Stop TB in China Challenges, Constraints & Actions Dr Wang Longde Vice Minister of Health China 24 March 2004

 A major public health and social problem  One of the 22 global high burden countries  2nd highest number of cases in the world Challenges

 45% of China’s population is infected with TB  Prevalence of active and smear-positive TB is 367 and 122 cases/100,000  There are 5 million prevalent cases of TB and 1.5 million smear-positive cases  Progress of TB control in China will affect the realization of Global TB target in 2005.

China’s Response  The Chinese Government has paid great attention to TB control  DOTS has been successfully implemented in many provinces

In December 2000, the State Council convened a national TB working conference Vice-Premier Li Lanqing addressing the conference China’s Response

In October 2001, the State Council disseminated the 10-year National Tuberculosis Control Program ( ) China’s Response

 Finance departments at various governmental levels established funding for TB control  Capacity of TB control institutions improved China’s Response

Enhance cooperation with international partners and promote TB control project International Cooperation WB/DFID China TB Control Project

Enhance cooperation with international partners and promote TB control project Japan-assisted China TB Control Project International Cooperation

Enhance cooperation with international partners and promote TB control project CIDA-WHO China TB Control Project Damien Foundation Budget (DFB) China TB Control Project International Cooperation

Enhance cooperation with international partners and promote TB control project The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) ( ） International Cooperation

Current Constraints in TB control  China is a developing country with large population and severe epidemic  Migrant population, HIV/AIDS epidemic and MDR- TB are serious problems in many areas  Many challenges remain in reaching the global TB control targets advocated by WHO

Actions Targets by 2005  100% DOTS coverage  70% smear-positive case detection rate  85% treatment success rate

Strengthening government leadership for TB control at all levels  National review of progress in implementing the 10-year TB control programme conducted by Chinese government  High-level national TB conference to be held later this year Actions

Building the institutional and human resource capacity  In 2003, US$ 2.5 billion provided by government to improve disease control institutions and emergency medical treatment facilities  Strengthen technical guidance and managerial support by central level  National TB expert committee will be strengthened  Improve training of health workers down to the village level

Actions Taking effective actions to increase case detection  Expand DOTS coverage to 100%  Free treatment to active TB patients with economic difficulties  Enhance hospital-CDC cooperation  Using mobile clinics to follow up TB patients in remote areas  Expand sputum examination points to township level  Provide incentives and awards for case-detection  Nationwide TB health promotion campaigns to be launched  Increase technical and financial assistance to central-western provinces

Actions Increasing funding for TB control  Central level TB budget to increase from US$4.8 million to US$25-30 million per year  Local governments will also be requested to increase funding

China has received much support from the international community in TB control. On behalf of Chinese Government I would like to express my sincere thanks to the international society for the support.

We wish to cooperate more with you to achieve the global TB control targets