British Medical Journal

Report calls for elimination of tuberculosis in the US by 2010

Report calls for elimination of tuberculosis in the US by 2010 – Statistical Data Included

James Ciment

Ten years after issuing its “Strategic plan for the elimination of tuberculosis in the United States,” the Advisory Council for the Elimination of Tuberculosis has revisited the topic with a new report calling for “new and improved diagnostic, treatment and prevention methods, including a new vaccine.”

The new report, Tuberculosis Elimination Revisited: Obstacles, Opportunities, and a Renewed Commitment, is upbeat in tone, coming on the heels of seven years of declining numbers of tuberculosis cases. As the report catalogues, the number of cases reported annually in the United States dropped from 84 304 in 1953 to 22 201 in 1985 but then climbed to 26 673 in 1992. In 1998, the number fell to a record low of 18361 (6.8 per 100 000).

This recent progress, the current report suggests, came from a 15-fold increase in spending-from $5m ([pounds sterling] 3m) to $75m–on tuberculosis research after the release of the 1989 report. The new report says that the United States should set a goal of 3.5 cases per 100 000 by the year 2000 and an “elimination” rate of less than one case per million by 2010.

COPYRIGHT 1999 British Medical Association

COPYRIGHT 2000 Gale Group