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India has succeeded in reducing by 84% the number of deaths from TB among people living with HIV in 2017, the largest decline among more than 20 countries and three years before the end of the decade. by 2020, announced the Joint United Nations Program on HIV / AIDS (UNAIDS).
UNAIDS is urging countries to intensify their efforts to reach the 2020 goal of reducing by 75% the number of TB deaths among people living with HIV, as outlined in the UN Declaration on HIV / AIDS. The United Nations on AIDS in 2016.
According to estimates by the World Health Organization, the number of deaths from TB among people living with HIV has decreased by 42% since 2010, from 520,000 to 300,000 in 2017.
Estimates show that by 2017, five low- and middle-income countries have reached or exceeded the target of a 75% reduction in TB deaths among people living with HIV, with three years of advanced. India achieved the highest reduction (84%), followed by Eritrea (83%), Djibouti (78%) and Malawi (78%).
Eighteen other countries have reduced TB deaths among people living with HIV by more than 50% and are on track to reach this goal by the end of 2020, provided that the expansion of services be maintained. However, estimates also show that most countries are not on track and that deaths are increasing in some regions and countries, UNAIDS said.
"Tuberculosis should be a disease of the past – it can be cured and avoided for decades – years of neglecting the rights of the world's poor in basic health care, food and shelter have left the tuberculosis root and resistance to oppose, "said UNAIDS executive Director Michel Sidibé said.
"People living with HIV are particularly at risk – many countries still have a chance to reach their goal, but we need to act now – it's time to end TB and AIDS," he said. -he declares.
About 40 countries have experienced an increase in the number of TB deaths among people living with HIV between 2010 and 2017. In Eastern Europe and Central Asia, the number of deaths from TB among people living with HIV increased by 22% between 2010 and 2017, increases were noted in all but three countries in the region.
UNAIDS said the lack of progress in some countries made it clear that additional efforts were needed to address key challenges, including the need for equity and to ensure that vulnerable groups had access to integrated services. fight against HIV and tuberculosis.
In order to accelerate progress in reducing the number of TB deaths among people living with HIV and reaching the 2020 target, UNAIDS urges countries to integrate fully support TB and HIV services and use community-based approaches to research, diagnose and treat missing cases.
He added that countries should screen for TB among all people living with HIV and that all people with TB should be tested for HIV. The quality of the diagnosis of tuberculosis and HIV also needs to be improved. In addition, all people diagnosed with TB and HIV need immediate access to treatment and support to adhere to their treatment regimens.
"Although progress is mixed, we can see that the goal can be achieved and that a large number of countries can do this if they act with urgency and use targeted community-based approaches," he said. said Sidibé.
"I can not stress enough that it is essential to integrate tuberculosis and HIV services so that people can be screened, tested, treated and treated as a means of prevention, ideally under the same roof, by the same health worker and the same day, is an approach we know how to save lives. "
Within two years of reaching the target, UNAIDS urges all countries to step up their actions and partners to work together to ensure that all people living with HIV and TB have access to HIV / AIDS services. effective prevention and treatment.
Tuberculosis is the leading cause of infectious mortality in the world, killing approximately 4,400 people a day. Tuberculosis also remains the leading cause of death among people living with HIV, causing one in three AIDS deaths. In 2017, 1.6 million people died of tuberculosis, including about 3,000,000 living with HIV.
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