Global Tuberculosis Report 2020 – Reflections on the Global TB burden, treatment and prevention efforts
•In 2020, COVID-19 dislodged TB as the top infectious disease cause of mortality globally.•Globally, an estimated 10.0 million people developed active TB disease in 2019, with 1.4 million TB deaths.•The WHO regions of South-East Asia, Africa, and the Western Pacific had the most cases of TB.•Progres...
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| Published in | International journal of infectious diseases Vol. 113; no. Suppl 1; pp. S7 - S12 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Canada
Elsevier Ltd
01.12.2021
Elsevier |
| Subjects | |
| Online Access | Get full text |
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| Abstract | •In 2020, COVID-19 dislodged TB as the top infectious disease cause of mortality globally.•Globally, an estimated 10.0 million people developed active TB disease in 2019, with 1.4 million TB deaths.•The WHO regions of South-East Asia, Africa, and the Western Pacific had the most cases of TB.•Progress in achieving the United Nations (UN) General Assembly End TB targets remains slow.•TB services need to be ramped up, and underlying drivers of TB need be addressed.
The October 2020 Global TB report reviews TB control strategies and United Nations (UN) targets set in the political declaration at the September 2018 UN General Assembly high-level meeting on TB held in New York. Progress in TB care and prevention has been very slow. In 2019, TB remained the most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed TB disease in 2019, and there were an estimated 1.2 million TB deaths among HIV-negative people and an additional 208, 000 deaths among people living with HIV. Adults accounted for 88% and children for 12% of people with TB. The WHO regions of South-East Asia (44%), Africa (25%), and the Western Pacific (18%) had the most people with TB. Eight countries accounted for two thirds of the global total: India (26%), Indonesia (8.5%), China (8.4%), the Philippines (6.0%), Pakistan (5.7%), Nigeria (4.4%), Bangladesh (3.6%) and South Africa (3.6%). Only 30% of the 3.5 million five-year target for children treated for TB was met. Major advances have been development of new all oral regimens for MDRTB and new regimens for preventive therapy. In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally. Notably, global TB control efforts were not on track even before the advent of the COVID-19 pandemic. Many challenges remain to improve sub-optimal TB treatment and prevention services. Tuberculosis screening and diagnostic test services need to be ramped up. The major drivers of TB remain undernutrition, poverty, diabetes, tobacco smoking, and household air pollution and these need be addressed to achieve the WHO 2035 TB care and prevention targets. National programs need to include interventions for post-tuberculosis holistic wellbeing. From first detection of COVID-19 global coordination and political will with huge financial investments have led to the development of effective vaccines against SARS-CoV2 infection. The world now needs to similarly focus on development of new vaccines for TB utilizing new technological methods. |
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| AbstractList | •In 2020, COVID-19 dislodged TB as the top infectious disease cause of mortality globally.•Globally, an estimated 10.0 million people developed active TB disease in 2019, with 1.4 million TB deaths.•The WHO regions of South-East Asia, Africa, and the Western Pacific had the most cases of TB.•Progress in achieving the United Nations (UN) General Assembly End TB targets remains slow.•TB services need to be ramped up, and underlying drivers of TB need be addressed.
The October 2020 Global TB report reviews TB control strategies and United Nations (UN) targets set in the political declaration at the September 2018 UN General Assembly high-level meeting on TB held in New York. Progress in TB care and prevention has been very slow. In 2019, TB remained the most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed TB disease in 2019, and there were an estimated 1.2 million TB deaths among HIV-negative people and an additional 208, 000 deaths among people living with HIV. Adults accounted for 88% and children for 12% of people with TB. The WHO regions of South-East Asia (44%), Africa (25%), and the Western Pacific (18%) had the most people with TB. Eight countries accounted for two thirds of the global total: India (26%), Indonesia (8.5%), China (8.4%), the Philippines (6.0%), Pakistan (5.7%), Nigeria (4.4%), Bangladesh (3.6%) and South Africa (3.6%). Only 30% of the 3.5 million five-year target for children treated for TB was met. Major advances have been development of new all oral regimens for MDRTB and new regimens for preventive therapy. In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally. Notably, global TB control efforts were not on track even before the advent of the COVID-19 pandemic. Many challenges remain to improve sub-optimal TB treatment and prevention services. Tuberculosis screening and diagnostic test services need to be ramped up. The major drivers of TB remain undernutrition, poverty, diabetes, tobacco smoking, and household air pollution and these need be addressed to achieve the WHO 2035 TB care and prevention targets. National programs need to include interventions for post-tuberculosis holistic wellbeing. From first detection of COVID-19 global coordination and political will with huge financial investments have led to the development of effective vaccines against SARS-CoV2 infection. The world now needs to similarly focus on development of new vaccines for TB utilizing new technological methods. The October 2020 Global TB report reviews TB control strategies and United Nations (UN) targets set in the political declaration at the September 2018 UN General Assembly high-level meeting on TB held in New York. Progress in TB care and prevention has been very slow. In 2019, TB remained the most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed TB disease in 2019, and there were an estimated 1.2 million TB deaths among HIV-negative people and an additional 208, 000 deaths among people living with HIV. Adults accounted for 88% and children for 12% of people with TB. The WHO regions of South-East Asia (44%), Africa (25%), and the Western Pacific (18%) had the most people with TB. Eight countries accounted for two thirds of the global total: India (26%), Indonesia (8.5%), China (8.4%), the Philippines (6.0%), Pakistan (5.7%), Nigeria (4.4%), Bangladesh (3.6%) and South Africa (3.6%). Only 30% of the 3.5 million five-year target for children treated for TB was met. Major advances have been development of new all oral regimens for MDRTB and new regimens for preventive therapy. In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally. Notably, global TB control efforts were not on track even before the advent of the COVID-19 pandemic. Many challenges remain to improve sub-optimal TB treatment and prevention services. Tuberculosis screening and diagnostic test services need to be ramped up. The major drivers of TB remain undernutrition, poverty, diabetes, tobacco smoking, and household air pollution and these need be addressed to achieve the WHO 2035 TB care and prevention targets. National programs need to include interventions for post-tuberculosis holistic wellbeing. From first detection of COVID-19 global coordination and political will with huge financial investments have led to the development of effective vaccines against SARS-CoV2 infection. The world now needs to similarly focus on development of new vaccines for TB utilizing new technological methods.The October 2020 Global TB report reviews TB control strategies and United Nations (UN) targets set in the political declaration at the September 2018 UN General Assembly high-level meeting on TB held in New York. Progress in TB care and prevention has been very slow. In 2019, TB remained the most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed TB disease in 2019, and there were an estimated 1.2 million TB deaths among HIV-negative people and an additional 208, 000 deaths among people living with HIV. Adults accounted for 88% and children for 12% of people with TB. The WHO regions of South-East Asia (44%), Africa (25%), and the Western Pacific (18%) had the most people with TB. Eight countries accounted for two thirds of the global total: India (26%), Indonesia (8.5%), China (8.4%), the Philippines (6.0%), Pakistan (5.7%), Nigeria (4.4%), Bangladesh (3.6%) and South Africa (3.6%). Only 30% of the 3.5 million five-year target for children treated for TB was met. Major advances have been development of new all oral regimens for MDRTB and new regimens for preventive therapy. In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally. Notably, global TB control efforts were not on track even before the advent of the COVID-19 pandemic. Many challenges remain to improve sub-optimal TB treatment and prevention services. Tuberculosis screening and diagnostic test services need to be ramped up. The major drivers of TB remain undernutrition, poverty, diabetes, tobacco smoking, and household air pollution and these need be addressed to achieve the WHO 2035 TB care and prevention targets. National programs need to include interventions for post-tuberculosis holistic wellbeing. From first detection of COVID-19 global coordination and political will with huge financial investments have led to the development of effective vaccines against SARS-CoV2 infection. The world now needs to similarly focus on development of new vaccines for TB utilizing new technological methods. The October 2020 Global TB report reviews TB control strategies and United Nations (UN) targets set in the political declaration at the September 2018 UN General Assembly high-level meeting on TB held in New York. Progress in TB care and prevention has been very slow. In 2019, TB remained the most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed TB disease in 2019, and there were an estimated 1.2 million TB deaths among HIV-negative people and an additional 208, 000 deaths among people living with HIV. Adults accounted for 88% and children for 12% of people with TB. The WHO regions of South-East Asia (44%), Africa (25%), and the Western Pacific (18%) had the most people with TB. Eight countries accounted for two thirds of the global total: India (26%), Indonesia (8.5%), China (8.4%), the Philippines (6.0%), Pakistan (5.7%), Nigeria (4.4%), Bangladesh (3.6%) and South Africa (3.6%). Only 30% of the 3.5 million five-year target for children treated for TB was met. Major advances have been development of new all oral regimens for MDRTB and new regimens for preventive therapy. In 2020, the COVID-19 pandemic dislodged TB from the top infectious disease cause of mortality globally. Notably, global TB control efforts were not on track even before the advent of the COVID-19 pandemic. Many challenges remain to improve sub-optimal TB treatment and prevention services. Tuberculosis screening and diagnostic test services need to be ramped up. The major drivers of TB remain undernutrition, poverty, diabetes, tobacco smoking, and household air pollution and these need be addressed to achieve the WHO 2035 TB care and prevention targets. National programs need to include interventions for post-tuberculosis holistic wellbeing. From first detection of COVID-19 global coordination and political will with huge financial investments have led to the development of effective vaccines against SARS-CoV2 infection. The world now needs to similarly focus on development of new vaccines for TB utilizing new technological methods. |
| Author | Abubakar, Ibrahim Katoto, Patrick D.M.C. Bulabula, André N.H. McHugh, Timothy D. Chakaya, Jeremiah Kapata, Nathan Hasnain, Seyed Ehtesham Zumla, Alimuddin Ntoumi, Francine Sam-Agudu, Nadia A. Nachega, Jean B. Aklillu, Eleni Tiberi, Simon Khan, Mishal Mfinanga, Sayoki Mwaba, Peter Fatima, Razia |
| AuthorAffiliation | t Dept of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA b Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom h Lusaka Apex Medical University, Lusaka, Zambia n Department of Medicine, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa k Muhimbili University of Health and Allied Sciences, Dar-Es-Salaam, Tanzania g Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital-Huddinge, SE-141 86 Stockholm, Sweden s Department of Medicine, Stellenbosch University, Cape Town, South Africa i Zambia National Public Health Institute, Ministry of Health, Lusaka, Zambia v Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom w Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK f Institute for Tr |
| AuthorAffiliation_xml | – name: e Université Marien Gouabi, Fondation Congolaise pour la Recherche Médicale, Brazzaville, Congo – name: p International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria – name: t Dept of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA – name: u Department of Epidemiology, Infectious Diseases and Microbiology, Center for Global Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA – name: k Muhimbili University of Health and Allied Sciences, Dar-Es-Salaam, Tanzania – name: d National TB Control Program, Common Unit (HIV,TB,Malaria), Chak Shahzad, Islamabad, Pakistan – name: w Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK – name: x Center for Clinical Microbiology, Division of Infection and Immunity, University College London, Royal Free Hospital Campus, London, United Kingdom – name: r Department of Pediatrics and Child Health, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana – name: g Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital-Huddinge, SE-141 86 Stockholm, Sweden – name: a Department of Medicine, Therapeutics and Dermatology, Kenyatta University, Nairobi, Kenya – name: y Institute of Global health, University College London, London, United Kingdom – name: m Department of Bichemical Engineering and Biotechnology, Indian Institute of Technology, New Delhi, India – name: c London School of Hygiene and Tropical Medicine, London, UK – name: f Institute for Tropical Diseases, University of Tübingen, Germany – name: b Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom – name: l Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania – name: o Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa – name: i Zambia National Public Health Institute, Ministry of Health, Lusaka, Zambia – name: n Department of Medicine, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa – name: z Department of Infection, Division of Infection and Immunity, University College London, and NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, United Kingdom – name: j National Institute for Medical Research, Dar-Es-Salaam, Tanzania – name: v Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom – name: q Institute of Human Virology and Department of Pediatrics, University of Maryland School of Medicine, Baltimore, USA – name: s Department of Medicine, Stellenbosch University, Cape Town, South Africa – name: h Lusaka Apex Medical University, Lusaka, Zambia |
| Author_xml | – sequence: 1 givenname: Jeremiah surname: Chakaya fullname: Chakaya, Jeremiah email: chakaya.jm@gmail.com organization: Department of Medicine, Therapeutics and Dermatology, Kenyatta University, Nairobi, Kenya – sequence: 2 givenname: Mishal surname: Khan fullname: Khan, Mishal email: Mishal.Khan@lshtm.ac.uk organization: London School of Hygiene and Tropical Medicine, London, UK – sequence: 3 givenname: Francine surname: Ntoumi fullname: Ntoumi, Francine email: fntoumi@fcrm-congo.com organization: Université Marien Gouabi, Fondation Congolaise pour la Recherche Médicale, Brazzaville, Congo – sequence: 4 givenname: Eleni surname: Aklillu fullname: Aklillu, Eleni email: Eleni.Aklillu@ki.se organization: Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital-Huddinge, SE-141 86 Stockholm, Sweden – sequence: 5 givenname: Razia surname: Fatima fullname: Fatima, Razia email: drraziafatima@gmail.com organization: National TB Control Program, Common Unit (HIV,TB,Malaria), Chak Shahzad, Islamabad, Pakistan – sequence: 6 givenname: Peter surname: Mwaba fullname: Mwaba, Peter email: pbmwaba2000@gmail.com organization: Lusaka Apex Medical University, Lusaka, Zambia – sequence: 7 givenname: Nathan surname: Kapata fullname: Kapata, Nathan email: nkapata@gmail.com organization: Zambia National Public Health Institute, Ministry of Health, Lusaka, Zambia – sequence: 8 givenname: Sayoki surname: Mfinanga fullname: Mfinanga, Sayoki email: gsmfinanga@yahoo.com organization: National Institute for Medical Research, Dar-Es-Salaam, Tanzania – sequence: 9 givenname: Seyed Ehtesham surname: Hasnain fullname: Hasnain, Seyed Ehtesham email: seyedhasnain@gmail.com organization: Department of Bichemical Engineering and Biotechnology, Indian Institute of Technology, New Delhi, India – sequence: 10 givenname: Patrick D.M.C. surname: Katoto fullname: Katoto, Patrick D.M.C. email: katotopatrick@gmail.com organization: Department of Medicine, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa – sequence: 11 givenname: André N.H. surname: Bulabula fullname: Bulabula, André N.H. email: andybulabula@gmail.com organization: Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa – sequence: 12 givenname: Nadia A. surname: Sam-Agudu fullname: Sam-Agudu, Nadia A. email: nsamagudu@ihvnigeria.org organization: International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria – sequence: 13 givenname: Jean B. surname: Nachega fullname: Nachega, Jean B. email: JBN16@pitt.edu organization: Department of Medicine, Stellenbosch University, Cape Town, South Africa – sequence: 14 givenname: Simon surname: Tiberi fullname: Tiberi, Simon email: simon.tiberi@nhs.net organization: Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom – sequence: 15 givenname: Timothy D. surname: McHugh fullname: McHugh, Timothy D. email: t.mchugh@ucl.ac.uk organization: Center for Clinical Microbiology, Division of Infection and Immunity, University College London, Royal Free Hospital Campus, London, United Kingdom – sequence: 16 givenname: Ibrahim surname: Abubakar fullname: Abubakar, Ibrahim email: i.abubakar@ucl.ac.uk organization: Institute of Global health, University College London, London, United Kingdom – sequence: 17 givenname: Alimuddin surname: Zumla fullname: Zumla, Alimuddin email: a.zumla@ucl.ac.uk organization: Department of Infection, Division of Infection and Immunity, University College London, and NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, United Kingdom |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33716195$$D View this record in MEDLINE/PubMed http://kipublications.ki.se/Default.aspx?queryparsed=id:148554665$$DView record from Swedish Publication Index |
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