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8/20/2019 TB Prophecies: What the Future May Hold
http://slidepdf.com/reader/full/tb-prophecies-what-the-future-may-hold 1/20
Lucica Ditiu
Venue: Cape Town
8/20/2019 TB Prophecies: What the Future May Hold
http://slidepdf.com/reader/full/tb-prophecies-what-the-future-may-hold 2/20
What is the Stop TB Partnership?
Collectiveimpact of over
1,300partners
• Unites over 1,300 partners in the!o"a! #ht aainst TB
• Partnership Secretariat !ocate$ in
%eneva, Swit&er!an$ 'U()PS*
• The Stop TB Partnership isoverne$ "+ the Coor$inatinBoar$ an$ supporte$ "+ twostan$in "oar$ coittees - the./ecutive Coittee theinance Coittee
•Coor$inatin Boar$ !e$ "+ ChairDr 2aron otsoa!e$i, inister o45ea!th, South 24rica an$ Vice6Chair Dr 7oanne Carter, ./ecutiveDirector o4 8.SULTS US2
Vision
• 2 TB64ree wor!$
•
8/20/2019 TB Prophecies: What the Future May Hold
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Antimicrobial Resistance (AMR): Putting! in perspective
• 28 in4ections ;i!! estiate$ <00,000 annua!!+ - =10,000 are D86TB
• U> 8eview on 28 - Chaire$ "+ Lor$ 7i )(ei!! estiates 28 in4ectionscou!$ ;i!! 10 i!!ion annua!!+ "+ =0@0 - =A@ i!!ion cou!$ "e D86TB
.stiates that 28 in4ections cou!$ cost the !o"a! econo+ 100tri!!ion "+ =0@0 6 1A< tri!!ion wi!! "e 4ro D86TB costs
• irst steps:
Discussions with other .U e"er states
Stop TB co6orani&e$ a (ew Eor; "rie#n 4or U( e"ers states withthe U> 28 8eview an$ U> ."ass+ in in 7une an$ is e/p!orin 4urtherco!!a"oration, po!ic+ wor;, an$ a$vocac+ opportunities
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8/20/2019 TB Prophecies: What the Future May Hold
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8/20/2019 TB Prophecies: What the Future May Hold
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8/20/2019 TB Prophecies: What the Future May Hold
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8/20/2019 TB Prophecies: What the Future May Hold
http://slidepdf.com/reader/full/tb-prophecies-what-the-future-may-hold 8/20
1"
#10$
%"$%
&'
n* !target
+lobal
10 100-
100-
%0 "000 "010+ear
+lobal ! inci*ence
TheBur$en
Business as usual won’t End TB Until….
8/20/2019 TB Prophecies: What the Future May Hold
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8/20/2019 TB Prophecies: What the Future May Hold
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./at ist/e+lobalPlan
• Coste$ investent p!an 4or #rst @ +rs o4 .n$ TB Strate+
• 2 roa$ap to acce!eratin ipact on the TBepi$eic an$ ovin towar$s the tarets o4 the
W5) .n$ TB Strate+ an$ the SD%s
• Deve!ope$ "+ Stop TB Partnership
• Le$ "+ a Tas; orce appointe$ "+ the Stop TB Boar$
• our consu!tations: 2$$is, Ban;o;, Buonos 2ires,Fstan"u!
• We" consu!tation - 1<0 coents
• ee$"ac; !etters "+ orani&ations
• Stop TB Boar$ $iscussion in 2pri! =01@ an$approva! in (ove"er =01@
• 8eGueste$ "+ the W52 =01H
10
8/20/2019 TB Prophecies: What the Future May Hold
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%0(%0)
%0targets
Ac/ieve asearl2 as
possible butnot latert/an "0"#
• 8each at !east 0I o4 a!! peop!e with TB an$
p!ace a!! o4 the on appropriate therap+J#rst!ine, secon$ !ine, as we!! as preventivetherap+ as reGuire$
• 2s a part o4 this approach, reach at !east
0I o4 the ;e+ popu!ationsJthe ostvu!nera"!e, un$erserve$, at6ris; popu!ations
• 2chieve at !east 0I treatent success 4or
a!! peop!e $ianose$ with TB, throuhaor$a"!e treatent services, a$herence tocop!ete an$ correct treatent, an$ socia!supportA
11
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Resourc
e nee*san*investment
scenarios
Stan$ar$
2cce!erate$
Base!ine
1"
Base!ine scenario is not anoption - it isses the =0=0i!estones an$ costscontinue to esca!ate
2cce!erate$ scenario ispre4erre$ - up4rontinvestent "ut costs coe$own an$ returns are"etter
)ver the ne/t @ +ears, a tota! o4 &# billioninvestent reGuire$:
45 #& billion nee*e* to implement! proraes45 % billion to fun* R65 4or newtoo!sA
8/20/2019 TB Prophecies: What the Future May Hold
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7e2messages
• Para$i shi4t reGuire$
• The new 06'0*60 tarets
• Fnvestents 4or ip!eentation ust "e
aressive!+ 4ront6!oa$e$, pea;in at US1=A3 "i!!ion !o"a!!+ in =01K, a"out *ouble the aount current!+ investe$ in TB
• 8eturn on investent is hue
13
8/20/2019 TB Prophecies: What the Future May Hold
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+ainsoninvestment
Accelerate* investmentscenario:
• = i!!ion treate$ 4or TB
• H@ i!!ion TB cases prevente$
• 10 i!!ion !ives save$
1
Stan$ar$ scenario
=<
K@Return on investment per unit 345 spent
R65 investment:
• tie!+ avai!a"i!it+ o4 new too!s 4or en$in TB
8/20/2019 TB Prophecies: What the Future May Hold
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Resourcemobili8ation
1#
• Doestic
• ./terna!
• Fnnovative
8esource nee$s 'in US "i!!ions* 4or +lobal 9un*eligible countries 4or the perio$ =01-=0=0 'Tota!US=AH "i!!ion*, "+ source o4 e/pecte$ 4un$in
8/20/2019 TB Prophecies: What the Future May Hold
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conomicReturn per 1investe* in !
'#
TB was a!so i$enti#e$ as one o4 the 1 "est investentsaon the 1 tarets inc!u$in in the Post6=01@ SD%4raewor;A
Source: The Post6=01@ Consensus Proect, a roup o4 0!ea$in econoists to eva!uate "est6"u+s in SD% Tarets
8/20/2019 TB Prophecies: What the Future May Hold
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/e 'areas ofpara*igm s/ift
in$set5uanrihts
approach
Counit+6 an$patient6$riven
approach
TBprora
eseGuippe$to .n$ TB
Fnterate$hea!th
s+stes
#t 4orpurpose
(ewapproach
to 4un$in TB
oreinc!usive
!ea$ership
Fnvestent in
socio6
econoicactions
1$
8/20/2019 TB Prophecies: What the Future May Hold
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8/20/2019 TB Prophecies: What the Future May Hold
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/an- @ou
mail: lucica*Bstoptborg