the fight to stop tb what are we fighting? tuberculosis: the world’s no. 1 killer among curable,...
TRANSCRIPT
WHAT ARE WE FIGHTING?
TUBERCULOSIS:
THE WORLD’S NO. 1 KILLER
AMONG CURABLE, INFECTIOUS DISEASES
But there is hope
PEOPLE WHO HAVE BEEN CURED
CAN SHOW US HOW TO WIN THE FIGHT
TO STOP TB
DOTS CURED ME. IT WILL CURE YOU TOO!
AGENDAAGENDA
THE FIGHT TO STOP TB
• About TB
• The Strategy
• The Targets
• The Benefits of Progress
• The Obstacles to Progress
• TB Patients
• How Can I help?
DOTS CURED ME. IT WILL CURE YOU TOO!
ABOUT TBABOUT TB
THE FACTS:
• More people die from TB than from any other curable
infectious disease in the world.
1 Every second someone in the world is infected with TB.
4 Every minute someone dies from TB.
6 Every day 25 000 people develop active TB and 5000 die of the disease.
12 TB costs the world an estimated US$12 billion.
20 One person with infectious TB infects between 10 and 15 people on average in one year.
DOTS CURED ME. IT WILL CURE YOU TOO!
ABOUT TBABOUT TB
25 - 4950 - 99100 - 300
0 - 910 - 24
300 or moreNo Estimate
Rate per 100 000
Source: WHO
TB: Global Incidence
DOTS CURED ME. IT WILL CURE YOU TOO!
ABOUT TBABOUT TB
Source: WHO
TB: Global Incidence
• TB infects both rich and poor people.
• But 80% of the global TB burden is carried by just 22 countries, already severely impacted by malnutrition, poor sanitation and poverty.
Africa Nigeria Ethiopia South Africa DR Congo Kenya UR Tanzania Uganda Mozambique Zimbabwe
Asia India China Indonesia Bangladesh Philippines Pakistan Viet Nam Thailand Myanmar Afghanistan Cambodia
Europe / Americas Russian Federation Brazil
DOTS CURED ME. IT WILL CURE YOU TOO!
The Strategy: DOTSThe Strategy: DOTS
DOTS is the best weapon we have in
the fight to STOP TB
• DOTS (Directly Observed Treatment Strategy) is the
internationally recommended strategy to control TB.
• DOTS is a proven, standardized method of fighting TB.
• DOTS has cured 10 million people since 1994.
• DOTS has been described by the World Bank as “one of the
• most cost-effective of all health interventions.”
DOTS CURED ME. IT WILL CURE YOU TOO!
The Strategy: DOTSThe Strategy: DOTS
DOTS is now implemented in 155 countries.
Not implementing DOTSImplementation in 10 to 90% of popImplementation in > 90% of pop
Implementation in < 10% of pop
No reportLow incidence non-DOTS country
DOTS CURED ME. IT WILL CURE YOU TOO!
The Strategy: DOTSThe Strategy: DOTS
DOTS is effective: More than 4 out of 5 patients who complete their treatment are cured.
85 80
0
1020
30
4050
60
7080
90
100
Target for 2005 Achieved Today
DOTS SUCCESS RATES in %
Target for 2005 Achieved Today
3. THE TARGETS
To fight TB we have two clear and measurable targets:
1. Detection
2. Cure
Where are we today?
DOTS CURED ME. IT WILL CURE YOU TOO!
3. The Targets 3. The Targets
We have clear and measurable targets to fight TB:
Detection and cure through DOTS.
7085
0
10
2030
40
5060
7080
90
100
DETECTION TREATMENT SUCCESS
DETECTION AND CURE TARGETS FOR 2005 in %
DETECTION TREATMENT SUCCESS
DOTS CURED ME. IT WILL CURE YOU TOO!
3. The Targets3. The Targets
70
32
85 80
0
20
40
60
80
100
Detection Target Detention Achieved Treatment successTarget
Treatment SuccessAchieved
ACHIEVED vs. TARGET
Where are we TODAY?
Detecting new cases is the main PROBLEM and therefore we need to double our efforts to achieve our 2005 target.
DOTS CURED ME. IT WILL CURE YOU TOO!
THE BENEFITS OF PROGRESSTHE BENEFITS OF PROGRESS
By achieving our objectives of 70% detection and 85% cure rates, we will
Halve TB prevalence and deaths by 2010
=
5.000.000 LIVES SAVED!
5. OBSTACLES TO PROGRESS
A major obstacle in the fight to STOP TB is the rate of case detection.
WE MUST ACCELERATE TB DETECTION RATES!
DOTS CURED ME. IT WILL CURE YOU TOO! World Health OrganizationWorld Health Organization
0
10
20
30
40
50
60
70
80
1990 1995 2000 2005 2010 2015
Year
Cas
es n
oti
fied
un
der
DO
TS
(%
)
current rate of progress:target met in 2013
accelerated progress:target met in 2005
WHO target 70%
DOTS begins 1991
OBSTACLES TO PROGRESSOBSTACLES TO PROGRESS
Source: Global Tuberculosis Control. WHO Report 2002. WHO/CDS/TB/2002.295
6. TB PATIENTS
We have thousands of allies in
the fight to STOP TB:
PEOPLE WHO HAVE BEEN CURED.
They can show us how to STOP TB.
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
The most effective messages come from cured TB patients.
We must find them!
We must give them a voice!
They are living proof that TB CAN BE CURED!
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
It is important that people with TB are visible in their communities. Stigma, especially among women, limits our efforts to STOP TB.
Therefore...
Involve TB patients in advocacy activities. It could be the difference between life and death.
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
• Give cured TB patients the opportunity to tell their stories with the support of TB partners, national programs and NGO’s. This will encourage other potential TB sufferers to come forward and be diagnosed and cured.
• Create opportunities for patients to speak at the local, national and global levels.
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
PERU is PROOF:
Peru was on the list of countries with the highest TB burden. After a street demonstration of TB patients, the government responded with commitment, resources and action. The result?
Peru is no longer on that list.
100120140160180200220
1980 1985 1990 1995 2000
TB
ca
ses/
100,
000 DOTS 1990
PTB falling at 6%/yr
case finding
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
BANGLADESH is PROOF:
In Bangladesh, the Damien Foundation detected 11,641 cases of TB in 2000.
25% of them were identified by former TB patients!
DOTS CURED ME. IT WILL CURE YOU TOO!
6. TB Patients6. TB Patients
CURED TB PATIENTS ARE THE BEST TB ADVOCATES
We must identify high profile figures to be advocates for TB.
Their role:
1. To prompt action among people at risk of TB.
2. To help overcome the social stigma of TB.
DOTS CURED ME. IT WILL CURE YOU TOO!
How can I help?How can I help?
Do you know people who have been cured of TB?
• Encourage them to come forward.
Have you been cured of TB?
• Become an ambassador for TB.
• Become a treatment partner.
Do you want to help?
• Contribute to the formation of TB advocacy groups.
• Join your local Partnership to STOP TB.
DOTS CURED ME. IT WILL CURE YOU TOO!
SUMMARYSUMMARY
TB is a devastating disease: It is the World´s No. 1 killer among curable, infectious diseases.
However, we have a proven method to STOP TB: DOTS.
To fight TB with DOTS, we have two measurable targets:
• 70% detection. 85% cure.
• Case detection is our main challenge.
For accelerating case detection we have thousands of allies: People who have been CURED.
If you know people who have been cured of TB or you have been cured yourself, you can help by:
• Coming forward or encouraging others to come forward.
• Becoming an ambassador for TB.
• Becoming a treatment partner.
REMEMBER...
If we achieve our target rates of detection and cure, 5.000.000 lives will be saved by 2010!!!