{"id":141525,"date":"2021-10-16T20:07:02","date_gmt":"2021-10-16T14:37:02","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=141525"},"modified":"2021-10-16T20:07:02","modified_gmt":"2021-10-16T14:37:02","slug":"covid-19-reverses-decades-of-progress-in-tb-elimination-india-worst-hit-who","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/covid-19-reverses-decades-of-progress-in-tb-elimination-india-worst-hit-who\/","title":{"rendered":"COVID-19 reverses decades of progress in TB elimination, India worst-hit: WHO"},"content":{"rendered":"<p><b><span data-contrast=\"none\">Source<\/span><\/b><span data-contrast=\"none\">:\u00a0This post is based on the article\u00a0<\/span><b><span data-contrast=\"none\">\u201cCOVID-19 reverses decades of progress in TB elimination, India worst-hit: WHO\u201d<\/span><\/b><span data-contrast=\"none\">\u00a0published in<\/span><b><span data-contrast=\"none\">\u00a0Down To Earth\u00a0<\/span><\/b><span data-contrast=\"none\">on\u00a0<\/span><b><span data-contrast=\"none\">14<\/span><\/b><b><span data-contrast=\"none\">th<\/span><\/b><b><span data-contrast=\"none\">\u00a0 October 2021.<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5 aria-level=\"5\"><b><span data-contrast=\"none\">What is the News?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"none\">World Health Organization (WHO) released \u201c<strong>Global TB report<\/strong>\u201d\u00a0which\u00a0stated that\u00a0the world suffered huge reverses in progress towards tuberculosis (TB) elimination in 2020, due to COVID-19 pandemic.\u00a0India has been the worst-hit.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What are the key findings of the report?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><b><span data-contrast=\"none\">Detection of new cases-<\/span><\/b><span data-contrast=\"none\">The biggest impact was felt in terms of\u00a0detection of new cases.\u00a0From 2016-2019, the number of new cases rose continuously, but\u00a0<\/span><b><span data-contrast=\"none\">fell to 20%\u00a0in 2020<\/span><\/b><span data-contrast=\"none\">.\u00a0This was due to cases going undetected because of lack of access during the pandemic.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">India\u00a0<\/span><\/b><span data-contrast=\"none\">contributed the biggest drop in detection of new cases. Some<\/span><b><span data-contrast=\"none\">\u00a041%<\/span><\/b><span data-contrast=\"none\">\u00a0of the total number of cases that dropped in 2020, as compared to 2019, came from India.\u00a0<\/span><span data-contrast=\"none\">From 2013-19,\u00a0the gap between the people actually infected and correctly diagnosed with the TB decreased\u00a0continuously<\/span><span data-contrast=\"none\">\u00a0and\u00a0India and Indonesia were the biggest contributors to this achievement. Now, these very countries are the two biggest laggards.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Increase in TB deaths-\u00a0<\/span><\/b><span data-contrast=\"none\">Overall, the deaths have gone back to the level of 2017.people dying with TB\u00a0without\u00a0HIV co-infection\u00a0and those who suffered with HIV co-infection registered\u00a0increased number of deaths in 2020.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Death globally-\u00a0<\/span><\/b><span data-contrast=\"none\">TB was ranked the 13th leading cause of\u00a0death till\u00a02019. Because of the huge setbacks, it is now estimated to be the second leading cause, only after COVID-19.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Drug-resistant TB-\u00a0<\/span><\/b><span data-contrast=\"none\">Number of people provided\u00a0with\u00a0treatment\u00a0for drug-resistant TB\u00a0went down by 15 per cent in 2020, as compared to the previous year. However, the burden of multi-drug resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB) remained\u00a0stable.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What are the reasons cited for this condition?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"none\">Report\u00a0includes\u00a0both supply- and demand-side disruptions to TB diagnostic and treatment services.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A large number of cases went undetected due to highly curtailed access to diagnostics and restrictions imposed to contain the pandemic.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Reduced health system capacity to continue to provide services.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Less willingness and ability to seek care in the context of lockdowns and associated restrictions on movement.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Concerns about the risks of going to healthcare facilities during\u00a0the\u00a0pandemic.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Stigma associated with similarities in the symptoms related to TB and COVID-19.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What\u00a0are\u00a0the\u00a0milestone\u00a0targets on TB\u00a0to be achieved?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><b><span data-contrast=\"none\">\u2018End TB Strategy\u2019 milestones<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">TB disease burden-\u00a0<\/span><\/b><span data-contrast=\"none\">A\u00a035%\u00a0reduction in the number of TB deaths\u00a0by 2020\u00a0was the target. However, the global reduction in the corresponding time period has only been 9.2 per cent.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">TB incidence rate-\u00a0<\/span><\/b><span data-contrast=\"none\">Strategy aimed to reduce the TB incidence rate to 20%\u00a0by 2020, as compared with the levels in 2015. But the target achieved till 2020 was only 11%.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Preventive treatment-<\/span><\/b><span data-contrast=\"none\">\u00a0People suffering from conditions that make them vulnerable to TB, particularly an HIV infection, are also provided preventive treatment.\u00a0This segment\u00a0also\u00a0saw a\u00a0<\/span><b><span data-contrast=\"none\">decline.<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What is\u00a0the\u00a0expected\u00a0future\u00a0trend?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"none\">Due to spillover effects, the\u00a0years\u00a02021 and 2022 can see further deterioration in TB condition.\u00a0TB mortality in 2021 is projected to be much higher than in 2020 in all of the 16 countries that accounted for almost all of the global drop in TB notifications.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">To improve the diagnosis, the report said countries need to increase testing through bacteria culture or rapid tests. The share of rapid tests especially needs to go up as only 33 per cent of total cases were diagnosed through it.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source:\u00a0This post is based on the article\u00a0\u201cCOVID-19 reverses decades of progress in TB elimination, India worst-hit: WHO\u201d\u00a0published in\u00a0Down To Earth\u00a0on\u00a014th\u00a0 October 2021.\u00a0 What is the News?\u00a0 World Health Organization (WHO) released \u201cGlobal TB report\u201d\u00a0which\u00a0stated that\u00a0the world suffered huge reverses in progress towards tuberculosis (TB) elimination in 2020, due to COVID-19 pandemic.\u00a0India has been the worst-hit.\u00a0&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/covid-19-reverses-decades-of-progress-in-tb-elimination-india-worst-hit-who\/\">Continue reading <span class=\"screen-reader-text\">COVID-19 reverses decades of progress in TB elimination, India worst-hit: WHO<\/span><\/a><\/p>\n","protected":false},"author":10311,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[1566,7965,9],"tags":[],"class_list":["post-141525","post","type-post","status-publish","format-standard","hentry","category-daily-factly-articles","category-miscellaneous-daily-factly-articles","category-public","entry"],"jetpack_featured_media_url":"","views":{"total":0,"cached_at":"","cached_date":1703496331},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/141525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10311"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=141525"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/141525\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=141525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=141525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=141525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}