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Wednesday, October 28, 2015

2015 Global TB Report just launched

anything useful to be done with this report? shelly is world banks tedx presenter Webcast on how communities can end tb; ivonna is number 1 world bank graduate laureate on end anaemia; many of us are trying to understand how global youth empowerment and open space movements can help link in bottom up community health workers knowhow and solutions in ways that match valuation systems originated by farmer and kim partners in health and sir fazle abed brac- all  by their own references inspired by s.americans whose logics since late 1960s are now popularised by likes of  bernardo vatican laureate 7 nov 2015 and pope francis alumni networks ...

From: Erica Lessem via GHDonline
To: chris macrae <chris.macrae@yahoo.co.uk>
Sent: Wednesday, 28 October 2015, 12:40
Subject: Re: 2015 Global TB Report just launched

Erica Lessem replied to a discussion in MDR-TB Treatment & Prevention:
Dear colleagues,
Please see TAG's response to the new report
TAG Response to the Release of the World Health Organization’s 2015 Global Tuberculosis Report
October 28, 2015
"In 1993, the World Health Organization declared TB a global emergency. The new data in the WHO's 2015 Global Tuberculosis Report show that all the promises made to end the TB epidemic since 1993 have been hollow. In 2014, 9.6 million people fell ill with TB, and 1.5 million died of it, making TB the world’s leading infectious killer—surpassing HIV. We have made no progress in reducing the incidence of multidrug-resistant TB (MDR-TB), with nearly half a million people developing MDR-TB in 2014, only one-fourth of them detected, and even fewer started on treatment.
We’re in this dire situation because the vigorous community response, massive research effort, and political leadership that distinguished the response to HIV are utterly absent from TB. In the fight to end HIV, we’re now saving 15 million lives per year and averting millions of new infections thanks to a three-decades-long community mobilization, multibillion-dollar research effort, and political commitment to ending the HIV epidemic. In TB research, we invested the bare minimum required to develop a few new tools, but not enough to distribute them to people in need. We trained a generation of scientists in TB research, but then didn’t provide the funding required for them to conduct the truly transformational research required to end the TB epidemic. We called for new research and efforts to improve the detection and treatment of pediatric TB, but then failed to fund them. Global leaders’ half-hearted response has enabled TB to overtake AIDS as the world’s leading cause of death from an infectious disease.
TB is preventable and curable, but unless we act now, it will continue to sicken and kill millions, increasingly drug-resistant forms of TB will continue to spread, and we will continue to spend billions of dollars in a failing effort to control it. As the top funder of TB research, the only large country within reach of eliminating TB, and a leader in the global TB response, the United States must commit to ending this epidemic. The White House has announced a plan to combat drug-resistant TB. We urge President Obama to adopt and fund it.”
—Mark Harrington, executive director, Treatment Action Group
> On Oct 28, 2015, at 12:21 PM, Masoud Dara, MD via GHDonline < wrote:
> Masoud Dara, MD started a discussion in MDR-TB Treatment & Prevention:
> Dear colleagues,
> As you may have heard today WHO has launched the new Global TB report. Below you may find the news item from WHO headquarters and the link to the full report and the updated fact sheet:
> http://who.int/tb/publications/global_report/en/
> 28 October- The fight against tuberculosis is paying off, with this year’s death rate nearly half of what it was in 1990. Nevertheless, 1.5 million people died from TB in 2014. Most of these deaths could have been prevented, according to the World Health Organization’s Global Tuberculosis Report 2015, which was released today in Washington, DC.
> To reduce TB’s overall burden, detection and treatment gaps need to be closed, funding shortfalls filled and new diagnostics, drugs and vaccines developed, according to the report.
> Most of the improvement has come since 2000, the year the Millennium Development Goals [MDGs] were established. In all, effective diagnosis and treatment saved 43 million lives between 2000 and 2015, according to the report, the 20th in a series of annual evaluations produced by WHO.
> “The report shows that TB control has had a tremendous impact in terms of lives saved and patients cured,” said WHO Director-General Margaret Chan. “These advances are heartening, but if the world is to end this epidemic, it needs to scale up services and, critically, invest in research.”
> Those advances include the achievement of the MDG that called for halting and reversing TB incidence by 2015. The goal was reached globally and in 16 of the 22 high-burden countries that collectively account for 80% of cases.
> Worldwide, TB incidence has fallen 1.5% per year since 2000, for a total reduction of 18%.
> “Despite the gains, the progress made against TB is far from sufficient,” according to Dr Mario Raviglione, Director of WHO’s Global TB Programme. “We are still facing a burden of 4,400 people dying every day, which is unacceptable in an era when you can diagnose and cure nearly every person with TB.”
> In 2014, TB killed 890 000 men, 480 000 women and 140 000 children. The disease ranks alongside HIV as a leading killer worldwide. Of the 1.5 million people killed by TB in 2014, 400 000 were HIV-positive. HIV’s total death toll in 2014 was estimated at 1.2 million, which included the 400 000 TB deaths among HIV-positive people.
> This year’s report describes higher global totals for new TB cases (9.6. million) than in previous years. However, these figures reflect increased and improved national data and in-depth studies rather than any increase in the spread of the disease. More than half of the world’s TB cases (54%) occurred in China, India, Indonesia, Nigeria and Pakistan. Among new cases, an estimated 3.3% have multidrug-resistant TB [MDR-TB], a level that has remained unchanged in recent years.
> Action needed to close diagnostic and treatment gaps
> The report highlights the need to close detection and treatment gaps, fill funding shortfalls, and develop new diagnostics, drugs and vaccines.
> The detection gap is significant. Of the 9.6 million people who fell ill with TB in 2014, 6.0 million (62.5%) were reported to national authorities. That means that, worldwide, more than a third (37.5%) of the cases went undiagnosed or were not reported to national authorities. The quality of care for people in the latter category is unknown.
> Detection and treatment gaps are especially serious among people with MDR-TB, which remains a public health crisis. Of the 480 000 cases estimated to have occurred in 2014, only about a quarter – 123 000 – were detected and reported to national authorities. The three countries with the largest numbers of cases are China, India and the Russian Federation.
> Treatment initiation for those diagnosed with MDR-TB substantially increased and almost all cases detected in 2014 started treatment. Forty-three countries reported cure rates for MDR-TB patients of more than 75%. Nevertheless, globally, data show an average cure rate of only 50% for treated MDR-TB patients.
> Treatment is improving, with 77% of patients known to be co-infected with HIV and TB getting antiretroviral medicines in 2104.
> The number of people living with HIV who were given TB preventive therapy was nearly 1 million in 2014, an increase of about 60% compared with 2013. More than half (59%) of these people were in South Africa.
> Financing shortfalls stand in way of accelerated progress
> “A primary reason for detection and treatment gaps is a major shortfall in funding,” said Dr Winnie Mpanju-Shumbusho, WHO Assistant Director-General for HIV, TB, Malaria and Neglected Tropical Diseases. This shortfall amounted this year to US$ 1.4 billion of the US$ 8 billion needed to fully implement interventions. In addition, an annual funding gap of at least US$ 1.3 billion must be filled for research that would include the development of new diagnostics, drugs and vaccines.
> From 2016, the global goal will shift from controlling TB to ending the global TB epidemic. The End TB Strategy, adopted by all WHO Member States, serves as a blueprint for countries to reduce TB incidence by 80% and TB deaths by 90% and to eliminate catastrophic costs for TB-affected households by 2030.
> “Ending the TB epidemic is now part of the Sustainable Development Goal agenda” said Dr Eric Goosby, UN Special Envoy on Tuberculosis. “If we want to achieve it, we’ll need far more investment -- at a level befitting such a global threat. We’ll also need progress on universal health coverage and poverty alleviation. We want the most vulnerable communities worldwide to gain first, not last, in our efforts.”
> More information at www.who.int/tb
> Attached resource:
> October 2015 WHO TB Fact Sheet
> --
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Sunday, October 25, 2015

Economic development needs to have a human face, so that no one will be excluded.
if von neumann is correct the 90 days from late september 2015's launch of sustainbility goals will determine sustainability of our human race - lets hope enough millennials trust that their livelihoods can be spent on sustainable services not those very 20th century extractive trades that were warred over and ruled by bad bankers and professions who compounded unseen risks often siding with vested interests of which ever client bid most money

The Economist's end poverty editor through most of second half of 20th centruyr had determined by 1984 that:
sustainabilitiy would depend on chinnse millnennials collaboration with the rest of their peers in social word trades not zero sum gdp and curreny deals

that health would be a key sector  (its affordabiliy and universal access in a world of boundaryless communications flows)

 so this blog is also becoming known as www.economisthealth.com

bernardo - how does your proposal on cuba open partnering with colleges and students process work

paul komesaroff monash started my maps of this off 2004 how health and maths people can leverage their skills at tragic disaster movements to also embed reconciliation- we were going to write up gandhi curriculum on this after a mass summit in delhi xmas 2005 but a week later the tsunami hit and all practical people went off to the field

if the idea is to start with a new college system then lets get modes of skills training right on health studies then every other practice relevant to alumni of michael moore or yunus - see fast updates at http://globalgrameen.ning.com

 how do we linkin jim kim and indeed world bank in peru oct 2015 - for many early years of Partners In Health  only cuba and friend sir fazle abed had any solutions relevant to the kim/farmer exchange of boston global health students in haiti -moreover kims main practice work is now explaining to china why it went the wrong way in copying us hospital systems 

moreover there was a long piece in one of moores older movies on affordability of advanced procedures in cuba that cost 20 times more in usa

then there was amys observational powers 5 months ago 

and of course the vatican has been the mediator which obama needed to push through cuba's freedom however unpopular with congress

dennis knows whether there are any other health networkers who could  first make cubas social business health sustainability design world leading- my fathers best friend sir keith peters former head of royal society opf medicine could explain what cambridge unoversooy could do

someone in florida needs to recoonnect eva vertes - when at ted she was already a world leading cancer researcher age 19, cant wait to know what shes connecting age 26

in other curricula area , the trick is to demand that any professor hired at the college has a licence to open space and knows what is already on coursera on khan academy that they dont need to replicate their own lectures on

bhim can tell you whats its like to be a health servant in earthquaked nepal
ivvonas solition to end anaemia should be ready to test
shelly does last mile tuberculosis Webcast

my assumption is cuba (at its best  any local alumni networks of farmer and kim) is already a world class destination to come benchmark most bottom up health processes- it could ten exchange in other areas where it wants knowhow

antonios networks of developing world nuns make the best models for nursing plus

best chris