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2007'09.16.Sun
Greater Commitment Needed to Combat Problem of Multidrug-resistant TB
September 13, 2007


Fifty-eighth Session of the WHO Regional Committee for the
Western Pacific
10-14 September 2007, Jeju, Republic of Korea

    JEJU, Republic of Korea, Sept. 13 /Xinhua-PRNewswire/
-- Dr Shigeru Omi, World Health Organization Regional
Director for the Western Pacific, today called for greater
political commitment in addressing the growing epidemic of
multidrug-resistant tuberculosis in the Western Pacific
Region. 

    (Logo:
http://www.xprn.com/xprn/sa/20061102095006-51-min.jpg )

    Dr Omi made the appeal to Member States at the Regional
Committee for the Western Pacific, WHO's governing body in
the Region, currently meeting in Jeju, to review WHO's work
in the Region.

    "There is an urgent need to scale up the
management of multidrug resistant-TB, which has emerged
across the Region, including the Pacific," said Dr
Omi.  "The potential magnitude of the threat of
multidrug-resistant TB in the Region requires countries to
urgently develop a response and thus prevent the
development of extensively drug resistant-TB or
XDR-TB."

    The Region has about a third of the global multidrug
resistant-TB burden, mostly in China and the Philippines,
and to some extent, in Mongolia, the Republic of Korea and
Viet Nam.  

    Tuberculosis continues to be a major public health
problem in the Western Pacific despite it being the only
WHO Region that has achieved the 2005 global targets for TB
control.  In 2005, the latest year for which data are
available, the Region had an estimated 1.9 million new TB
cases.

    Dr Omi also drew attention to the increasing concern on
HIV-related TB, saying that in this Region, TB is the main
opportunistic infection that kills people living with
HIV/AIDS.  "The high case fatality of TB-HIV
co-infected individuals observed in the Region needs to be
addressed through early diagnosis of both conditions as
well as prompt implementation of adequate treatment, care
and support," Dr Omi said.  There is, therefore, a
need for comprehensive infection control strategies in
health care settings to prevent the spread of TB among
people living with HIV.

    Meanwhile, access to HIV treatment continues to expand
but significant obstacles to achieving universal access
still have to be overcome.  At the United Nations' General
Assembly high-level meeting on HIV/AIDS in 2006, Member
States agreed to work towards the goal of "universal
access" to comprehensive HIV prevention programmes,
treatment, care and support by 2010.

    "Universal access by 2010 will require a steep
increase in the number of people starting treatment every
year," Dr Omi said in a briefing paper.  "Even
though the treatment gap has been decreasing in recent
years, people currently living with HIV/AIDS will progress
towards symptomatic HIV disease and eventually require
treatment."

    In the Western Pacific Region, it was estimated that
1.3 million people were living with HIV at the end of 2006,
while almost 80 000 individuals died of HIV/AIDS the same
year.  Despite some success in scaling up prevention
interventions, the epidemic continues to grow, with an
estimated 167 000 new HIV infections occurring in the
Region in 2006.  

    For more information or to request to interview WHO
specialists, please call Ms Marilu Lingad at (+63) 918 918
1094; email:  lingadm@wpro.who.int or Mr Peter Cordingley
at (+63) 917 844 3688; email: cordingleyp@wpro.who.int.


    For more information, please contact:

    Public Information Office
    Tel:   +63-2-528-9991
    Email: PIO_Unit@wpro.who.int
PR
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