Download the fight to stop tb

THE FIGHT
TO
STOP TB
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
AGENDA
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!
1. ABOUT TB
 THE FACTS
 TB: Global Incidence
ABOUT 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 TB
TB: Global Incidence
Rate per 100 000
0-9
10 - 24
25 - 49
50 - 99
100 - 300
300 or more
No Estimate
Source: WHO
DOTS CURED ME. IT WILL CURE YOU TOO!
ABOUT TB
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
Source: WHO

Asia
 India
 China
 Indonesia
 Bangladesh
 Philippines
 Pakistan
 Viet Nam
 Thailand
 Myanmar
 Afghanistan
 Cambodia
DOTS CURED ME. IT WILL CURE YOU TOO!

Europe / Americas
 Russian Federation
 Brazil
2. THE STRATEGY
 We have a weapon to fight TB: DOTS
 DOTS cures more than 80% of cases
 DOTS is free
The 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: DOTS
DOTS is now implemented in 155 countries.
Implementation in < 10% of pop
Implementation in 10 to 90% of pop
Implementation in > 90% of pop
DOTS CURED ME. IT WILL CURE YOU TOO!
Not implementing DOTS
Low incidence non-DOTS country
No report
The Strategy: DOTS
DOTS is effective: More than 4 out of 5 patients who
complete their treatment are cured.
DOTS SUCCESS RATES in %
85
80
100
90
80
70
60
50
40
30
20
10
0
Target for 2005
Target for 2005
Achieved Today
Achieved Today
DOTS CURED ME. IT WILL CURE YOU TOO!
3. THE TARGETS
To fight TB we have two clear and measurable targets:
1. Detection
2. Cure
Where are we today?
3. The Targets
We have clear and measurable targets to fight TB:
Detection and cure through DOTS.
DETECTION AND CURE TARGETS FOR 2005 in %
100
90
80
70
60
50
40
30
20
10
0
85
70
DETECTION
DETECTION
TREATMENT SUCCESS
TREATMENT SUCCESS
DOTS CURED ME. IT WILL CURE YOU TOO!
3. The Targets
Where are we TODAY?
Detecting new cases is the main PROBLEM and therefore we
need to double our efforts to achieve our 2005 target.
ACHIEVED vs. TARGET
100
80
70
60
85


80
32
40
20
0
Det ect ion Target
Det ent ion A chieved
Treat ment success
Target
DOTS CURED ME. IT WILL CURE YOU TOO!
Treat ment Success
A chieved
4. THE BENEFITS OF
PROGRESS
What are they?
THE 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!
DOTS CURED ME. IT WILL CURE YOU TOO!
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!
OBSTACLES TO
PROGRESS
Cases notified under DOTS (%)
80
WHO target 70%
70
60
accelerated progress:
target met in 2005
50
40
30
20
DOTS begins
1991
current rate of
progress:
target met in 2013
10
0
1990
1995
2000
2005
2010
2015
Year
Source: Global Tuberculosis Control. WHO Report 2002. WHO/CDS/TB/2002.295
DOTS CURED ME. IT WILL CURE YOU TOO!
World Health Organization
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.
6. 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 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 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 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?
TB cases/100,000
Peru is no longer on that list.
220
200
180
160
140
120
100
1980
DOTS 1990
case finding
PTB falling at 6%/yr
1985
1990
DOTS CURED ME. IT WILL CURE YOU TOO!
1995
2000
6. 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 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!
7. HOW CAN I HELP?
I want to advocate for TB, but how?
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!
SUMMARY
What have we learnt?
SUMMARY
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,
2010!!!
DOTS CURED ME. IT WILL CURE YOU TOO!
5.000.000 lives will be saved by
Thank YOU!
www.stoptb.org
DOTS CURED ME. IT WILL CURE YOU TOO!