International Union Against Tuberculosis and Lung Disease, Paris, France; Department of Medicine, Therapeutics, Dermatology and Psychiatry, Kenyatta University, Nairobi, Kenya.
International Union Against Tuberculosis and Lung Disease, Paris, France; Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Int J Infect Dis. 2020 Mar;92S:S51-S54. doi: 10.1016/j.ijid.2020.02.021. Epub 2020 Feb 27.
Tuberculosis (TB) remains a major public health threat. In 2018, an estimated 10 million people fell ill with TB and 1.5 million died of the disease. The End TB Strategy envisages an end to TB as a public health threat and has set ambitious targets to reduce TB incidence and mortality by 90% and 95%, respectively, by 2035 compared with 2015. In this paper we describe the progress that is being made towards the achievement of these targets and highlight the challenges that are hampering this progress. The development and deployment of new tools will certainly accelerate progress towards ending TB. We believe that the end of TB is realizable if there are sustained efforts to actively find TB cases, a more robust multi-sectoral approach to tackle social determinants of TB, and improved person-centred health services.
结核病(TB)仍然是一个主要的公共卫生威胁。2018 年,估计有 1000 万人患上结核病,有 150 万人死于该病。《终止结核病战略》设想终结结核病对公共卫生的威胁,并制定了宏伟目标,即在 2035 年之前,将结核病发病率和死亡率分别比 2015 年降低 90%和 95%。本文描述了在实现这些目标方面取得的进展,并强调了阻碍这一进展的挑战。新工具的开发和部署肯定会加速终结结核病的进程。我们相信,如果有持续的努力来积极发现结核病病例,采取更有力的多部门方法解决结核病的社会决定因素,并改善以人为本的卫生服务,结核病是可以终结的。