Tuberculosis—a World Health Organization Perspective

Author:

Sotgiu Giovanni1,Sulis Giorgia2,Matteelli Alberto2

Affiliation:

1. Clinical Epidemiology and Medical Statistics Unit, Department of Biomedical Sciences, University of Sassari, Sassari 07100, Italy

2. Department of Infectious and Tropical Diseases, WHO Collaborating Centre for TB/HIV and TB Elimination, University of Brescia, Brescia 25123, Italy

Abstract

ABSTRACT Tuberculosis (TB) is an important cause of morbidity and mortality worldwide. The World Health Organization (WHO) has implemented and scaled-up three important global public health strategies (i.e., DOTS, Stop TB, and End TB) to improve the international scenario. Their epidemiological impact was relevant, as they decreased the number of potential new cases of disease and death. However, the emergence and spread of TB/HIV coinfection and multidrug-resistant TB have hindered the progress towards the elimination of TB by 2050. More efforts are required to increase the global annual decline of the TB incidence rate. Political commitment is necessary, with global and national strategies oriented to the adoption and adaptation of the international, evidence-based recommendations on diagnosis, treatment, and prevention. Research and development activities should be planned to improve the current tools adopted to fight the disease. New rapid diagnostics, an updated and effective therapeutic armamentarium, and an effective preventive vaccine could represent the solution to address the current epidemiological threats.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

Reference73 articles.

1. Dye C Maher D Weil D Espinal M Raviglione M. 2006. Targets for global tuberculosis control. Int J Tuberc Lung Dis 10: 460–462. [PubMed]

2. World Health Organization. 2016. Global Tuberculosis Report 2016 . WHO/HTM/TB/2016.13. World Health Organization Geneva Switzerland.

3. D’Ambrosio L Dara M Tadolini M Centis R Sotgiu G van der Werf MJ Gaga M Cirillo D Spanevello A Raviglione M Blasi F Migliori GB European national programme representatives. 2014. Tuberculosis elimination: theory and practice in Europe. Eur Respir J 43: 1410–1420. [PubMed]

4. Lönnroth K et al. 2015. Towards tuberculosis elimination: an action framework for low-incidence countries. Eur Respir J 45: 928–952. [PubMed]

5. Raviglione MC Uplekar MW. 2006. WHO’s new Stop TB strategy. Lancet 367: 952–955. [PubMed]

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