The United Nations Office at Geneva
Multimedia Newsroom
Despite being preventable and curable, tuberculosis remains one of the deadliest infectious diseases in the world.
Amidst the ongoing COVID-19 crisis, World TB Day on the 24th of march marks the occasion for the international community to call for more action to eliminate tuberculosis (TB) as a public health burden by 2030.
Every day, nearly 4000 people die from TB according to the WHO and close to 30 000 people fall ill with TB. In 2019, 10 million people suffered from TB and close to 1.5 million people — over 95% of whom were living in lower- and middle-income countries — died due to the disease. TB remains the leading cause of death of people living with HIV.
The COVID-19 pandemic has exacerbated the problem and threatens to unwind the gains made over recent years. Restrictions on movements have resulted in sharp drops in TB case notifications in 2020 and limited access to TB treatments and services.
Global progress in TB prevention is also lagging behind. According to the WHO, only 1 in 5 of the 30 million people targeted for access by 2022 have started a TB preventive treatment.
“About 1/4 of the world’s population, roughly 7 billion people are infected with TB in a latent form” says Robert Matiru, Director of Programmes at Unitaid. “If this is not treated with preventive measures and therapies it can become active and people will become sick and die”.
Unitaid’s supported project IMPAACT4TB helps to facilitate access to affordable and easier to use TB preventive treatments for people at risk including people living with HIV in low- and middle-income countries.
One of those treatments is called “3HP”, a short course preventive therapy combining two TB drugs - rifapentine and isoniazid. This has reduced patients’ treatments from one daily dose between 6 to 24 months to one weekly dose for 3 months.
In February, a new fixed-dose combination of this preventive treatment has started to be rolled-out in 5 high burden TB countries with the financial support of Unitaid.
This new version reduces the pill-burden from 9 pills a week to 3, making it even easier for patients to stick to their treatments with better health outcomes.
The rollout of this new treatment has started in February in five African countries with high rates of the disease: Ethiopia, Ghana, Kenya, Zimbabwe and Mozambique.
In Mozambique, the roll out will first target 3 provinces in the South of the country with a high TB incidence: the City of Maputo, the Province of Maputo and the Province of Gaza.
“If we want to have any chance of ending, we need to prevent it in the first place” said Robert Matiru, Director of Programmes at Unitaid.
- Various shots, patients waiting at the Highfield Polyclinic, Harare, ZIMBABWE
- SOUNDBITE (English) Robert Matiru, Director of Programmes at Unitaid: “Despite being preventable and curable, tuberculosis is one of the deadliest infections in the world killing 1.5 million people each year. 10 million people fall ill with tuberculosis each year as well and many of them are children almost 900 000 and mostly in low and middle-income countries and some of the poorest countries in the world. It’s also the leading killer of people living with HIV. About a quarter of the world’s population, roughly 1.7 billion people are infected with TB, the latent form. However, if this is not treated with preventive measures and therapies it can become active and people will become sick and die. To make matters worse, COVID-19 has exacerbated the problem and set many national programs back in their efforts to respond to the TB pandemic in their countries.”
- Various shots, Jakarta, INDONESIA, Irma Rosita, pharmacist at the Puskemas Senen, preparing and giving tuberculosis preventive therapy drugs to a patient.
- SOUNDBITE (Bahasa Indonesia) Patih Natawijaya, patient at the Kramat Pulo Health Center: “At first I did not know what preventive therapy was. I was advised by the healthcare workers from Puskemas Kecamatan Senen to start on TB preventive treatment because my mother in law who currently lives with us has pulmonary tuberculosis. The healthcare workers explained to me that my wife, my children were household contacts and could potentially be infected by tuberculosis. I was explained the importance of taking preventive treatment to prevent the germs from developing in active TB”.
- SOUNDBITE (English) Robert Matiru, Director of Programmes at Unitaid: “If we are going to have any chance of ending TB in the next ten to twelve years, we have to prevent it in the first place. Unitaid has been at the forefront working with many partners, governments, manufacturers, civil society, activists and the WHO to bring a new treatment to prevent TB : 3HP. We are combining two treatments into one which reduces how many pills someone has to take a day from 9 to 3. It is easier to do this, it reduces the logistics and packaging and we have also lowered to the cost by almost 70% for this treatment which is very important”.
- Med shots, nurses at Highfield Polyclinic in Harare, ZIMBABWE reading leaflets
- SOUNDBITE (English) Nurse at Highfield Polyclinic in Harare: “Our clients are complementing 3HP. Since it’s a shorter course, most of them are embracing 3HP. They say it is well tolerated than INH. INH is a six months course but for 3HP it is only taken once weekly so pill burden is lesser. So, most of our clients they are appreciating 3HP over other preventive therapies. And also our clients are reporting less side effects”.
- Exterior view of the Malhangalene Health Center, Maputo, MOZAMBIQUE
- Various shots : interior views of the Malhangalene Health Center, Maputo, patient consulting a doctor with a baby in her arms
- SOUNDBITE (English) Ivan Manhiça, National TB Control Program Director at the Ministry of Health, Maputo: “Tuberculosis is one of the three main causes of death in Mozambique. It is a disease that causes long death. It can also prevent people from going to work and so even if it can be cured, it is better to prevent it than to treat it. Prevention is being implemented at national level. Three types of medicines have been approved in the country among which isoniazid that we have used for a long time. But also now since 2020 we have approved the 3HP that we are starting to introduce in the country next week and gradually in all the country”.
Similar Stories
1
1
1
Edited News | OHCHR
Institutionalised forced labour by the Democratic People's Republic of Korea constitutes grave violations of human rights – UN report
1
1
1
Edited News | WHO
Time is running out for starving civilians in Sudan, UN humanitarians warned on Tuesday, while talks involving the country’s warring parties continue in Geneva this week.
1
1
1
Edited News | WHO
DRC faces a severe humanitarian crisis with 25M in need and rising conflict-related issues.
1
1
1
Edited News | UNRWA
A gimmer of good news emerged from Gaza on Tuesday as patients returned to at a newly reopened UN health centre in Khan Younis, six months after it was severely damaged and forced to close by heavy fighting, the UN agency for Palestine refugees (UNRWA) said.
1
1
1
Edited News | OHCHR , UNOG
UN condemns attacks on Kyiv hospitals, calls for immediate action to protect civilians.
1
1
2
Edited News | WHO
In Gaza, soaring temperatures, hunger and unsanitary conditions present an ever more deadly threat to a population under constant attack, UN humanitarians warned on Tuesday.
1
1
1
Edited News | OCHA , WMO , IFRC
Hurricane Beryl smashes into Caribbean, turns sights on Mexico As Hurricane Beryl’s destructive path shifted to Mexico on Friday after roiling the Caribbean, UN agencies and partners said that the emergency response was underway, before warning that a very long and damaging hurricane season looks increasingly likely.
1
1
2
Edited News | IOM , mcc , UNHCR
Refugees and migrants continue to face extreme forms of violence, exploitation and death on sea and on land across Africa as they attempt to leave the continent, UN agencies said on Friday, in an appeal to border authorities to do more to protect them.
1
1
1
Edited News | OHCHR
UN Human Rights Chief Volker Türk at the 56th Human Rigths Council, made the following update on the situation of human rights in the Bolivarian Republic of Venezuela.
1
1
1
Edited News | UNRWA , WHO
New evacuation orders issued by the Israeli army for areas in southern Gaza are expected to impact 250,000 people, including eastern Khan Younis and Rafah, UN humanitarians said on Tuesday.
1
1
1
Edited News | UNRWA , WHO
Gaza: People are desperate, they need everything, says UN aid agency Panic and desperation now grip ordinary Gazans struggling to survive, UN humanitarians said on Friday, amid fuel shortages of fuel and dwindling supplies that have prevented aid teams from doing their job.
1
1
1
Edited News | OCHA
UN aid teams and partner organizations remain deeply committed to delivering lifesaving supplies into Gaza, despite the increasing dangers of working there, the Organization’s top aid official said on Wednesday.