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

2. New TB cases per 100,000 population in 2005 No estimate 0-24 50-99 100-299 300 or more 25-49 Estimated new TB cases (all forms) per 100 000 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

3. Going up 0 100 200 300 400 1990199520002005 New cases/100,000/yr 0 10 20 30 40 50 60 Africa Europe World Going down 0 50 100 150 200 250 1990199520002005 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

4. No estimate < 25 50-99 100-299300 or more25-49 Estimated new TB cases (all forms) per 100 000 population TB gradient across Europe

5. Multidrug resistant TB in Europe No estimate< 2 5-14.9 15 or more 2-4.9 % MDR among new and retreated cases

6. TB linked to HIV across Europe No estimate< 0.1 5-14.9 15 or more 0.1-4.9 % increase in HIV in adult TB cases

7. 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"

12. 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