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Nigeria’s TB case finding rises by 50% – WHO

by Alice Babalola

The World Health Organisation said considerably enhanced its national Tuberculosis case finding by 50% in 2021 using innovative approaches.

This was stated in a message in commemoration of World TB Day by Dr. Matshidiso Moeti, WHO Regional Director for Africa.

Every year on March 24, the world commemorates World TB Day to increase public awareness of the terrible physical, social, and economic effects of this curable disease and to urge swifter action to eradicate it.

This year’s theme, ‘Yes, we can end TB’, highlights the need to ensure equitable access to prevention and care, aligning with the drive towards Universal Health Coverage and Sustainable Development Goals.

Dr Moeti said it was important to find and diagnose cases of TB so that the patients can be treated, and their contacts offered preventive medication.

“Nigeria is an example of a country that managed to significantly increase national TB case finding by 50 per cent in 2021 using innovative approaches such as the expansion of the daily observed treatment protocols, use of digital technologies, Community Active Case Finding, and enlisting Public Private Mix initiatives.

“TB requires concerted action by all sectors: from communities and businesses to governments, civil society and others,” she said in a press statement.

“First, the delayed diagnosis and testing. There is still a notable gap between the estimated number of new infections and case notifications of TB: 40 per cent of people living with TB did not know of their diagnosis or it was not reported in 2021. One million people are living with TB in the region and have not been detected.

“Second, the link between TB and HIV. Approximately 20 per cent of people newly diagnosed with TB are also living with HIV infection.

“Third, the multi-drug resistant TB. In the African region, only 26 per cent of all people living with multi-drug resistance are receiving the appropriate treatment.”

Meanwhile, she hailed the member states for the increasing uptake of new tools and guidance recommended by WHO, resulting in early access to TB prevention and care, and better outcomes.

“In the African Region, the use of rapid diagnostic testing has increased from 34 per cent in 2020 to 43 per cent in 2021, which will improve countries’ ability to detect and diagnose new cases of the disease.

“We must work together to develop innovative approaches to reach vulnerable populations and ensure that they have access to quality TB care and management.

“The second UN High-level Meeting on TB in September 2023 will provide a rare opportunity to give global visibility to the disease and mobilize high-level political commitment to end TB.

“Ending TB is feasible with the decline in TB deaths and cases, and the elimination of economic and social burdens associated with it.

“Specially today, I urge leaders, governments, partners, communities, and all stakeholders to urgently foster the resilient health systems required to accelerate the TB response so that we can reach the Sustainable Development Goals targets by 2030. Yes, we can end TB in our lifetime,” she added.

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