 100 100– 23 • 2011 23 6 445 28 167 5 0 80 80Bahrain 2005 46 128 280 6 5 0 02009 79 256 326 8 3 0 122010 65 161 246 6 4 0 0• 46 69 • 2011 69 155 225 7 5 0 43Djibouti 2005 7 224 3 170 135 60 15 15 02009 55 2 091 3 804 207 10 0 232010 52 2 163 4 191 248 11 0 11• 7 34 • 2011 34 1 274 3 723 177 14Egypt 2005 11 7352009 32 3 204 10 037 11 0 100 100 12010 47 4 483 9 588 7 0 100 100 0– 37 • 2011 37 3 441 9 307 12 0 100 100Iran (Islamic 2005 9 366Republic of) 2009 7 700 10 536 223 32 13 21 4182010 8 904 10 802 254 28 16 28 161– 11 • 2011 11 1 262 11 495 289 23 18 36Iraq 2005 9 4542009 63 6 121 9 668 1 0 100 0 02010 66 6 711 10 097 1 0 100 0 0– 42 • 2011 42 3 858 9 248 2 0 50 50Jordan 2005 23 86 371 0 02009 100 387 387 0 0 22010 99 352 354 0 0 0• 23 97 • 2011 97 332 344 0 0Kuwait 2005 100 517 517 3 1 100 1002009 100 933 933 4 0 100 100 02010 100 957 957 3 0 100 100• 100 100 • 2011 100 672 672 0 0Lebanon 2005 1 3 391 3 100 02009 59 298 501 25 8 100 100 192010 52 269 515 7 3 100 100 68• 1 48 • 2011 48 236 496 9 4 100 100Libyan Arab 2005 2 367Jamahiriya 2009 45 950 2 110 144 152010 2 128 212 10 1– 97 • 2011 97 1 498 1 545 128 9 0Morocco 2005 26 2692009 3 930 27 664 99 11 23 45 02010 1 215 28 788 17 8 100 100– 6 • 2011 6 1 856 29 770 41 2 100 68Oman 2005 98 257 261 10 4 100 1002009 100 334 334 3 1 100 100 02010 100 313 313 4 1 100 100 0• 98 100 • 2011 100 337 337 8 2 88 88Pakistan 2005 0 0 144 771 02009 3 8 208 267 451 31 0 23 39 02010 2 6 283 269 290 28 0 39 43• 0 3 • 2011 3 8 322 270 394 33 0 33 85Qatar 2005 100 325 325 0 02009 100 619 619 0 0 02010 0 0 580 0• 100 0 • 2011 0 0 553Saudi Arabia 2005 3 5392009 47 1 929 4 093 63 32010 72 3 278 4 549 77 2– 86 • 2011 86 3 443 4 015 77 2 14Somalia 2005 0 0 13 006 21 38 02009 8 875 11 271 107 12 88 7 02010 26 2 741 10 469 231 8 68 26• 0 34 • 2011 34 4 140 12 021 206 5 85 20 0South Sudan 2011 47 3 570 7 583 475 13 85 29Sudan 2005 1 180 29 178 150 83 10 102009 60 16 168 27 037 692 4 43 542010 28 7 532 27 241 247 3 162 100• 1 15 • 2011 15 3 082 20 385 292 9 0 100Syrian Arab 2005 8 345 4 393 0 0Republic 2009 0 0 4 151 02010 2 85 3 827 5 6 100 0 0• 8 16 • 2011 16 577 3 675 7 1 57 0Tunisia 2005 6 129 2 079 2 2 100 1002009 4 80 2 155 2 2 0 100 242010 7 156 2 368 7 4 100 100 24• 6 12 • 2011 12 360 3 015 10 3 100 100 38United Arab 2005 105Emirates 2009 99 115 116 0 02010 64 84 132 4 5 100 100– 76 • 2011 76 81 106 3 4 100 100West Bank 2005 0 0 28 0and Gaza Strip 2009 97 35 36 0 0 02010 100 31 31 0 0• 0 100 • 2011 100 32 32 0 0Yemen 2005 0 0 9 063 02009 0 0 8 562 02010 0 0 9 050 0 0• 0 – 2011 8 713 0EASTERN MEDITERRANEAN REGIONGLOBAL TUBERCULOSIS REPORT 2012 Data can be downloaded from www.who.int/tb/data 207
YEARTOTALCONFIRMEDCASES OFMDR-TB aESTIMATED CASESOF MDR-TB AMONGNOTIFIEDESTIMATED CASESOF MDR-TB AMONGNOTIFIEDNEW PULMONARY CASESNUMBER OFBACT+VE bTESTED FORMDR-TB% OFBACT+VE bTESTED FORMDR-TBESTIMATED CASESOF MDR-TB AMONGNOTIFIEDPREVIOUSLY TREATED CASESNUMBER OFNOTIFIEDTESTED FORMDR-TB% OF NOTIFIEDTESTED FORMDR-TBAfghanistan 2005 – –2009 – –2010 19 238 1.8 34 2.62011 19 1 100 (0–2 600) 700 (21–2 300) – 380 (34–730) –Bahrain 2005 4 2 2.0 0 –2009 0 42 15 0 –2010 0 162 70 0 –2011 9 7.9 (3.7–15) 7.9 (3.7–15) 154 99 0 (0–0) 0 –Djibouti 2005 39 0 0 0 02009 – –2010 – –2011 0 79 (40–120) 34 (9.5–59) – 44 (15–73) –Egypt 2005 – –2009 204 60 0.95 775 1002010 – –2011 134 400 (310–500) 190 (110–270) 39 0.70 220 (160–270) 497 74Iran (Islamic 2005 27 205 4.5 41 9.6Republic of) 2009 – –2010 58 271 4.7 169 222011 43 810 (640–980) 370 (260–520) 717 13 430 (310–560) 322 36Iraq 2005 – –2009 72 0 0 163 222010 110 0 0 185 242011 84 410 (0–860) 190 (5.5–620) – 220 (20–430) 224 29Jordan 2005 19 98 97 33 3302009 8 95 87 7 352010 10 74 63 7 392011 4 17 (5.9–28) 12 (4.3–24) 55 30 5.1 (0.66–13) 6 33Kuwait 2005 6 516 280 1 1002009 9 427 100 1 1002010 5 437 100 0 02011 0 0 (0–47) 0 (0–47) 282 100 0 (0–0) 0 –Lebanon 2005 3 48 37 4 1002009 4 14 7.8 10 1002010 7 4 2.1 14 1202011 3 4.0 (0–8.2) 3.0 (0.37–11) 18 9.6 1.0 (
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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
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ETHIOPIAPopulation 2011 85 millionH
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INDONESIAPopulation 2011 242 millio
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MOZAMBIQUEPopulation 2011 24 millio
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NIGERIAPopulation 2011 162 millionH
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PHILIPPINESPopulation 2011 95 milli
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SOUTH AFRICAPopulation 2011 50 mill
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UGANDAPopulation 2011 35 millionHIG
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VIET NAMPopulation 2011 89 millionH
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ANNEX 3Regional profiles
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WHO REGION OF THE AMERICASPopulatio
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WHO EUROPEAN REGIONPopulation 2011
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WHO WESTERN PACIFIC REGIONPopulatio
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SUMMARY BY WHO REGIONTable A4.1 Est
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MORTALITY (EXCLUDING HIV) PREVALENC
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NEW AND RELAPSENOTIFICATION RATE aY
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-% OF TB PATIENTS WITHKNOWN HIV STA
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AFRICAN REGIONTable A4.1 Estimates
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INCIDENCE (INCLUDING HIV) INCIDENCE
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NEW AND RELAPSENOTIFICATION RATE aY
Page 166 and 167: NEW AND RELAPSENOTIFICATION RATE a1
Page 168 and 169: TREATMENT SUCCESS (%) a1995-2010YEA
Page 174 and 175: -% OF TB PATIENTS WITHKNOWN HIV STA
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 182 and 183: MORTALITY (EXCLUDING HIV) PREVALENC
Page 186 and 187: INCIDENCE (INCLUDING HIV) INCIDENCE
Page 192 and 193: % OF COHORTTREATMENT SUCCESS (%) a1
Page 202 and 203: MALEFEMALEYEAR 0-14 15-24 25-34 35-
Page 204 and 205: EASTERN MEDITERRANEAN REGIONTable A
Page 220 and 221: EUROPEAN REGIONTable A4.1 Estimates
Page 248 and 249: SOUTH-EAST ASIA REGIONTable A4.1 Es
Page 258: SMEAR LABS % OF SMEARPER 100K LABS
Page 261 and 262: Estimates of mortality, prevalence
Page 263 and 264: YEARPOPULATION(MILLIONS)MORTALITY (
Page 265 and 266: YEARPOPULATION(MILLIONS)INCIDENCE (
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YEARPOPULATION(MILLIONS)INCIDENCE (
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NEW AND RELAPSENOTIFICATION RATE a1
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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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YEARTOTALCONFIRMEDCASES OFMDR-TB aE
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MALEFEMALEYEAR 0-14 15-24 25-34 35-
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SMEAR LABS % OF SMEARPER 100K LABS
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