Department of Medicine, Therapeutics, Dermatology and Psychiatry, Kenyatta University, Nairobi, Kenya and Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Institute for Clinical Medicine, Aarhus University, Denmark; European Travel Medicine Network, Méditerranée Infection Foundation, Marseille, France.
Int J Infect Dis. 2022 Nov;124 Suppl 1:S26-S29. doi: 10.1016/j.ijid.2022.03.011. Epub 2022 Mar 20.
To review the data presented in the 2021 WHO global TB report and discuss the current constraints in the global response.
The WHO global TB reports, consolidate TB data from countries and provide up to date assessment of the global TB epidemic. We reviewed the data presented in the 2021 report.
We noted that the 2021 WHO global TB report presents a rather grim picture on the trajectory of the global epidemic of TB including a stagnation in the annual decline in TB incidence, a decline in TB notifications and an increase in estimated TB deaths. All the targets set at the 2018 United Nations High Level Meeting on TB were off track.
The sub-optimal global performance on achieving TB control targets in 2020 is attributed to the on-going COVID-19 pandemic, however, TB programs were already off track well before the onset of the pandemic, suggesting that the pandemic amplified an already fragile global TB response. We emphasize that ending the global TB epidemic will require bold leadership, optimization of existing interventions, widespread coverage, addressing social determinants of TB and importantly mobilization of adequate funding required for TB care and prevention.
回顾 2021 年世卫组织全球结核病报告中呈现的数据，并讨论当前全球应对措施所面临的限制。
世卫组织全球结核病报告整合了各国的结核病数据，并提供了对全球结核病流行情况的最新评估。我们对 2021 年报告中呈现的数据进行了审查。
我们注意到，2021 年世卫组织全球结核病报告描绘了一幅相当严峻的全球结核病流行轨迹图，包括结核病发病率的年下降趋势停滞不前、结核病报告病例数下降以及估计结核病死亡人数增加。2018 年联合国结核病问题高级别会议设定的所有目标都偏离了轨道。
2020 年全球在实现结核病控制目标方面的表现欠佳归因于持续的 COVID-19 大流行，但在大流行之前，结核病规划已经偏离轨道，这表明大流行放大了本已脆弱的全球结核病应对措施。我们强调，要终结全球结核病疫情，需要有果敢的领导、优化现有的干预措施、广泛覆盖、解决结核病的社会决定因素，以及重要的是为结核病护理和预防筹集所需的充足资金。
