Category 0

1
Categorization of Countries
Has the country reported to WHO on their TB
control activities?
No
Yes
Category 0
Does the country accept a WHO standard TB
control strategy?
No
Yes
Is the countrys case notification rate lt 10 per
100 000 pop?
lt10 coverage?
gt90 coverage?
10-90 coverage?
Category 2
Category 4
Category 3
No
Yes
Category 1
Category 5
2
DOTS Expansion 1992-98
Total number of countries
200
150
Number of countries
100
50
0
1990
1991
1992
1993
1994
1995
1996
1997
1998
Year
3
TB Control Status of 211 Countries, 1998
4
Proportions of Cases by WHO Region, 1998
All cases
Smear-positive
AFR 18
AFR 23
WPR 27
WPR 23
AMR 7
AMR 9
EMR 6
EMR 5
EUR 10
SEAR 28
SEAR 36
EUR 8
5
Global Notifications Trend 1980-98
Case notification rate (per 100 000)
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
Year
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
Incidence Rates by Age and Sex high incidence
countries in Latin America, 1998
200
2.0
150
1.5
ratio of incidence rates malefemale
100
incidence rate (per 100 000)
1.0
50
0.5
0
0.0
0-14
15-24
25-34
35-44
45-54
55-64
65
age (years)
incidence rate, males
ratio of incidence rates,malefemale
12
Incidence Rates by Age and Sex sub-Saharan
Africa, 1998
300
4
250
3
200
ratio of incidence rates malefemale
incidence rate (per 100 000)
150
2
100
1
50
0
0
0-14
15-24
25-34
35-44
45-54
55-64
65
age (years)
ratio of incidence rates,malefemale
13
Incidence Rates by Age and Sex Eastern Europe,
1998
0-14
15-24
25-34
35-44
45-54
55-64
65
14
Incidence Rates by Age and Sex Eastern
Mediterranean Region, 1998
40
2.5
2.0
30
1.5
ratio of incidence rates malefemale
incidence rate (per 100 000)
20
1.0
10
0.5
0
0.0
0-14
15-24
25-34
35-44
45-54
55-64
65
age (years)
ratio of incidence rates,malefemale
15
Incidence Rates by Age and Sex South-East Asia,
1998
ratio of incidence rates malefemale
incidence rate (per 100 000)
age (years)
16
Incidence Rates by Age and Sex Latin America
(excl. high inc. countries), 1998
ratio of incidence rates malefemale
incidence rate (per 100 000)
age (years)
17
Incidence Rates by Age and Sex Western Pacific
(excl industrialized), 1998
ratio of incidence rates malefemale
incidence rate (per 100 000)
age (years)
18
Incidence Rates by Age and Sex Industrialized
countries, 1998
19
Categorization of Countries, 1995-98
100
90
1995
80
1996
1997
70
1998
60
Number of countries
50
40
30
20
10
0
Category 0 No report
Category 1 Non-DOTS high incidence
Category 2 DOTS pilot phase
Category 3 DOTS expansion phase
Category 4 DOTS full coverage
Category 5 non-DOTS low incidence
20
Progress in Case Detection
Overall case detection rate ()
40
25
DOTS detection rate ()
20
30
15
20
10
10
5
0
0
1995
1996
1997
1998
overall
DOTS
21
Treatment Success Rates DOTS vs. non-DOTS 1997
Cohort
100
80
60
40
20
0
AFR
AMR
EMR
EUR
SEAR
WPR
22
Treatment Success for DOTS and Non-DOTS
Programmesby WHO Region, 1997 Cohort
DOTS
Non-DOTS
100
100
80
80
60
60
Percent of registered cases
Percent of registered cases
40
40
20
20
0
0
AFR
AMR
EMR
EUR
SEAR
WPR
AFR
AMR
EMR
EUR
SEAR
WPR
23
DOTS Population Coverageby WHO Region, 1998
1800
58
1600
29
1400
1200
Population (millions)
1000
13
59
800
61
600
33
400
200
0
AFR
AMR
EMR
EUR
SEAR
WPR
Numbers above bars are of population covered by
DOTS
24
DOTS progress in high burden countries, 1997-98
100
Target zone
China
Cambodia
Peru
Vietnam
90
Philippines
Myanmar
India
80
Bangladesh
Tanzania
Nigeria
Ethiopia
Pakistan
70
Sth Africa
Treatment success ()
Kenya
DRCongo
Thailand
Russia
60
Indonesia
50
Afghanistan
Uganda
40
30
0
10
20
30
40
50
60
70
80
90
100
DOTS detection rate ()
25
Projected DOTS Case Detection
26
(No Transcript)
27
Progress in DOTS implementationtop 22
countries, 1996-98
DOTS
High treatment success (? 70)
Non-DOTS or incomplete data
Low treatmentsuccess (lt 70)
Low case detection (lt 10)
Intermediate case detection (10-49)
High case detection (? 50)
Brazil
Afghanistan
India
Bangladesh
Cambodia
Zimbabwe
D.R. Congo
China
Peru
Indonesia
Ethiopia
Viet Nam
Kenya
Myanmar
Tanzania
Uganda
Nigeria
Pakistan
Philippines
Russian Federation
South Africa
Thailand