WHO Global Tuberculosis Report 2013
Main findings
• Burden of disease – The current global picture of TB shows
continued progress, but not fast enough
• TB de...
Global burden 2012

Incident cases

Prevalent cases

Deaths

All forms of TB

8.6 million
(8.3-9.0 million)

12 million
(1...
Global trend of TB incidence
Global trend of TB prevalence
Global trend of TB mortality
Achievements of global TB control
Case detection rate
Case detection rate
Treatment success rate
Global targets
• WHA 1991
– 2000, case detection rate >70%
– 2000, cure rate >85%

• MDG
– 2015, incidence reversed

• Sto...
Achievement of global targets
1990

2000

2005

2010

Global

48

40

42

56

66

67

WPR

36

37

39

70

80

85

China

...
Achievement of global targets
1990 1995 2000 2005 2010 2012
Incidence rate

(2012-1990)/1990

Global

147

148

148

142

...
Countdown to 2015
On track

Off track

• Incidence rate falling in all
regions for 1 decade

• Prevalence rate fell only 3...
Reasons of off-track
• Resource constraints

• Conflict and instability
• HIV epidemics
MDR-TB

Global - 320000
India – 64000
China – 59000
Russian Fed – 46000
Philippines – 13000
Pakistan – 11000
……
MDR-TB testing and treatment
XDR-TB
TB-HIV

Global - 1100000
South Africa – 330000
India – 130000
Mozambique – 83000
Zimbabwe - 55000
Nigeria – 46000
Kenya – ...
5 priority actions
1. Reach the missed cases
2. Address MDR-TB as a public health crises
3. Accelerate the response to TB/...
Development of TB diagnostics
Development of new TB drugs
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Who global tb control 2013

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Who global tb control 2013

  1. 1. WHO Global Tuberculosis Report 2013
  2. 2. Main findings • Burden of disease – The current global picture of TB shows continued progress, but not fast enough • TB detection and treatment – Millions of people access effective TB care each year but “missed cases” hold back gains • MDR-TB and XDR-TB – Undetected cases and treatment coverage gaps constitute a public health crisis • TB-HIV - TB-HIV collaborative services are expanding, but global targets are not yet in sight • Financing – International donor funding and more domestic investments are essential • Research and development – New diagnostics, medicines and vaccines are crucial to end the global TB epidemic
  3. 3. Global burden 2012 Incident cases Prevalent cases Deaths All forms of TB 8.6 million (8.3-9.0 million) 12 million (11-13 million) 0.94 million * (0.79-1.1 million) TB-HIV 1.1 Million (1.0-1.2 million) 0.32 million (0.30-0.34 million) MDR-TB 0.45 million 0.17 million * TB-HIV deaths not included © Tong Ka Io 2013
  4. 4. Global trend of TB incidence
  5. 5. Global trend of TB prevalence
  6. 6. Global trend of TB mortality
  7. 7. Achievements of global TB control
  8. 8. Case detection rate
  9. 9. Case detection rate
  10. 10. Treatment success rate
  11. 11. Global targets • WHA 1991 – 2000, case detection rate >70% – 2000, cure rate >85% • MDG – 2015, incidence reversed • Stop TB Partnership – 2015, prevalence and mortality reduced by 50% compared with 1990 – 2050, incidence <1/1 million
  12. 12. Achievement of global targets 1990 2000 2005 2010 Global 48 40 42 56 66 67 WPR 36 37 39 70 80 85 China 21 32 33 74 86 89 Macao Case detection rate 1995 2011 87 87 87 87 87 87 Cure rate Global 40 60 77 80 80 (new ss+ cases) WPR 67 85 89 90 91 China 72 93 92 93 94 81 93 86 86 Macao © Tong Ka Io 2013 2012
  13. 13. Achievement of global targets 1990 1995 2000 2005 2010 2012 Incidence rate (2012-1990)/1990 Global 147 148 148 142 128 122 -17.0% WPR 161 138 119 105 92 87 -46.0% China 153 129 109 92 78 73 -52.3% Macao 110 116 120 98 85 83 -24.5% Global 274 275 263 225 182 169 -38.3% WPR 261 238 210 174 139 128 -51.0% China 215 195 170 140 108 99 -54.0% Macao 167 137 151 141 119 117 -29.9% Mortality rate Global 25 24 22 19 15 13 -48.0% (excl. HIV) WPR 21 16 12 8.6 6.4 5.8 -72.4% China 19 13 8.7 5.7 3.8 3.2 -83.2% Macao 10 5.4 4.6 3.3 2.8 2.8 -72.0% Prevalence rate © Tong Ka Io 2013
  14. 14. Countdown to 2015 On track Off track • Incidence rate falling in all regions for 1 decade • Prevalence rate fell only 37% • AFR and EUR are not on track • Mortality rate reduced by 45% • 11 of 22 HBC are not on track • AMR and WPR already achieved 2015 targets • 7 of 22 HBC already achieved targets, 4 more on track • Diagnosis and treatment of MDR-TB is far off-track • Targets for testing and ART for TB/HIV have not been reached
  15. 15. Reasons of off-track • Resource constraints • Conflict and instability • HIV epidemics
  16. 16. MDR-TB Global - 320000 India – 64000 China – 59000 Russian Fed – 46000 Philippines – 13000 Pakistan – 11000 ……
  17. 17. MDR-TB testing and treatment
  18. 18. XDR-TB
  19. 19. TB-HIV Global - 1100000 South Africa – 330000 India – 130000 Mozambique – 83000 Zimbabwe - 55000 Nigeria – 46000 Kenya – 45000 Uganda – 35000 UR Tanzania – 32000 ……
  20. 20. 5 priority actions 1. Reach the missed cases 2. Address MDR-TB as a public health crises 3. Accelerate the response to TB/HIV 4. Increase financing to close all resource gaps 5. Ensure rapid uptake of innovations
  21. 21. Development of TB diagnostics
  22. 22. Development of new TB drugs

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