1. Malaria Figures 3.3 billion people at risk of malaria in 2006 1.2 billion at high risk (>1 case/1000 population) mainly in the WHO African (49%) and South East Asia Region (37%) Estimated 247 million episodes of malaria in 2006 80% of cases in Africa are from 13 countries Estimated 881,000 malaria deaths in 2006

2. Malaria Control Targets of 80% coverage for 4 key interventions: 1) Insecticide treated bed nets (ITNs) for people at risk 2) Appropriate anti-malarial drugs for patients with probable and confirmed malaria 3) Indoor residual spraying of insecticide for households at risk 4) Intermittent preventive treatment in pregnancy

3. UNDP Statement on Malaria Malaria control efforts are paying off, but additional effort is needed.

4. Tuberculosis Target 6c: Halt and begin to reverse the incidence of malaria and other major diseases 6.9 Incidence, prevalence and death rates associated with tuberculosis 6.10 Proportion of tuberculosis cases detected and cured under directly observed treatment short course (DOTS)

5. 0 50 100 150 200 250 300 350 400 199019921994199619982000200220042006 Cases per 100,000 population Africa South-East Asia WORLD Western Pacific Eastern Mediterranean Europe Americas Cases in millions 0 2 4 6 8 10 19901994199820022006 Incidence rates stable or falling slowly 9.15

6. Mortality 0 5 10 15 20 25 30 35 199019952000200520102015 Deaths per 100,000 population Prevalence 0 50 100 150 200 250 300 350 199019952000200520102015 Cases per 100,000 population TB prevalence and mortality Falling… but need to fall faster to reach targets Total deaths from TB in 2006 = 1.65 million Target = 148Target = 14

7. Geographical distribution of HIV-positive TB cases, 2006 For each country or region, the number of incident TB cases arising in people with HIV is shown as a percentage of the global total of such cases. AFR* is all countries in the WHO African Region except those shown separately; AMR* excludes Brazil; EUR* excludes the Russian Federation; SEAR* excludes India.

8. UNDP Statements on Tuberculosis The incidence of tuberculosis is leveling off globally, but the number of new cases is still rising Reaching global targets for tuberculosis control will require accelerated progress, especially in sub-Saharan Africa and the CIS

9. Tanzania – progress MDG6 HIV cases detected 1990: 5.5 ; 2000: 9.4; 2005: 6.8; 2015: <5.5 On track Number of malaria cases and incidences (cases per 100,000) 2000: 500,000; 2005: 65,745; 2015:18,062 On track Number of tuberculosis cases and incidences (cases per 100,000)1990:188; 2005: 479 (No further information)

10. Issues intrinsic to MDG 6 and prospects

11. Difficulties/Problems 1.Inappropriate targets eg ART roll out 2.Inappropriate indicators 3.Lack of cohesion and focus within and between communicable disease programmes eg how to communicate and report results. 4.Lack of links and cohesion with other MDGs. (some with MDG1)