Tuberculosis Prevention and Control

         The Regional Committee,

         Acknowledging indications from early reports that the Western Pacific Region has met the 2005 targets for tuberculosis (TB) control, which include regionwide directly observed treatment, short-course (DOTS) coverage, detection of 70% of the estimated TB cases, and successful treatment of at least 85% of such cases;

         Appreciating that successful implementation of the Stop TB Regional Strategy 2000–2005 has facilitated achievements of these targets;

         Recognizing that the achievement of the 2005 regional TB control targets is only an intermediate step towards achieving the regional goals of reducing by one half the prevalence and mortality due to TB by 2010;

         Noting that the current 3% annual decline in TB prevalence and mortality would have to increase to an 8% annual decline, based on WHO modelling, for the Region to achieve the 2010 regional goal;

         Expressing concerns over issues of the quality of DOTS implementation in some parts of the Region, the need to work towards ensuring equitable access to TB care, and the necessity of engaging all health care providers in TB control;

         Expressing further concern at the threats of multidrug-resistant TB and the TB-HIV coinfection, as well as extensive drug-resistant TB (XDR-TB) that could undermine the gains achieved so far in TB control;

         Noting that the TB Technical Advisory Group in its meeting in Busan, Republic of Korea, in March 2006 supported the Strategic Plan to Stop TB in the Western Pacific 2006–2010 as technically sound,1

1.     RENEWS the commitment to the regional goal of reducing TB prevalence and mortality by one half by 2010, thereby contributing to the TB-related United Nations Millennium Development Goals;

2.     ENDORSES the Strategic Plan to Stop TB in the Western Pacific 2006-2010, aimed at providing guidance to countries and areas in the Region to address the challenges and sustain the momentum towards the 2010 regional goals;

3.     URGES Member States:

(1) to further strengthen the political commitment for TB control, to strengthen health systems and to work to ensure the availability of the human resources required for TB control and to take an active role in ensuring sustainable financing for TB control;

(2) to develop or finalize and implement national TB control plans guided by the Strategic Plan to Stop TB in the Western Pacific 2006–2010, including monitoring and evaluation of results based on agreed indicators and targets;

(3) to implement measures in countries and areas in the Region that have not yet achieved the regional TB control targets for 2005: 100% of the population with access to DOTS; 70% of estimated TB cases are detected; and 85% of the detected cases are successfully treated;

4.     REQUESTS the Regional Director:

(1) to work closely with Member States, partner organizations and relevant stakeholders to further strengthen their commitment to TB control to address primarily the need to sustain financing and to work towards ensuring adequate human resource capacity;

(2) to provide effective support to Member States in developing and implementing five-year national plans for 2006–2010, including monitoring the four core targets that will address the specific challenges to achieve the regional goal by 2010 and the Millennium Development Goals by 2015;

(3) to support Member States, specifically those that have not achieved the 2005 intermediate TB control targets, in further strengthening their efforts.

1 Annex to Document WPR/RC57/8.

21 September 2006

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