National tuberculosis programme managers’ meeting: Sinaia, Romania, 27–28 September 2004
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AbstractThe WHO European Region confronts critically important challenges. Across the Region the challenges are multiple and varied. To the east, rates of HIV (and HIV-associated tuberculosis) and multidrug-resistant tuberculosis (MDR-TB) are climbing, health systems remain frail, surveillance and laboratory services are underresourced, and in places political commitment is inadequate. To the west, TB in marginalized populations, such as migrant populations and the elderly, represents a challenge. In addition, political commitment to Directly Observed Treatment, Short-course (DOTS) remains low in some countries. As a Region, Europe is struggling to increase its TB treatment success rates above 75%, despite the DOTS strategy being adopted by a large number of countries over the past decade, and it is therefore some way from achieving the World Health Assembly (WHA) target of 85% success. Although case detection rates across the Region remain inadequate and only 40% of the population currently have access to the DOTS strategy, substantial regional variations exist. If the Millennium Development Goals (MDG) and the WHA targets that pertain to TB are to be achieved, the breadth and depth of DOTS coverage across the Region and within countries needs to be expanded. The principal public health challenge that lies ahead is to operationalize effective strategies and integrate MDR-TB and HIV control programmes into a DOTS framework that meets European needs.
World Health Organization. Regional Office for Europe. (2005). National tuberculosis programme managers’ meeting: Sinaia, Romania, 27–28 September 2004. Copenhagen : WHO Regional Office for Europe. https://apps.who.int/iris/handle/10665/107660