Download - Stop TB in China Challenges, Constraints & Actions Dr Wang Longde Vice Minister of Health China
Stop TB in China
Challenges, Constraints & Actions
Dr Wang Longde
Vice Minister of Health
China
24 March 2004
A major public health and social problem
One of the 22 global high burden countries
2nd highest number of cases in the world
Challenges
Challenges
45% of China’s population is infected with TB
Prevalence of active and smear-positive TB is 367 and 122 cases/100,000
There are 5 million prevalent cases of TB and 1.5 million smear-positive cases
Progress of TB control in China will affect the realization of Global TB target in 2005.
China’s Response
The Chinese Government has paid great attention to TB control
DOTS has been successfully implemented in many provinces
In December
2000, the State
Council
convened a
national TB
working
conferenceVice-Premier Li Lanqing addressing the conference
China’s Response
In October 2001, the State Council disseminated the 10-year National
Tuberculosis Control Program
(2001-10)
China’s Response
Finance departments at various governmental levels established funding for TB control
Capacity of TB control institutions improved
China’s Response
Enhance cooperation with international partners and promote TB control project
International Cooperation
WB/DFID China TB Control Project
Enhance cooperation with international partners and promote TB control project
Japan-assisted China TB Control Project
International Cooperation
Enhance cooperation with international partners and promote TB control project
CIDA-WHO China TB Control Project
Damien Foundation Budget (DFB) China TB Control Project
International Cooperation
Enhance cooperation with international partners and promote TB control project
The Global Fund to Fight AIDS, Tuberculosis and
Malaria (GFATM) (2003-2008 )
International Cooperation
Current Constraints in TB control
China is a developing country with large
population and severe epidemic
Migrant population, HIV/AIDS epidemic and MDR-
TB are serious problems in many areas
Many challenges remain in reaching the global TB
control targets advocated by WHO
Actions
Targets by 2005
100% DOTS coverage
70% smear-positive case detection rate
85% treatment success rate
Strengthening government leadership for TB control at all levels
National review of progress in implementing the 10-year TB control programme conducted by Chinese government
High-level national TB conference to be held later this year
Actions
Actions
Building the institutional and human resource capacity
In 2003, US$ 2.5 billion provided by government to improve disease control institutions and emergency medical treatment facilities
Strengthen technical guidance and managerial support by central level
National TB expert committee will be strengthened
Improve training of health workers down to the village level
Actions Taking effective actions to increase case detection
Expand DOTS coverage to 100%
Free treatment to active TB patients with economic difficulties
Enhance hospital-CDC cooperation
Using mobile clinics to follow up TB patients in remote areas
Expand sputum examination points to township level
Provide incentives and awards for case-detection
Nationwide TB health promotion campaigns to be launched
Increase technical and financial assistance to central-western provinces
Actions
Increasing funding for TB control
Central level TB budget to increase from
US$4.8 million to US$25-30 million per year
Local governments will also be requested to
increase funding
China has received much support from the
international community in TB control.
On behalf of Chinese Government I would
like to express my sincere thanks to the
international society for the support.
We wish to cooperate more with you
to achieve the global TB control
targets