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    Tuberculosis: WHO, Global Fund Call For Mobilisation Of Funds As Resistance Rises

    Published on 18 March 2013 @ 11:39 pm

    By , Intellectual Property Watch

    Tuberculosis is now a renewed threat, with strains that prove resistant to multiple drugs and are transmissible and the potential to spread widely, according to the World Health Organization and the Global Fund, which are looking for US$1.6 billion a year to prevent the spread of the disease.

    WHO Director Margaret Chan told a press briefing today that the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) provides the vast majority of international donor funding for tuberculosis (TB). Despite the progress achieved in stopping the illness, allowing millions of people to be successfully treated in the world, the global TB burden remains “enormous,” with the additional challenge of multidrug resistance, she said.

    Multidrug resistance tuberculosis (MDR-TB) has been reported in 84 countries, Chan said. It is notoriously difficult to diagnose and to treat, she said, and the 20 to 24 months of treatment come at the cost of very expensive drugs, some of which are in short supply and have considerable side effects.

    The emergence of multidrug resistance can be attributed to poor quality treatment, whether because people received too little treatment or did not take their treatment long enough, or are treated with substandard medicines, Chan said. The fact that MRD-TB can be transmitted from one person to another makes the issue even more pressing, she said, calling for investments “that this global epidemic deserves.”

    Global Fund Urges Focus on Marginalised Populations

    Mark Dybul, executive director of the Global Fund, said that over the last seven years, only 60 percent of MRD-TB cases were detected, as the system tends to miss the most marginalised populations. Political will is required to focus on those populations and dedicate resources from domestic budgets, he said.

    Many of those people with MRD-TB cases from marginalised populations, such as prisoners, drug users and poor populations, live in middle-income countries, “countries that can and should, in fact, be tackling the epidemics,” he said.

    While the Global Fund can support countries financially and WHO can provide technical help, “middle-income countries need to take on this epidemic and be functioning and funding their own response,” Dybul said, adding that the Global Fund is supporting them but is also financing low-income countries.

    Dybul put a particular emphasis on Eastern Europe, which he said is a part of the world where both TB and MRD-TB cases are going up, in “frightening numbers” and largely in marginalised populations. “[G]overnments have not been willing to step up to their responsibility to deal with these marginalised populations,” he said, adding that “much better progress” was seen in Asia and “other places” around the same issues.

    “While we are increasing our financing, we definitely need countries that can finance their own epidemics to welcome marginalised populations into the human family and start financing a response there,” he said.

    Short US$ 1.6 Billion Per Year

    There is a significant funding gap and an additional $1.6 billion per year is needed to do what is necessary to fight the tuberculosis epidemic and the MRD-TB epidemic,” Dybul said.

    He called for a link between HIV and TB in low-income countries, in particular in sub-Saharan Africa, where HIV and TB “are effectively one disease.” The Global Fund will be “strongly pushing” for recognition of the link between the two diseases and the need for those two diseases “to be dealt with under one programme category,” he said.

    R&D Funding Also Lacking

    According to a WHO press release, “in addition to the US$1.6 billion annual gap in international financing for the critical implementation interventions above, WHO and partners estimate that there is a US$ 1.3 billion annual gap for TB research and development during the period 2014-2016, including clinical trials for new TB drugs, diagnostics and vaccines.”

    The press briefing was called in advance of the World TB Day, on 24 March, which commemorates the day in 1882 when Dr Robert Koch discovered the mycobacterium that causes tuberculosis.

     

    Catherine Saez may be reached at info@ip-watch.ch.

     

    Comments

    1. Global Fund Receives $1.65B From US Congress; Names New Board Leadership | Intellectual Property Watch says:

      [...] The Global Fund and World Health Organization recently called for donor funding to address the growing threat of multidrug resistance tuberculosis (IPW, Public Health, 18 March 2013). [...]

    2. The Global Fund Should Take Transparency to Another Level #Ngos | kracktivist says:

      [...] Tuberculosis: WHO, Global Fund Call For Mobilisation Of Funds As Resistance Rises (ip-watch.org) [...]


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    We welcome your participation in article and blog comment threads, and other discussion forums, where we encourage you to analyse and react to the content available on the Intellectual Property Watch website. By participating in discussions or reader forums, or by submitting opinion pieces or comments to articles, blogs, reviews or multimedia features, you are consenting to these rules.

    We welcome your participation in article and blog comment threads, and other discussion forums, where we encourage you to analyse and react to the content available on the Intellectual Property Watch website.

    By participating in discussions or reader forums, or by submitting opinion pieces or comments to articles, blogs, reviews or multimedia features, you are consenting to these rules.

    1. You agree that you are fully responsible for the content that you post. You will not knowingly post content that violates the copyright, trademark, patent or other intellectual property right of any third party or which you know is under a confidentiality obligation preventing its publication and that you will request removal of the same should you discover that you have violated this provision. Likewise, you may not post content that is libelous, defamatory, obscene, abusive, that violates a third party's right to privacy, that otherwise violates any applicable local, state, national or international law, that amounts to spamming or that is otherwise inappropriate. You may not post content that degrades others on the basis of gender, race, class, ethnicity, national origin, religion, sexual preference, disability or other classification. Epithets and other language intended to intimidate or to incite violence are also prohibited. Furthermore, you may not impersonate others.

    2. You understand and agree that Intellectual Property Watch is not responsible for any content posted by you or third parties. You further understand that IP Watch does not monitor the content posted. Nevertheless, IP Watch may monitor the any user-generated content as it chooses and reserves the right to remove, edit or otherwise alter content that it deems inappropriate for any reason whatever without consent nor notice. We further reserve the right, in our sole discretion, to remove a user's privilege to post content on our site. IP Watch is not in any manner endorsing the content of the discussion forums and cannot and will not vouch for its reliability or otherwise accept liability for it.

    3. By submitting any contribution to IP Watch, you warrant that your contribution is your own original work and that you have the right to make it available to IP Watch for all purposes and you agree to indemnify IP Watch, its directors, employees and agents against all damages, legal fees and others expenses that may be incurred by IP Watch as a result of your breach of warranty or of these terms.

    4. You further agree not to publish any personal information about yourself or anyone else (for example telephone number or home address). If you add a comment to a blog, be aware that your email address will be apparent.

    5. IP Watch will not be liable for any loss including but not limited to the following (whether such losses are foreseen, known or otherwise): loss of data, loss of revenue or anticipated profit, loss of business, loss of opportunity, loss of goodwill or injury to reputation, losses suffered by third parties, any indirect, consequential or exemplary damages.

    6. You understand and agree that the discussion forums are to be used only for non-commercial purposes. You may not solicit funds, promote commercial entities or otherwise engage in commercial activity in our discussion forums.

    7. You acknowledge and agree that you use and/or rely on any information obtained through the discussion forums at your own risk.

    8. For any content that you post, you hereby grant to IP Watch the royalty-free, irrevocable, perpetual, exclusive and fully sub-licensable license to use, reproduce, modify, adapt, publish, translate, create derivative works from, distribute, perform and display such content in whole or in part, world-wide and to incorporate it in other works, in any form, media or technology now known or later developed.

    9. These terms and your posts and contributions shall be governed and interpreted in accordance with the laws of Switzerland (without giving effect to conflict of laws principles thereof) and any dispute exclusively settled by the Courts of the Canton of Geneva.

     

     
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