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