
In October 2015, the World Health Organisation published its Global Tuberculosis Report, which highlights the persistent TB crisis in Asia and the Pacific region. Older than HIV/AIDS, tuberculosis (TB) has resurfaced as one of the world’s deadliest diseases. With an estimated 6.2 million cases two thirds of the global total the region carries a hefty share of the global TB burden. Notably, just three nations: China, India, and Indonesia account for 40% of these cases. Updated estimates for Indonesia show a startling yearly burden of one million cases, or 10% of all cases worldwide.
Economic and Health Impacts
TB’s impact extends beyond health, affecting economies significantly. The disease’s burden includes substantial productivity losses and treatment costs, which can reach 4-7% of a country’s GDP, according to World Bank estimates. The situation is exacerbated by the rise of multi-drug-resistant TB (MDR-TB), a more severe and challenging form of the disease. Without effective intervention, MDR-TB could account for up to 25% of deaths from drug-resistant infections by 2050, leading to an estimated 75 million premature deaths. The economic toll could be as high as $16.7 trillion, potentially reducing global GDP by 0.63%.
Progress and Optimism
Despite these concerning figures, there is reason for optimism. Asia and the Pacific, while reporting two-thirds of global TB cases, contribute to only 40% of TB-related deaths. This disparity indicates that regional efforts have been somewhat successful in managing the disease. Mortality rates have decreased by approximately 40% since 1990, even as the number of new cases has remained stable. Historical successes, such as Japan’s effective TB control two decades ago through improved primary care, highlight the potential for progress with appropriate resources and political will.
Global and Regional Initiatives
Further hope for combating tuberculosis is provided by recent developments. The Asia-Pacific TB Caucus was founded in September 2015 as the Global TB Caucus’s first regional network. With members from countries including India, Vietnam, Indonesia, and New Zealand, and co-chairs from Australia and the Philippines, this global network of legislators is committed to tackling tuberculosis. Working with national parliaments and international organisations, the caucus hopes to increase political support and quicken the pace of progress in tuberculosis control.
Key Takeaways
While tuberculosis remains a significant challenge in the Asia-Pacific region, recent efforts and initiatives provide a path forward. With continued political commitment, innovative solutions, and international cooperation, the region is making strides towards effective TB management. Through coordinated action and resource mobilization, there is hope for overcoming this global health issue and improving health outcomes worldwide.