Ending Neglect The Elimination of Tuberculosis in the United States (2000) / Chapter Skim
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6 The U.S. Role in Global Tuberculosis Control
6 The U.S. Role in Global Tuberculosis Control
Pages 149-158
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From page 149... ...
RECOMMENDATIONS Recommendation 6.1 To decrease the number of foreign-born individuals with tuberculosis in the United States, to minimize the spread and impact of multidrug-resistant tuberculosis, and to improve global health, the committee recommends that · The United States expand and strengthen its role in global tuberculosis control efforts, contributing to these efforts in a substantial manner through bilateral and multilateral international efforts.
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From page 150... ...
In particular, the United States should continue its active role in and support of the Stop TB Initiative.
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From page 151... ...
In the United States foreign-born persons made up 41 percent of the new cases reported in 1998 (see Chapter 2~. During the l990s, this proportion has progressively increased, in part because the intensified control measures applied early in the l990s were directed more toward U.S.-born individuals.
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From page 152... ...
The conclusion is inescapable that globalization is inevitable, and unless the United States is going to close its borders, the control and ultimate elimination of tuberculosis in the United States will require vast improvements in global tuberculosis control efforts. At this point the outlook is not good for any substantial improvements in tuberculosis control in high-incidence countries unless there is considerable new external assistance.
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From page 153... ...
Only the industrialized nations have the scientific, technological, and financial resources necessary to make possible the long-term effort that vaccine development will require. It is that capacity that imposes on the United States the moral duty to act to save the lives of millions who would otherwise die.
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From page 154... ...
vis-a-vis other countries is its scientific and technological capacity. The United States should take a lead role in basic investigation of tuberculosis.
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From page 155... ...
In addition to providing leadership in the science of tuberculosis, the United States should do several other things. First, it should take the lead in developing incentives for research and development within private
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From page 156... ...
Training and education is a second area of major importance in which the United States should be involved. As with research, the United States should work in close coordination with WHO and NGOs involved in tuberculosis training in developing countries, especially the International Union Against Tuberculosis and Lung Disease and the Royal Netherlands Antituberculosis Association.
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From page 157... ...
The agency should develop more effective mechanisms for internal coordination and develop its own strategic plan that will enable its assistance to be used most effectively. United States-based foundations could also be used in a strategic manner to fund tuberculosis control programs or elements of programs in high-incidence countries.
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From page 158... ...
There is no better example of a situation to which the statement applies than global tuberculosis control. REFERENCES Centers for Disease Control and Prevention.
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