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2010 Oct 4 - Lancet Comment: Active case-finding for TB in the community: time to act

2010 Oct 4 - Lancet Comment: Active case-finding for TB in the community: time to act

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Haileyesus Getahun a, Mario Raviglione a.The Lancet, Early Online Publication, 4 October 2010

In the past 15 years, 36 million patients with tuberculosis have been successfully treated through the Stop TB Strategy recommended by WHO, and up to 6 million lives were saved, including 2 million women and children, compared with the deaths predicted had 1995 performance persisted.1

Despite these encouraging successes, tuberculosis is a major public health problem, with more than 9 million cases occurring every year. Worldwide, just above 60% of these cases are identified yearly and receive appropriate care.1 Innovative measures are needed above and beyond present facility-based efforts to promptly diagnose, treat, and stop transmission of tuberculosis.2 A variety of active case-finding strategies for tuberculosis were tested and proved to be effective over the past century. However, little evidence is available about the effect of active case-finding on the burden of tuberculosis.3

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