the union's new treat tb initiative (dr. i.d. rusen)
TRANSCRIPT
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The International Union Against Tuberculosis and Lung Disease
(The Union)
Promoting Lung Health Since 1920
I.D. Rusen MD, MScDirector, Department of Tuberculosis, The UnionDecember 4, 2009, Cancun
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Outline• Union mission
• Pillars of work
• Tuberculosis burden
• FIDELIS
• Questions and answers
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Union Background• World’s oldest humanitarian organization dealing with
health founded in Paris in 1920
• Mission: to bring innovation, expertise, solutions and support to address health challenges in low- and middle-income populations
• Headquarters in Paris with several regional and country offices including Mexico, New York, Delhi, Kinshasa and Kampala
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Union Pillars
• Technical Assistance
• Research
• Training
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Union Technical Departments• Tuberculosis
• Lung Health
• HIV
• Tobacco Control
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Tuberculosis• 9.27 million cases globally in 2007
• 1.77 million deaths due to TB
• 511,000 cases MDR-TB
• 1.4 million HIV co-infected cases
• Poverty spiral – economically productive most affected
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Special Tuberculosis Initiatives
• FIDELIS
• TREAT TB
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FIDELIS• Fund for innovative DOTS expansion through local
initiatives to Stop TB
• CIDA multi-lateral grant managed by The Union
• Launched in April, 2003
• Aim to increase global case detection of new smear positive tuberculosis while maintaining high cure rates
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FIDELIS (main principles)
• Small projects of one-year duration (USD 150K-250K)
• Local solutions to local problems
• Encourage innovative ideas within existing programs
• Focus on populations with limited access
• Systematic monitoring and evaluation
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FIDELIS (activities)• 6 application rounds completed
• 53 phase I projects implemented/approved in 18 countries (166 proposals)
• 13 projects approved for phase II activities
• Final ‘best practice’ project completing activities
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FIDELIS (phase I countries)• China (15)
• Pakistan (9)
• Kenya (5)
• Indonesia (4)
• Tanzania (4)
• Bangladesh, Nigeria, Uganda (2 each)
• Afghanistan, Ethiopia, Eritrea, Madagascar, Myanmar, Sierra Leone, Somalia, Sri Lanka, Sudan, Tajikistan (1 each)
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FIDELIS (results)• 51 phase I projects completed one year of activities
• A total of 273,239 new smear positive cases were detected in these 51 projects
• Represented an additional 85,267 NSP cases over the previous year in project sites
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FIDELIS (project highlights)
• In rural Bangladesh, project utilized community leaders to mobilize the community to seek care for symptoms
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FIDELIS (project highlights)
• In Indonesia, project to engage private practitioners to strengthen tuberculosis control services
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FIDELIS (project highlights)
• In Anhui, China, project mobilized primary school students to identify tuberculosis suspects in their families with follow up assured by village doctors
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Future Directions• Need to address (emphasize again) basic approaches
to tuberculosis control
• Need to support research into new tools and approaches to diagnosis and care (TREAT TB)
• Need to strengthen systems – health systems, laboratory systems – that serve beyond tuberculosis
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International Union Against Tuberculosis International Union Against Tuberculosis and Lung Disease (The Union)and Lung Disease (The Union)68 boulevard Saint-Michel68 boulevard Saint-MichelParis 75006 Paris 75006 FranceFranceTel (+33) 1 44 32 03 60 Tel (+33) 1 44 32 03 60 Fax : (+33) 1 43 29 90 87 Fax : (+33) 1 43 29 90 87 e-mail: e-mail: [email protected] www.theunion.org