Through the CNS lens: The Global TB Report 2012
DRUG-SUSCEPTIBLE TB PROGRAMME ON TRACK - MIGHT MEET 2015 TARGETS
In 2011, there were an estimated 87 lakh (8.7 million) new cases of TB (as comparedto 88 lakhs/ 8.8 million in 2010), but only 58 lakh (5.8 million) of them were notifiedto national TB programmes globally and received treatment consistent withinternational guidelines. According to a communique of the Stop TB Partnership, thisis just 66% of the estimated total number of TB cases, implying that 34% or
(3 million) worldwide either received no diagnosis and treatment or gotpotentially substandard treatment. Sadly, this figure has not changed over the pastthree years.With 22 lakh (2.2 million) reported cases of TB in 2011, India continued to hold thedubious distinction of carrying the highest burden of the disease worldwide (26%)followed closely by China (12%).For the first time in its history, the Global TBReport 2012 (17th in the line) has reported somedata on
TB in children
(<15 years). Although dataon childhood TB is far from complete, it indicatesthat globally 5 lakhs (0.5 million) children were illwith TB, out of which 64,000 lost their lives to it.And yet,
no one needs to die of TB - a curabledisease.
There were 14 lakh (1.4million) deaths due to TB in2011 which was only slightly less by 50,000 thanthose in 2010. However, the good news is thatbetween 1995 and 2011, 5.1 crore (51 million)people were successfully treated for TB in countriesthat had adopted the WHO strategy, saving 2 crore(20 million) lives. The TB mortality rate has indeeddecreased by 41% since 1990 and the TB controlprogramme globally can hope to achieve the GlobalPlan to Stop TB target of a 50% reduction in TBdeaths by 2015.
OPTIMISM DOES NOT APPLY TO DRUG-RESISTANT FORMS OF TB
This optimism however does not apply to drug resistant forms of TB and progress inresponding to multidrug-resistant TB (MDR-TB) remained slow. The
Global Plan toStop TB (2011-2015)
envisages universal access to MDR-TB diagnosis, treatment andcare, and a treatment success rate of 75%, or higher, among confirmed cases of MDR-TB. Sadly MDR-TB related
treatment and care services reach a very smallpercentage
of people who are in need of them, making it clear that a lot more needs
(3 million)worldwide eitherreceived nodiagnosis andtreatment or gotpotentiallysubstandardtreatment. Sadly,this figure has notchanged over thepast three years-
Stop TB Partnership