tuberculosis the opportunity in our lifetime

Lucica Ditiu | Executive Secretary | Stop TB Partnership

the achievem ents

56 million
22 million 45%

people
treated for TB since 1995

Lives saved
Since 1995

Reduction in TB mortality
Since 1990

the achievem ents

the burden
TB incidence

target
10 / 100k
year

global
125 / 100k 107 92 79 68 58 50

90 2000 2010 2020 2

the burden

0.8
MILLION

1.3
MILLION

Population of Marseille, France

People who died of TB in 2012

the burden
Europe Eastern 3%
Mediterranean

Americas 2%

8% Western Pacific 9%

1.3
MILLION

South-East Asia 40%

Africa 38%

People who died of TB in 2012

the burden

8.6 MILLION
estimated TB cases
MDR-TB

77,000
MDR-TB cases diagnosed and on treatment

450,000
estimated new cases

1.3
MILLION

XDR
45, 000
estimated cases of XDR

5.7 MILLION
new cases diagnosed and treated

continuous
transmission

8.6 million
developed TB in 2012

10%
200 million will develop TB

2 billion people infected with TB

1 MDR case
infects up to

1 TB case
infects up to

4 / year

10 / year

7 billion people in the world today

WHO 2012 Global Tuberculosis Report; CDC 2013; Styblo 1985; Basu 2009

the burden

Why is MDR a public health crisis?

700

600

Less than 25% of estimated new MDR cases were detected in 2012

500 Thousands

400

300

17,000 patients on waiting list for treatment

200

100

0 Est. number of MDR TB cases in the World today Est. number new MDR TB cases New cases diagnosed New cases on treatment

the burden

Where are the missing three million?

global
challenge

airline flights
increase in number of departures since 2000

36%
worldwide

217%
MDR-TB high burden countries

2011, World Bank, International Civil Aviation Organization, Civil Aviation Statistics of the World and ICAO estimates

economic challenge

microeconomic
impact of TB on households

Up to

75%
must take out a loan

50% 15
decrease in yearly income

yrs

11%
of school children quit school when parent has TB

of income lost with TB death

Rajeswari R, Balasubramanian R, Muniyandi M, Geetharamani S, Thresa X, Venkatesan P, 1999. Socio-economic impact of tuberculosis on patients and family in India. Int J Tuberc Lung Dis 3: 869 877. Stop TB Partnership. (2000). Tuberculosis and Sustainable Development.

the road to 10 / 100,000

TB incidence Scale-up to 100% coverage of proven interventions
today 125

Prioritized focus on vulnerable groupsincluding women and children

Integration within country-region context and system

New tools

10

2035

2180

the lessons learned

lives saved
due to TB & HIV integration (2005-2011)

25 fold increase
cases detected & treated due to prioritized interventions in vulnerable populations

doubled
detection & treatment through engagement with TB communities

economic

opportunity
heart attacks
acute low-cost management

tuberculosis
case finding & treatment

US$ 30 malaria
prevention & treatment

US$ 25 expanded immunization US$ 20 local surgical capacity US$ 10

US$ 20 HIV
combination prevention

US$ 12

return on investment for every one dollar

spent on the most cost-effective health interventions
Report of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda, 2013

We must accelerate today to drive progress tomorrow

Thank you