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Towards tuberculosis elimination: an action framework for low-incidence countries
- Lonnroth, K (author)
- Migliori, GB (author)
- Abubakar, I (author)
- show more...
- D'Ambrosio, L (author)
- de Vries, G (author)
- Diel, R (author)
- Douglas, P (author)
- Falzon, D (author)
- Gaudreau, MA (author)
- Goletti, D (author)
- Ochoa, ERG (author)
- Lobue, P (author)
- Matteelli, A (author)
- Njoo, H (author)
- Solovic, I (author)
- Story, A (author)
- Tayeb, T (author)
- van der Werf, MJ (author)
- Weil, D (author)
- Zellweger, JP (author)
- Aziz, MA (author)
- Al Lawati, MRM (author)
- Aliberti, S (author)
- de Onate, WA (author)
- Barreira, D (author)
- Bhatia, V (author)
- Blasi, F (author)
- Bloom, A (author)
- Castelli, F (author)
- Centis, R (author)
- Chemtob, D (author)
- Cirillo, DM (author)
- Colorado, A (author)
- Dadu, A (author)
- Dahle, UR (author)
- De Paoli, L (author)
- Dias, HM (author)
- Duarte, R (author)
- Fattorini, L (author)
- Gaga, M (author)
- Getahun, H (author)
- Glaziou, P (author)
- Goguadze, L (author)
- del Granado, M (author)
- Haas, W (author)
- Jarvinen, A (author)
- Kwon, GY (author)
- Mosca, D (author)
- Nahid, P (author)
- Nishikiori, N (author)
- Noguer, I (author)
- O'Donnell, J (author)
- Pace-Asciak, A (author)
- Pompa, MG (author)
- Popescu, GG (author)
- Cordeiro, CR (author)
- Ronning, K (author)
- Ruhwald, M (author)
- Sculier, JP (author)
- Simunovic, A (author)
- Smith-Palmer, A (author)
- Sotgiu, G (author)
- Sulis, G (author)
- Torres-Duque, CA (author)
- Umeki, K (author)
- Uplekar, M (author)
- van Weezenbeek, C (author)
- Vasankari, T (author)
- Vitillo, RJ (author)
- Voniatis, C (author)
- Wanlin, M (author)
- Raviglione, MC (author)
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- (creator_code:org_t)
- 2015-03-31
- 2015
- English.
- In: The European respiratory journal. - : European Respiratory Society (ERS). - 1399-3003 .- 0903-1936. ; 45:4, s. 928-952
- Journal article (peer-reviewed)
Abstract
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- This paper describes an action framework for countries with low tuberculosis (TB) incidence (<100 TB cases per million population) that are striving for TB elimination. The framework sets out priority interventions required for these countries to progress first towards “pre-elimination” (<10 cases per million) and eventually the elimination of TB as a public health problem (less than one case per million). TB epidemiology in most low-incidence countries is characterised by a low rate of transmission in the general population, occasional outbreaks, a majority of TB cases generated from progression of latent TB infection (LTBI) rather than local transmission, concentration to certain vulnerable and hard-to-reach risk groups, and challenges posed by cross-border migration. Common health system challenges are that political commitment, funding, clinical expertise and general awareness of TB diminishes as TB incidence falls. The framework presents a tailored response to these challenges, grouped into eight priority action areas: 1) ensure political commitment, funding and stewardship for planning and essential services; 2) address the most vulnerable and hard-to-reach groups; 3) address special needs of migrants and cross-border issues; 4) undertake screening for active TB and LTBI in TB contacts and selected high-risk groups, and provide appropriate treatment; 5) optimise the prevention and care of drug-resistant TB; 6) ensure continued surveillance, programme monitoring and evaluation and case-based data management; 7) invest in research and new tools; and 8) support global TB prevention, care and control. The overall approach needs to be multisectorial, focusing on equitable access to high-quality diagnosis and care, and on addressing the social determinants of TB. Because of increasing globalisation and population mobility, the response needs to have both national and global dimensions.
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- art (subject category)
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- By the author/editor
- Lonnroth, K
- Migliori, GB
- Abubakar, I
- D'Ambrosio, L
- de Vries, G
- Diel, R
- show more...
- Douglas, P
- Falzon, D
- Gaudreau, MA
- Goletti, D
- Ochoa, ERG
- Lobue, P
- Matteelli, A
- Njoo, H
- Solovic, I
- Story, A
- Tayeb, T
- van der Werf, MJ
- Weil, D
- Zellweger, JP
- Aziz, MA
- Al Lawati, MRM
- Aliberti, S
- de Onate, WA
- Barreira, D
- Bhatia, V
- Blasi, F
- Bloom, A
- Bruchfeld, J
- Castelli, F
- Centis, R
- Chemtob, D
- Cirillo, DM
- Colorado, A
- Dadu, A
- Dahle, UR
- De Paoli, L
- Dias, HM
- Duarte, R
- Fattorini, L
- Gaga, M
- Getahun, H
- Glaziou, P
- Goguadze, L
- del Granado, M
- Haas, W
- Jarvinen, A
- Kwon, GY
- Mosca, D
- Nahid, P
- Nishikiori, N
- Noguer, I
- O'Donnell, J
- Pace-Asciak, A
- Pompa, MG
- Popescu, GG
- Cordeiro, CR
- Ronning, K
- Ruhwald, M
- Sculier, JP
- Simunovic, A
- Smith-Palmer, A
- Sotgiu, G
- Sulis, G
- Torres-Duque, CA
- Umeki, K
- Uplekar, M
- van Weezenbeek, ...
- Vasankari, T
- Vitillo, RJ
- Voniatis, C
- Wanlin, M
- Raviglione, MC
- show less...
- Articles in the publication
- The European res ...
- By the university
- Karolinska Institutet
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