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Organization warns ofTB epidemic
LONDON (AP) - A tuberculosis
epidemic is out of control in many
countries and unless action is taken
nearly 1 billion more people will
become infected and 70 million will
die in the next two decades, the
World Health Organization says.
At a three-day meeting in London
that ends today, public health and
tuberculosis experts have been
assessing whether 22 countries,
which account for 80 percent of the
world’s TB cases, are making
progress toward controlling the
infectious disease.
“The TB epidemic is now
increasing in many countries, with
devastating consequences,” WHO
said in a statement summarizing a
report to be released today. “This
year, more people will die of TB than
in any other year in history.”
Tuberculosis, which attacks
mainly the lungs, intestines, skin and
brain, is a bigger killer than malaria
and AIDS combined and kills more
women than all the combined causes
of maternal mortality. Every year,
between 2 and 3 million people die
from TB, including 100,000 chil
dren, the Geneva-based U.N. agency
said.
In 1993, WHO took an unprece
dented step and declared tuberculo
sis a global emergency. Between
1993 and 1996, TB cases increased
13 percent worldwide.
Experts on the Ad Hoc
Commission on the Global
I
!
This year, more people will die ofTB than
in any other year in history
World Health Organization statement
Tuberculosis Epidemic have been
examining new data to see how well
the 22 worst-affected countries are
meeting WHO’s global targets of
detecting 70 percent of infectious TB
cases and curing 85 percent of those
by the year 2000.
The countries are Afghanistan,
Bangladesh, Brazil, China,
Democratic Republic of Congo,
Ethiopia, India, Indonesia, Iran,
Mexico, Myanmar, Nigeria,
Pakistan, Peru, Philippines, Russia,
South Africa, Sudan, Tanzania,
Thailand, Uganda and Vietnam.
One-third of the world’s popula
tion is infected with the TB bacillus,
and between 5 and 10 percent will
become sick with pulmonary TB dur
ing their lifetime, WHO said. Only
those who are sick are infectious, and
they can transmit the disease by
coughing, talking or spitting.
“It is estimated that between now
and 2020, nearly 1 billion more peo
ple will be newly infected, 200 mil
lion people will get sick, and 70 mil
lion will die from TB - if control is
not strengthened,” the group said.
According to WHO, there are
nearly 3 million new TB cases in
Southeast Asia every year and nearly
2 million new cases in sub-Saharan
Africa.
More than a quarter of a million
new cases occur annually in Eastern
Europe, which is experiencing an
increase in TB deaths after almost 40
years of steady decline, WHO said.
Since the 1940s, there have been
drugs to treat tuberculosis.
But WHO said poorly managed
TB treatment programs are causing
drug-resistant strains of tuberculosis
to emerge, “which could render TB
incurable.”
Up to 50 million people may be
infected with drug-resistant TB,
either because they do not take all
their medicines regularly for the
required period — often because they
start to feel better - or because they
receive the wrong drugs or don’t
have a reliable drug supply, WHO
said.
TB treatment costs around
$2,000 per patient, but rises 100-fold
to about $250,000 for patients with
drug-resistant strains, WHO said.
-,
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