ehealth digital library

Digital library of
the Tanzania
health
community

Can Tuberculosis be Controlled?

Frieden, R. T. (2002) Can Tuberculosis be Controlled? International journal of Epidemiology, 31 (5). pp. 894-899. ISSN 1464-3685

[img] PDF
ihi_(19).pdf - Published Version
Restricted to Affiliated users only

Download (109kB)

Abstract

Tuberculosis (TB) is nearly 100% curable. However, the ability of medical and public health interventions to control TB, particularly in developing countries, is often doubted. We reviewed data for the amenability of TB to control. We considered separately control of deaths, prevalence, rate of infection and incidence. Tuberculosis mortality can be reduced by more than 80% in less than 5 years. The prevalence of TB can be reduced by 30% or more annually; sustained annual decreases of 17% have been documented in a developing country. The TB infection rate can be reduced by 15% annually. In the absence of human immunodeficiency virus (HIV), TB incidence can be decreased by as much as 25% per year and up to 10% annually in developing countries. A high prevalence of untreated HIV infection in the adult population of a developing country will inevitably result in a significant increase in TB incidence despite optimal use of currently available technologies. Tuberculosis can be controlled if appropriate policies are followed, effective clinical and public health management is ensured, and there are committed and co-ordinated efforts from within and outside the health sector. However, in the context of a large epidemic of AIDS, TB incidence will inevitably increase. By 2001, less than 30% of global TB cases were reported to have received effective diagnosis, treatment and monitoring. Rapid expansion of effective TB control services is urgently required, both to avert the continued high burden of morbidity and mortality from TB and because of the HIV pandemic.

Item Type: Article
Keywords: Tuberculosis, Short-Course Chemotherapy, Disease Control, Burden of Disease
Subjects: Tuberculosis > Diagnosis
Tuberculosis > Treatment
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 11 Sep 2012 06:15
Last Modified: 11 Sep 2012 06:15
URI: http://ihi.eprints.org/id/eprint/404

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics