Stop TB Partnership Secretariat, Global Health Campus, Geneva, Switzerland.
National TB Programme Manager, Ministry of Health, Govt. of India, India.
Int J Infect Dis. 2021 Dec;113 Suppl 1:S100-S103. doi: 10.1016/j.ijid.2021.02.078. Epub 2021 Mar 11.
In 2020, the novel COVID-19 pandemic replaced TB as the world's top cause of death from an infectious disease. The October 21, 2020 the UN Secretary-General report on progress towards implementation of the UNHLM political declaration on TB stresses that although high-level commitments and targets had galvanized global and national progress towards ending TB, urgent and more ambitious investments and actions were required, especially in lieu of the COVID-19 pandemic where associated public health measures and travel restrictions, have disrupted health services universally. The report sets out 10 priority recommendations to get the world on track to reach agreed targets by 2022. Political commitment is more critical than ever. COVID-19 diagnostic and vaccination health services need to be aligned to TB services with active early case finding in communities, engaging the private sector care providers and mitigation of fear and stigma. Healthcare staff and community workers and leaders need to be provided with COVID-19 vaccination and personal protective equipment. The UNHLM declaration committed to mobilize 15 billion USD per annum for TB, of which 13 billion USD is for TB care and 2 billion USD per annum for TB R&D. The Global Fund needs to increase funding for TB. Learning from the unprecedented speed of COVID-19 vaccine development, fastracking development and evaluation of TB vaccines is essential. World leaders need to urgently address and reverse the socio-economic consequences of the COVID-19 pandemic and these will determine to what extent they will impact on achieving TB targets.
2020 年，新型冠状病毒肺炎（COVID-19）取代结核病，成为全球传染病致死的首要病因。2020 年 10 月 21 日，联合国秘书长关于落实联合国结核病问题高级别会议政治宣言执行进展情况的报告强调，尽管高层承诺和目标推动了全球和国家在结核病防治方面取得进展，但仍需紧急和更具雄心的投资和行动，特别是在 COVID-19 大流行背景下，相关的公共卫生措施和旅行限制普遍扰乱了卫生服务。报告提出了 10 项优先建议，以使世界走上正轨，以实现到 2022 年商定的目标。政治承诺比以往任何时候都更加重要。COVID-19 的诊断和疫苗接种服务需要与结核病服务相匹配，在社区中开展早期病例发现，让私营部门的医疗服务提供者参与进来，并减轻恐惧和耻辱感。需要向医疗保健工作者和社区工作者和领导人提供 COVID-19 疫苗接种和个人防护设备。联合国结核病问题高级别会议宣言承诺每年为结核病筹集 150 亿美元，其中 130 亿美元用于结核病护理，每年 20 亿美元用于结核病研发。全球基金需要增加对结核病的供资。从 COVID-19 疫苗开发的前所未有的速度中吸取经验，加快结核病疫苗的开发和评估至关重要。世界各国领导人需要紧急解决和扭转 COVID-19 大流行带来的社会经济后果，这些后果将决定它们在多大程度上影响实现结核病目标。
