2019全球结核病报告（英文版）_297页_6mb

2019 Global Tuberculosis Report Summary

Core Content

The 2019 Global Tuberculosis Report, published by the World Health Organization (WHO), provides an overview of the global fight against tuberculosis (TB) and highlights the progress made, as well as the challenges that remain. It emphasizes the need for sustained efforts, increased collaboration, and stronger political commitment to achieve the goals of the End TB Strategy and the United Nations Sustainable Development Goals (SDGs).

Main Points

• Progress and Challenges: In 2018, approximately 7 million people received quality TB care, up from 6.4 million in 2017. TB-related deaths declined from 1.6 million in 2017 to 1.5 million in 2018. However, TB remains the leading infectious cause of death globally, with 10 million new cases reported in 2018.

• Access to Care: Despite progress, about 3 million people with TB did not access quality care. For those with drug-resistant TB, only one in three received treatment, highlighting a critical gap in service delivery.

• Prevention Efforts: Prevention services are expanding, but they still fall short of the targets. The goal is to provide preventive treatment to at least 30 million people by 2022, but current efforts have not yet reached this level.

• Funding Gaps: Annual funding gaps for TB prevention, diagnosis, and treatment are close to US$5 billion, which significantly hinders progress. This includes a lack of sufficient resources for TB research.

• Multisectoral Accountability: WHO introduced a multisectoral accountability framework at the World Health Assembly to support countries in driving action across all sectors. This framework is essential for ensuring that TB services are integrated into broader health systems.

• Universal Health Coverage (UHC): The report underscores the importance of UHC as a foundation for achieving the End TB Strategy. It calls for strengthening primary health care to ensure equitable access to TB services.

• Role of Partners and Civil Society: Civil society, partners, and affected communities play a vital role in driving progress against TB. WHO encourages collaboration with these groups to enhance advocacy, awareness, and fundraising efforts.

Key Information

• Political Commitment: The 2018 UN high-level meeting on TB marked a significant milestone with political commitment from world leaders, ministers, and other stakeholders.

• Global Initiatives: The "Find. Treat. All. #EndTB" initiative, led by WHO, the Stop TB Partnership, and the Global Fund, is central to accelerating the TB response.

• Data and Collaboration: The report is based on data collected from national TB programmes and surveillance systems across WHO regions. It involved a core team of 18 individuals, with support from external reviewers, WHO staff, and partners.

• Regional Contributions: The report includes contributions from staff in various WHO regions, including the African, Americas, Eastern Mediterranean, European, South-East Asia, and Western Pacific regions. National respondents also played a key role in data reporting and verification.

• Methodology: The report outlines the methods used to estimate TB burden, including collaboration with the European Centre for Disease Prevention and Control (ECDC) and UNAIDS for data collection and validation.

Summary of Chapters

Key Recommendations

• Accelerate Efforts: Sustained acceleration of TB response is necessary to reduce the global burden of TB.
• Integrate Services: TB services should be integrated into national health systems and UHC frameworks.
• Strengthen Surveillance: Enhanced surveillance systems are needed to monitor progress and identify gaps.
• Increase Funding: Closing the funding gap is essential to support TB prevention, diagnosis, and treatment.
• Promote Collaboration: Multisectoral collaboration and engagement with civil society are crucial for achieving the SDGs and End TB Strategy targets.

Conclusion

The 2019 Global Tuberculosis Report serves as a call to action for all stakeholders to continue efforts towards ending TB. It emphasizes the importance of political commitment, multisectoral collaboration, and strong primary health care systems. With the support of WHO, the Stop TB Partnership, the Global Fund, and national TB programmes, the global community is working to ensure that no one is left behind in the fight against TB.