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Global Prevention Strategies: Learnings from Tuberculosis Case Studies

Explore historical examples of prevention activities from the United States and insights on combating tuberculosis through vaccination and streptomycin. Gain understanding of community introduction costs, government involvement, and AIDS cases in different countries.

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Global Prevention Strategies: Learnings from Tuberculosis Case Studies

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  1. Definition of Prevention

  2. Source: United Nations (U.N.) Population Division, Demographic Indicators, 1950-2050 (The 1996 Revision) (U.N., New York, 1996).

  3. Historical Examples of Global Prevention Activities

  4. Death rate for Tuberculosis, 1860-1960, United States, Source: US Bureau of the Census, Historical Statistics of the United States; Colonial Times to 1970 (Washington, D.C: Government Printing Office, 1975), Part 1 pp58,63.  Note: Data between 1860 and 1900 for Massachusetts only. Koch identified tubercle bacillus Streptomycin introduced Vaccination available

  5. Source: Thomas McKeown, The Modern Rise of Population (Academic Press, San Francisco, 1976), pp. 93, 96.

  6. Introduction

  7. Community • US$4.18 cost per illness-casesincur 83% of cost (=10 days income; 1/3rd for drugs, >1/3rd due to lost income). • Govt pays 17% of cost per illnessand creates treatment system and case-management standards

  8. withAIDS per 1000 live births 250 200 150 100 50 0 without AIDS Botswana Kenya Malawi Tanzania Zambia Zimbabwe Source: US Bureau of the Census

  9. Teacher in Alexandria Teacher in Cairo Teacher in Pittsburgh Teacher in Tanzania Teacher in Paris Teacher in Moscow

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