Stop TB in China

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Stop TB in China Challenges, Constraints
Actions Dr Wang Longde Vice Minister of
Health China 24 March 2004
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Challenges

• A major public health and social problem

• One of the 22 global high burden countries

• 2nd highest number of cases in the world

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Challenges

• 45 of Chinas 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.

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Chinas Response

• The Chinese Government has paid great attention
  to TB control

• DOTS has been successfully implemented in many
  provinces

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Chinas Response

• In December 2000, the State Council convened a
  national TB working conference

Vice-Premier Li Lanqing addressing the conference
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Chinas Response

• In October 2001, the State Council disseminated
  the 10-year National Tuberculosis Control Program
  (2001-10)

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Chinas Response

• Finance departments at various governmental
  levels established funding for TB control
• Capacity of TB control institutions improved

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International Cooperation
Enhance cooperation with international partners
and promote TB control project
WB/DFID China TB Control Project
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International Cooperation
Enhance cooperation with international partners
and promote TB control project
Japan-assisted China TB Control Project
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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
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International Cooperation
Enhance cooperation with international partners
and promote TB control project

The Global Fund to Fight AIDS, Tuberculosis
and Malaria (GFATM) (2003-2008)
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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

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Actions

• Targets by 2005

• 100 DOTS coverage
• 70 smear-positive case detection rate
• 85 treatment success rate

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Actions

• 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

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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

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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

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Actions

• Increasing funding for TB control
• Central level TB budget to increase from US4.8
  million to US25-30 million per year
• Local governments will also be requested to
  increase funding

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• 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.

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• We wish to cooperate more with you to achieve the
  global TB control targets

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Thanks