Control and elimination
In May 2014 , the World Health Assembly approved the End TB Strategy , a comprehensive set of principles and activities developed by WHO ’ s Global Tuberculosis Programme over a 2-year period with broad global consultative input [ 38 ]. The activities within the Strategy are guided by a set of four overarching principles : 1 ) government stewardship and accountability with monitoring and evaluation ; 2 ) strong coalition with civil society organisations and communities ; 3 ) protection and promotion of human rights , ethics and equity ; and 4 ) adaptation of the strategy and targets at country level , with global collaboration . The Strategy provides an overall global framework for TB control and , ultimately , elimination with targets of reducing deaths due to TB by 95 % and the incidence of the disease by 90 % by 2035 , compared with 2015 . These principles convey the responsibilities of government agencies , while at the same time indicating the requirement for all health sectors and civil society to be involved and for services to be delivered in an equitable manner with respect for human rights , with implementation of the strategy at country level [ 39 ].
Three main areas of activities ( or “ pillars ”) are necessary to achieve these targets :
• Pillar 1 Integrated patient care and prevention
• Pillar 2 Bold policies and supportive systems
• Pillar 3 Intensified research and innovation
In all pillars , there are activities that represent new ways of thinking about TB on a global scale and tend to unify approaches to control and elimination across low- , middle- and highburden countries .
Taken together , the principles and activities provide a comprehensive globally applicable approach to TB control and elimination . Several areas have developed more detailed and specific plans for TB elimination [ 38 ].
22 Forum of International Respiratory Societies