Fight against Tuberculosis

Sources • 1. Centers for Disease Control and Prevention

http://www.cdc.gov/tb/• 2. World Health Organisation website

http://www.who.int/topics/tuberculosis/en/• 3. United Nations in the Russian federation

http://www.unrussia.ru/en/agencies/world-health-organization-who• 4. MNT Knowledge Center

http://www.medicalnewstoday.com/articles/8856.php• 5. World Health Organisation The Global TB Programme

http://www.who.int/tb/about/en/• 6. Youtube http://www.youtube.com/

Tuberculosis (TB)

is an infectious disease that is caused by a bacterium called Mycobacterium tuberculosis. TB primarily affects the lungs, but it can also affect organs in the central nervous system, lymphatic system, and circulatory system

among others.

Who gets TB

Tuberculosis is spread from person to person through the air. If an

infected person coughs, sneezes, shouts, or spits, bacteria can enter the air and come into

contact with uninfected people who breath the bacteria into their

lungs.

People at a higher risk• Individuals who live with others who have

active TB infections.• Poor or homeless people.• Young children.• Nursing home residents. • Alcoholics and intravenous drug users.• Patients with HIV/AIDS or other immune

system problems.

World Health Organisation Against

TB

DOTS (directly observed treatment, short-course)

is the name given to the tuberculosis control strategy. According to WHO, “The most cost-

effective way to stop the spread of TB in communities with a high incidence is by curing it.

The best curative method for TB is known as DOTS.”

DOTS has five main components:

• Government commitment• Case detection by sputum smear*

microscopy.• Standardized treatment regimen• A regular, uninterrupted drug supply.• A standardized recording and reporting

system that allows assessment of treatment results.

*Sputum smear is a test to detect and identify bacteria that infect the lungs

Engaging hospitals to improve TB care and prevention

In 2009, WHO initiated a project to help intensify TB case detection in

Africa and Asia. A total of 86 hospitals covering a total population

of 10 million were involved.

WHO Global Task Force on TB Impact Measurement

The Task Force was established in June 2006 and includes experts in TB epidemiology, representatives from major technical and

financial partners, and representatives from countries with a high burden of TB.

The goal of the Global Task Force on TB Impact Measurement

• produce a widely-endorsed assessment of whether the 2015 targets for reductions in TB incidence, prevalence and mortality are achieved at global level

• regularly report on progress towards these targets in the years leading up to 2015

• strengthen national capacity in monitoring and evaluation of TB control.

Public-Private Mix

The Public Private Mix (PPM) Initiative was set up by the World Health Organization

(WHO) in 1995 to develop effective mechanisms and approaches to involve and link relevant public and private health care

providers in the delivery of TB care and control services.

The Global Plan to Stop TB 2006-2015 Actions for Life

was launched at the World Economic Forum in Davos, Switzerland, in January 2006,

following 18 months of consultation and research. WHO Stop TB staff were heavily involved in the Global Plan's development,

and took part in a series of high profile launches.

The Childhood TB Subgroup

The Childhood TB Subgroup of the Stop TB Partnership was established in 2003 to

promote research, policy development the mobilization of human and financial resources to achieve the goal of decreased childhood TB

mortality and morbidity.

“Stop TB in South Asia – zero death to zero infection”

• National Tuberculosis Insitute, India

• SAARC Tuberculosis Center, Nepal

• Tuberculosis Research Center, India

WHO Eastern Mediterranean Region

• providing regional leadership on matters critical to TB• promoting evidence-based policies, strategies and

standards for TB prevention• monitoring the regional TB situation• contributing towards shaping the TB research agenda • facilitating and engaging in partnerships for TB action.

WHO Western Pacific Region

• To promote universal and equitable access to quality TB diagnosis and treatment for all people;

• To strengthen TB laboratory capacity; • To expand TB collaborative activities;

WHO against TB in European region

WHO works with Member States in the European

Region to improve the tuberculosis

(TB) situation within

individual countries.

World Health Organisation fight against TB

in Russia

TB Control program in Russia includes the following activities:

• Support in the revision and development of National strategies against Tuberculosis;

• Support the activities of High Level Working Group on Tuberculosis in the Russian Federation.

The High Level Working Group (HLWG) on Tuberculosis

was established by the WHO and the Ministry of Health and Social Development of the Russian

Federation 1999.

• To discuss appearing problems in fighting against TB in the Russian Federation

• Find ways to implement effective National strategies against Tuberculosis by utilizing the international experience.

The aim of HLWG :

International Interagency Coordinating Committee

It is a voluntary forum which gathers once a year to discuss the priorities of international

collaboration, sums-up team-work which has been done and coordinates an activity plan in

the Anti-Tuberculosis field.

WHO Pilot DOTS Plus projects

Successful implementation of DOTS pilot projects made possible to start DOTS Plus projects on

treatment of multidrug resistant TB in Orel, Ivanovo and Vladimir Oblasts. Novgorod Oblast and

Republic of Chuvashia.

The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) activities are directed to:

• improvement of early diagnostics and the effectiveness of TB treatment among vulnerable groups of population in civil sector;

• improvement of early diagnostics and effectiveness of treatment of multi-drug resistant TB;

The GFATM activities are directed to:

• improvement of early diagnostics and effectiveness of TB treatment in penitentiary sector;

• strengthening cooperation with all TB control partners;

• prophylaxis and treatment of TB among HIV infected persons.

World TB Day

falling on March 24th each year, is designed to build public awareness that tuberculosis today remains an epidemic in much of the world, causing the deaths of nearly one-and-a-half million people each year

Thank you for attention