FIDELIS--innovative approaches to increasing global case detection of tuberculosis.
Tuberculosis was declared a global public health emergency in 1993. In 2003, only 45% of the world's estimated new smear-positive tuberculosis cases were detected-well below the 70% global case detection target set by the World Health Organization. The FIDELIS (Fund for Innovative DOTS Expansion Through Local Initiatives to Stop TB) initiative is a new global disease control initiative that has been developed to rapidly assess and implement innovative approaches to increase tuberculosis case detection. To date, 32 projects have been approved-covering approximately 378 million people in 13 countries-24 (75%) of which are in the world's 6 highest-burden countries. A wide range of target populations and interventions have been incorporated into successful FIDELIS projects. The FIDELIS initiative may serve as a model to discover best practices to address other urgent global public health problems.
Rusen
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Department of Scientific Activities, International Union Against Tuberculosis and Lung Disease (The Union), Paris, France. irusen@iuatld.org
Enarson
Donald A
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D000995:Antitubercular Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D023801:Directly Observed Therapy; D005381:Financing, Organized; D006297:Health Services Accessibility; D006801:Humans; D007391:International Cooperation; D016730:Program Development; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000453:epidemiology* / Q000517:prevention & control*; D014944:World Health Organization
D000995:Antitubercular Agents