It is estimated that 1.6m die of TB every year. To tackle the disease will take a shift in strategy
of the millennium it was clear a new approach was required in the war against three of the biggest threats to human life and development. There was need for a trustworthy international organisation that could solicit donations from rich countries and wealthy organisations, and spend that money on combating those threats in collaboration with the governments of afflicted poor countries, but with appropriate oversight to ensure effectiveness and avoid theft.
One such shift may be to screen the whole population of high-burden countries. A study published recently in thetested this idea in part of Vietnam. Researchers collected saliva from people once a year for three years—and offered treatment to the infected. If this intervention were widely deployed it could, they calculate, decrease prevalence by 15% a year, rather than the 3-7% typical in currently affected places., though, would be a vaccine. Here there is good news and bad.
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