Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts
Abstract A major contributor to the tuberculosis burden in the United States (US) and Canada is the progression of tuberculosis infection acquired before immigration among persons born outside the US and Canada. Domestic interventions against tuberculosis, such as those associated with tuberculosis...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Global and Public Health |
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| Online Access: | https://doi.org/10.1186/s44263-024-00115-9 |
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| author | Namrata Rana James C. Johnston Kevin Schwartzman Olivia Oxlade Pedro G. Suarez Michel Gasana Megan Murray Grania Brigden Jonathon R. Campbell |
| author_facet | Namrata Rana James C. Johnston Kevin Schwartzman Olivia Oxlade Pedro G. Suarez Michel Gasana Megan Murray Grania Brigden Jonathon R. Campbell |
| author_sort | Namrata Rana |
| collection | DOAJ |
| description | Abstract A major contributor to the tuberculosis burden in the United States (US) and Canada is the progression of tuberculosis infection acquired before immigration among persons born outside the US and Canada. Domestic interventions against tuberculosis, such as those associated with tuberculosis infection testing and treatment, while critical, are alone insufficient to address tuberculosis and achieve elimination. To hasten tuberculosis elimination in North America, coupling domestic efforts with consistent funding and multifaceted support for tuberculosis detection, treatment, and prevention worldwide is necessary. These efforts will reduce tuberculosis transmission and the prevalence of tuberculosis infection in an increasingly globalized world. We discuss the epidemiologic and economic rationale for this approach, as well as current efforts and potential strategies. We further place in context benchmark tuberculosis programs that have used international funding to achieve a sustained decline in tuberculosis incidence, as exemplars for the importance of such funding to international progress towards elimination. We conclude by providing suggestions for future pathways toward sustainable programs. Following the substantial global and local response to COVID-19, we call for the same intensity to eliminate this millennia-old disease. |
| format | Article |
| id | doaj-art-dfd9180d1f5d4157bc23a9d79a531f96 |
| institution | Kabale University |
| issn | 2731-913X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Global and Public Health |
| spelling | doaj-art-dfd9180d1f5d4157bc23a9d79a531f962024-12-15T12:13:44ZengBMCBMC Global and Public Health2731-913X2024-12-01211910.1186/s44263-024-00115-9Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international effortsNamrata Rana0James C. Johnston1Kevin Schwartzman2Olivia Oxlade3Pedro G. Suarez4Michel Gasana5Megan Murray6Grania Brigden7Jonathon R. Campbell8Research Institute of the McGill University Health CentreDepartment of Medicine, University of British ColumbiaDepartment of Medicine, McGill UniversityMcGill International TB CentreManagement Sciences for HealthTuberculosis and Other Respiratory Diseases Division, Institute of HIV/AIDS Disease Prevention and Control, Rwanda, Biomedical Center Harvard T.H. Chan School of Public HealthThe Global Fund to Fights AIDS, Tuberculosis and MalariaMcGill International TB CentreAbstract A major contributor to the tuberculosis burden in the United States (US) and Canada is the progression of tuberculosis infection acquired before immigration among persons born outside the US and Canada. Domestic interventions against tuberculosis, such as those associated with tuberculosis infection testing and treatment, while critical, are alone insufficient to address tuberculosis and achieve elimination. To hasten tuberculosis elimination in North America, coupling domestic efforts with consistent funding and multifaceted support for tuberculosis detection, treatment, and prevention worldwide is necessary. These efforts will reduce tuberculosis transmission and the prevalence of tuberculosis infection in an increasingly globalized world. We discuss the epidemiologic and economic rationale for this approach, as well as current efforts and potential strategies. We further place in context benchmark tuberculosis programs that have used international funding to achieve a sustained decline in tuberculosis incidence, as exemplars for the importance of such funding to international progress towards elimination. We conclude by providing suggestions for future pathways toward sustainable programs. Following the substantial global and local response to COVID-19, we call for the same intensity to eliminate this millennia-old disease.https://doi.org/10.1186/s44263-024-00115-9TuberculosisNorth AmericaEliminationLatent tuberculosis infectionCollaborative action |
| spellingShingle | Namrata Rana James C. Johnston Kevin Schwartzman Olivia Oxlade Pedro G. Suarez Michel Gasana Megan Murray Grania Brigden Jonathon R. Campbell Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts BMC Global and Public Health Tuberculosis North America Elimination Latent tuberculosis infection Collaborative action |
| title | Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts |
| title_full | Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts |
| title_fullStr | Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts |
| title_full_unstemmed | Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts |
| title_short | Achieving tuberculosis elimination in Canada and the USA: giving equal weight to domestic and international efforts |
| title_sort | achieving tuberculosis elimination in canada and the usa giving equal weight to domestic and international efforts |
| topic | Tuberculosis North America Elimination Latent tuberculosis infection Collaborative action |
| url | https://doi.org/10.1186/s44263-024-00115-9 |
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