title: Did we reach the 2005 targets for tuberculosis control?
abstract: The World Health Assembly set targets to detect by 2005 at least 70% of all new sputum smear-positive cases arising each year and to cure at least 85% of these cases. The national tuberculosis (TB) control programmes of 199 countries reported that in 2005, 2.3 million new smear-positive cases were diagnosed under WHOs DOTS strategy, out of an estimated 3.9 million (95% confidence limit (CL) 3.4 million to 4.4 million) new smear-positive cases arising in that year, a global case detection rate of 60% (95% CL 52% to 69%). Of 2.1 million new smear-positive patients registered for treatment in 2004, 84% had successful outcomes. Of the regions, only the WHO Western Pacific Region reached both targets, with case detection and treatment success rates of 76% and 91%, respectively; South-East Asia reached the treatment success target with a rate of 87%. In relation to countries, WHO estimates that 67 achieved the target detection rates and 57 achieved the target for treatment success, with 26 - including high-burden countries China, the Philippines and Viet Nam - achieving both targets. DOTS programmes diagnosed more than 26 million patients (all forms of TB) in 1995-2005. Building on this success, the Global Plan to Stop TB 2006-2015, describes the actions needed to implement WHOs new Stop TB Strategy over the coming decade to reduce TB incidence, prevalence and deaths in line with the Millennium Development Goals.
authors.affiliation: Stop TB Department, World Health Organization, Geneva, Switzerland. dyec@who.int
authors.forename: Christopher
authors.initials: C
authors.lastname: Dye
authors.forename: Mehran
authors.initials: M
authors.lastname: Hosseini
authors.forename: Catherine
authors.initials: C
authors.lastname: Watt
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000517:prevention & control; D003140:Communicable Disease Control; D003430:Cross-Sectional Studies; D023801:Directly Observed Therapy / Q000706:statistics & numerical data; D014943:Global Health; D006801:Humans; D015994:Incidence; D007391:International Cooperation; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D009937:Organizational Objectives; D011159:Population Surveillance; D015995:Prevalence; D015397:Program Evaluation; D016896:Treatment Outcome; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D014944:World Health Organization