Tuberculosis and HIV/AIDS: a strategy for the control of a dual epidemic in the WHO African Region: Report of the Regional Director
AbstractThe tuberculosis epidemic in the WHO African Region has reached emergency proportions. Based on recent surveillance data, the Region accounts for 25% of the global notified tuberculosis cases but only 10% of the world population. During the past ten years, tuberculosis notification rates have more than doubled in most countries. While the increase is widespread, it is most noticeable where HIV prevalence is high. On average, 35% of tuberculosis patients in the Region are co-infected with HIV, and tuberculosis accounts for approximately 40% of deaths in people living with HIV/AIDS. 2. Several randomized trials have demonstrated the effectiveness of joint tuberculosis and HIV/AIDS interventions in reducing morbidity and mortality among the dually infected. Notwithstanding the recognized importance of co-infection in driving the TB epidemic as well as evidence of effective delivery of joint interventions, TB and HIV/AIDS control programmes continue to implement control activities independent of each other. The result has been low coverage, limited access and inefficient use of scarce resources.
Regional Committee for Africa, 57. (2011). Tuberculosis and HIV/AIDS: a strategy for the control of a dual epidemic in the WHO African Region: Report of the Regional Director. http://www.who.int/iris/handle/10665/1806