Global Tuberculosis Control 2007 Did we reach the 2005 targets? Will we achieve the Millennium Development Goals?

New TB cases per 100,000 population in 2005 No estimate or more Estimated new TB cases (all forms) per population Europe: case rates up by 40% during 1990s, now falling slowly Africa: case rates up by 200+% during 1990s, now stabilizing World: case rates rising during 1990s, now stable or falling slowly

Going up New cases/100,000/yr Africa Europe World Going down New cases/100,000/yr SE Asia W Pacific Americas E Med TB case rate stable or falling after epidemics peak in Africa and Europe

No estimate < or more25-49 Estimated new TB cases (all forms) per population TB gradient across Europe

Multidrug resistant TB in Europe No estimate< or more % MDR among new and retreated cases

TB linked to HIV across Europe No estimate< or more % increase in HIV in adult TB cases

World Health Assembly 1991 "…attain a global target of cure of 85% sputum-positive patients under treatment and detection of 70% of cases by the year 2000"

Tuberculosis control in Europe 1. Did we reach the 2005 targets? No. Low case detection poor diagnosis Low cure rate patient monitoring, drug resistance 2. Will we achieve the Millennium Development Goals? Not unless… Reduce TB cases and deaths by widely implementing WHO Stop TB Strategy