World TB Day 2002 - In the News

Agence France Presse
Headline: World Bank and Britain join China's fight against tuberculosis
Dateline: BEIJING, March 24, 2002

Two million Chinese people could be saved from tuberculosis in the next seven years as a result of a TB control programme jointly launched by China, Britain and the World Bank Sunday, state media said.

The programme, mainly financed by a 104 million US dollar loan from the World Bank, will offer free diagnosis and treatment of TB in 16 of China's 31 provinces, home to 680 million people, the official Xinhua news agency said.

Through its Department for International Development, the British government will provide a grant of 37 million US dollars to China to help lower the interest rate on the Bank's 20-year loan. Chinese governments at central and local levels will be responsible for providing necessary funds, implementing programmes and the work of personnel training and health education among the public, Xinhua said.

It is an important part of global efforts of TB control, Katherine Sierra, vice president of the World Bank, said at a ceremony to launch the programme Sunday, annual World TB Day.

With five million tuberculosis sufferers, China ranked second only to India worldwide in terms of serious TB epidemics.

Among the infected, two million have active tuberculosis, and run a high risk of spreading the TB bacillus to healthy people through daily contact. At least 120,000 Chinese die from tuberculosis every year, Xinhua said.

The World Bank has helped China since 1991 to expand effective TB control services in 13 Chinese provinces. More than 1.6 million patients had been diagnosed and treated by the end of 2000.

The project was cited by the World Health Organization as one of the most successful TB control interventions in the world, with patient cure rates surpassing 90 percent.

"However, many of the gains of these efforts would have been lost if the government did not provide adequate resources to continue and expand the programme after Bank financing concludes in mid-2002," the World Bank said.

Nearly 80 percent of the country's TB patients live in rural areas, where poor living conditions, underlying health and nutritional problems, insufficient money to pay for health care, and lack of knowledge about TB could make the situation worse, Chinese health officials fear.

Without government funding, user charges have prevented patients from being diagnosed early and getting treatment, thereby increasing risks of transmission and death, and the development of drug resistance, they warned.

China itself has begun a national plan to cover 95 percent of its counties with a TB-fighting strategy developed by the World Health Organisation, with the aim to treat four million TB patients by 2010.

The Japanese government donated two million dollars worth of anti-TB drugs and microscopes for bacillus detection to China on March 11, which would be delivered to poor rural areas in 11 Chinese provinces.

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