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TB and poverty agenda in WPR. WHO/WPRO Stop TB. Percentage of population living below US$1 a day. TB and poverty. 98% of 1.8 million TB deaths per year in developing countries. TB mortality rate 3 X higher in rural poor China than in more developed urban areas.

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tb and poverty
TB and poverty
  • 98% of 1.8 million TB deaths per year in developing countries.
  • TB mortality rate 3 X higher in rural poor China than in more developed urban areas.
  • ARI in the Philippines 2.5 times higher among urban poor than urban non-poor.
  • Mexico and South Africa: no difference in socio-economic status between TB patients and non TB patients living in the same community
slide4

TB incidence weakly related to social and

economic variables: infant mortality

6.5

6.0

5.5

AF

AS

5.0

CA

4.5

estimated TB incidence (log-transformed)

EE

SA

4.0

US

WP

3.5

ME

3.0

WE

Series10

2.5

2.0

1.5

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

5.5

Infant mortality rate 1991 (log-transformed)

s prevalence rates china
S(+) prevalence rates: China

Source: World Bank, 2000

prevalence of s tb by ethnic group in china in 2000
Prevalence of s(+) TB by ethnic group in China in 2000

Source: Ministry of Health of China, 2000

poverty and tb
Poverty and TB
  • Vulnerability to severe disease and death from TB
    • Delaying access to care
    • Inhibiting treatment adherence
  • Overcrowding associated with infection and outbreaks of TB
  • TB burden higher where poverty is higher
s tb notification rates versus income in vietnam provinces
S(+) TB notification rates versus income in Vietnam provinces

Source: Ministry of Health of Vietnam, 2003

tb notification rates and ethnic groups in vietnam provinces
TB notification rates and ethnic groups in Vietnam provinces

Source: Ministry of Health of Vietnam, 2003

tb notification rates and poverty in cambodian provinces
TB notification rates and poverty in Cambodian provinces

Source: Ministry of Health of Cambodia, 2002

tb notification and poverty
TB notification and poverty
  • TB notification is lower where poverty is higher in Vietnam
  • TB notification is at a similar level between poorer and less poor areas in Cambodia
poverty and tb case detection rate
Poor compared to non-poor communities:

Higher TB prevalence

Lower or similar case notification rates

 Lower TB Case Detection Rate in poorer areas

Poverty and TB Case Detection Rate
expansion may not be enough
Expansion may not be enough

Detection

‘The Missing Cases’

Coverage

progress in 2004 objective 1 reaching the 70 85 100 targets
Progress in 2004Objective 1: Reaching the 70/85/100 targets

*2004 figures are for high burden countries which account for 90% of the TB burden

impact of scenarios d 70 and d increased on prevalence
Impact of scenariosD70 and Dincreased on prevalence

Decline in prevalence

300

250

200

rate per 100,000

D70

150

Dincreased

100

50

0

1990

1995

2000

2005

2010

2015

2020