1. DR PANKAJ CHAUDHARY
RESIDENT
8/2/2019 WORLD TB DAY 2019 1

2. PRESENTATION OUTLINE
INTRODUCTION.
HISTORY.
PROBLEM STATEMENT.
TB BURDEN WORLD WIDE.
TB BURDEN INDIA.
2019 THEME.
THEME BY YEAR.
CAMPAIGN FOR ACTION.
CAMPAIGN MESSAGES.
NATIONAL STRATEGIC PLAN FOR TUBERCULOSIS ELIMINATION
2017–2025.
TOTAL NO SLIDES : 22.
8/2/2019 WORLD TB DAY 2019 2

3. INTRODUCTION
World Tuberculosis Day, observed on 24 March each year, is
designed to build public awareness about the global epidemic
of tuberculosis and efforts to eliminate the disease.
In 1982, on the one-hundredth anniversary of Robert Koch's
presentation, the International Union Against Tuberculosis
and Lung Disease (IUATLD) proposed that March 24 be
proclaimed an official World TB Day.
In 1995 WHO's World Health Assembly and the United
Nations officially recognized TB Day.
World TB Day is one of eight official global public
health campaigns marked by the World Health Organization.
8/2/2019 WORLD TB DAY 2019 3

4. HISTORY
1982: International Union Against Tuberculosis and Lung Disease proposed that
24 March be proclaimed an official World TB Day.
1996: WHO, KNCV, the IUATLD and other concerned organizations joined to
conduct a wide range of World TB Day activities.
1997: WHO declared that “DOTS is the biggest health breakthrough of this decade,
according to lives we will be able to save.”
1998: 200 organizations conducted public outreach activities & WHO for the first
time identified the top twenty-two countries with the world’s highest TB burden.
2000: U.S. President administered the WHO-recommended DOTS Short-Course
treatment to patients at the Mahavir Hospital in Hyderabad India.
2000: The Stop TB Partnership was established.
8/2/2019 WORLD TB DAY 2019 4

5. PROBLEM STATEMENT
Over one-third of people with TB do not access
quality care.
Over 50% of children with TB miss out on access
to life-saving services.
Only one in four people with drug-resistant TB
access treatment.
Nearly 50% of people who fall ill with HIV-
associated TB do not reach care.
Stigmatizing people with TB inhibits care and is
socially devastating.
8/2/2019 WORLD TB DAY 2019 5

6. TB BURDEN WORLDWIDE
TB is one of the top 10 causes of death worldwide. It is also the leading
killer of people with HIV and a major cause of deaths related to
antimicrobial resistance.
Estimated 10 million new (incident) TB cases worldwide, of which 5.8
million were men, 3.2 million were women and 1 million were children.
People living with HIV accounted for 9% of the total.
Eight countries accounted for 66% of the new cases: India, China,
Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh, and South
Africa.
1.6 million people died from TB, including 0.3 million among people with
HIV.
558 000 people developed TB that was resistant to rifampicin (RR-TB),
the most effective first-line drug, and of these, 82% had multidrug-
resistant TB (MDR-TB).
8/2/2019 WORLD TB DAY 2019 6

7. INDIA TB BURDEN
TB continues to be India’s severest health crisis.
Mortality due to TB is the third leading cause of
years of life lost (YLLs).
TB kills an estimated 480,000 Indians every year
and more than 1,400 every day.
India also has more than a million ‘missing’ cases
every year.
Approximately 5% of the incident TB cases have
co-morbidity with HIV.
India accounts for 1,47,000 estimated MDR-RR
cases which is 24% of the Global cases.
8/2/2019 WORLD TB DAY 2019 7

8. WORLD TB DAY 2019 THEME
IT'S TIME... to get
ready for . World TB
Day 2019! will be
one of the highlights
of the year and a
continuation of the
joint efforts to
keep TB high on
the global and
national agenda.
8/2/2019 WORLD TB DAY 2019 8

9. WORLD TB DAY CAMPAIGN THEME –
“IT’S TIME!”
It’s time!– means there is not a moment to lose to achieve the promises
made during the United Nation High Level Meeting(UNHLM) on TB, and
endorsed by the UN General Assembly, which could save millions of lives.
It’s time!- stresses on the need to close gaps in care as part of WHO’s
overall drive towards universal health coverage, and urges countries to
work together with WHO, Stop TB and the Global Fund to realize their joint
initiative.
IT’S TIME TO ENSURE NO ONE IS LEFT BEHIND.
IT’S TIME FOR THE WORLD TO TAKE ACTION TO END TB.
8/2/2019 WORLD TB DAY 2019 9

10. 8/2/2019 WORLD TB DAY 2019 10

11. 8/2/2019 WORLD TB DAY 2019 11

12. THEME BY YEAR
1997: Use DOTS more widely!
1998: DOTS success stories!
1999: Stop TB, use DOTS!
2000: Forging new partnerships to Stop TB!
2001: DOTS: TB cure for all!
2002: Stop TB, fight poverty!
2003: DOTS cured me – it will cure you too!
2004: Every breath counts – Stop TB now!
2005: Frontline TB care providers: Heroes in the
fight against TB!
2006: Actions for life – Towards a world free of TB!
8/2/2019 WORLD TB DAY 2019 12

13. 2007: TB anywhere is TB everywhere!
2008–2009: I am stopping TB!
2010: Innovate to accelerate action!
2011: Transforming the fight towards elimination!
2012: Call for a world free of TB!
2013: Stop TB in my lifetime!
2014: Reach the three million: A TB test, treatment and
cure for all!
2015: Gear up to end TB!
2016: Unite to End TB!
2017: Unite to End TB!
2018: Wanted: Leaders for a TB-free world!
8/2/2019 WORLD TB DAY 2019 13

14. CAMPAIGN FOR ACTION
Starting on 1 March, the month leading to World TB Day, WHO aims to
raise awareness on the importance of ending TB:
DRIVING POLICIES THAT WORK FOR THE POOR AND
MARGINALIZED.
ACCELERATING THE END TB RESPONSE.
REQUESTING ACCELERATED, INCREASED AND
SUSTAINABLE FUNDING.
CALLING FOR INCREASED INVESTMENTS IN TB
RESEARCH.
8/2/2019 WORLD TB DAY 2019 14

15. CAMPAIGN MESSAGES
It’s time for universal access to reach and treat all
people with TB with QUALITY care.
It’s time to ensure universal access to care.
It‘s time to end the global health threat of
multidrug-resistant TB.
It’s time to protect yourself and your loved ones -
get tested and access preventive treatment.
8/2/2019 WORLD TB DAY 2019 15

16. It’s time to end preventable deaths by
ensuring early access to TB treatment, life-
saving ART and TB preventive treatment.
It’s time to stand against stigma and
discrimination.
It’s time to scale up investments in TB
research & innovation.
8/2/2019 WORLD TB DAY 2019 16

17. NATIONAL STRATEGIC PLAN FOR TUBERCULOSIS ELIMINATION
2017–2025
Strengthening and improving the
quality of basic DOTS services.
Deploying improved rapid diagnostics
to the field level.
Expanding efforts to engage all care
providers.
8/2/2019 WORLD TB DAY 2019 17

18. Expanding diagnosis and treatment of drug
resistant TB cases.
Improving communication, outreach and
social mobilization.
Promoting research for development and
implementation of improved tools and
strategies.
Utilizing Information Communication
Technology (ICT) tools for strengthening TB
surveillance.
8/2/2019 WORLD TB DAY 2019 18

19. VISION, GOALS AND TARGETS
VISION: TB-Free India with zero deaths,
disease and poverty due to tuberculosis.
GOAL: To achieve a rapid decline in burden
of TB, morbidity and mortality while working
towards elimination of TB in India by 2025.
TARGETS: The requirements for moving
towards TB elimination have been integrated
into the four strategic pillars of “DETECT –
TREAT –PREVENT – BUILD” (DTPB).
8/2/2019 WORLD TB DAY 2019 19

20. D E T E C T all DS-TB and DR-TB cases with an emphasis on reaching TB patients
seeking care from private providers and undiagnosed TB in high-risk populations.
T R E A T patients on appropriate anti-TB treatment wherever they seek care, with
patient friendly systems and social support.
P R E V E N T the emergence of TB in susceptible populations.
B U I L D and strengthen enabling policies, empowered institutions and human
resources with enhanced capacities.
8/2/2019 WORLD TB DAY 2019 20

21. WHAT CAN YOU DO?
It’s time to understand more about
TB.
It’s time to be an End TB champion.
It’s time to work together to End TB
It’s time to play your part as an End
TB influencer.
It’s time! It’s time for action. It’s time
to End TB.
8/2/2019 WORLD TB DAY 2019 21

22. THANK YOU
8/2/2019 WORLD TB DAY 2019 22