GLOBAL TUBERCULOSIS CONTROL - EPIDEMIOLOGY, STRATEGY, FINANCING WHO Report 2009 WHO, 2009, 314 pages

http://www.who.int/tb/publications/global_report/2009/pdf/full_report.pdf

Данный доклад является тринадцатым ежегодным докладом о глобальной борьбе с туберкулезом), опубликованным Всемирной организацией здравоохранения (ВОЗ) в серии, начатой в 1997 году. Его главная цель состоит в предоставлении всесторонней и обновленной оценки эпидемии туберкулеза и информации о прогрессе в борьбе с этой болезнью на глобальном, региональном и страновом уровнях в контексте глобальных задач, поставленных для достижения в 2015 году. Результаты основаны, главным образом, на данных, представленных в ВОЗ с помощью ее стандартной формы для сбора данных о туберкулезе в 2008 г., а также на данных, которые собирались ежегодно с 1996 по 2007 год. На 196 стран и территорий, представившие данные в 2008 г., приходится 99,6% предполагаемого числа случаев заболевания ТБ в мире и 99,7% населения всего мира.

Contents

Acknowledgements
Abbreviations
Key points
Introduction

Chapter 1. Epidemiology

Goals, targets and indicators for TB control
TB incidence, prevalence and mortality
Incidence
Prevalence
Mortality
Summary of progress towards MDG and Stop TB Partnership impact targets
Improving measurement of progress towards the 2015 impact targets: the WHO Global Task Force on TB Impact Measurement
Measurement of incidence
Measurement of prevalence
Measurement of mortality
Status of impact measurement in HBCs at the end of 2008
Case notifications
Total case notifications
Case notifications disaggregated by sex
Case detection rates
Case detection rate, all sources (DOTS and non-DOTS programmes)
Case detection rate, DOTS programmes
Outcomes of treatment in DOTS programmes
New smear-positive cases
Re-treatment cases
Comparison of treatment outcomes in HIV-positive and HIV-negative TB patients
Progress towards reaching targets for case detection and treatment success
Summary

Chapter 2. Strategy

Data reported to WHO in 2008
DOTS expansion and enhancement
DOTS coverage and numbers of patients treated
Political commitment
Early case detection through quality-assured bacteriology
Standardized treatment with supervision, and patient support
Drug supply and management system
Monitoring and evaluation
Address TB/HIV, MDR-TB, and the needs of poor and vulnerable populations
Collaborative TB/HIV activities
Diagnosis and treatment of MDR-TB
Poor and vulnerable populations
Contribute to health system strengthening based on primary health care
Integration in primary health care
Alignment with broader planning and financing frameworks
Human resource development
Infection control
Practical Approach to Lung Health
Engage all care providers
Public-private mix approaches
International Standards for Tuberculosis Care
Empower people with TB, and communities through partnership
Advocacy, communication and social mobilization
Community participation in TB care
Patients' Charter for Tuberculosis Care
Enable and promote research
Summary

Chapter 3. Financing

Data reported to WHO in 2008
NTP budgets, available funding and funding gaps
High-burden countries
All countries
Total costs of TB control
High-burden countries
All countries
Comparisons with the Global Plan
High-burden countries
All countries
Budgets and costs per patient
Expenditures compared with available funding and changes in the number of patients treated
Global Fund financing
High-burden countries
All countries
Funding gaps and the global financial crisis
Summary
Conclusions

Annex 1. Profiles of high-burden countries

Annex 2. Methods

Data collection and verification - an overview
Epidemiology and surveillance
Implementation of the Stop TB Strategy
Financing

Annex 3. The Stop TB Strategy, case reports, treatment outcomes and estimates of TB burden
Explanatory notes

Summary by WHO region
Africa
The Americas
Eastern Mediterranean
Europe
South-East Asia
Western Pacific

Annex 4. Surveys of tuberculosis disease and availability of death registration data at WHO, by country and year