
Agence France Presse (12.16.07):P. Parameswaran - Monday, December 17, 2007
The landmark study released last week is the first to capture the economic benefits of the World Health Organization's revised DOTS (directly observed therapy, short-course) strategy proposed in WHO's Global Plan to Stop TB covering the 2006-15 period. WHO first introduced DOTS in the 1990s, but the increase in HIV cases and the rise of drug resistance over the years have caused the strategy to be revamped.
"These Asian nations have to grapple with a $1.17 trillion economic cost over a 10 year period if TB prevention and control are sustained at current levels of treatment," said Ramanan Laxminarayan, an economist and lead author of the study. "But if they embrace WHO's global plan they could collectively save about $10 billion each year or $100 billion during the 10-year period. However, the costs of the global plan may be greater than these benefits in some countries."
The study covered 22 high-burden countries, including China, India, Indonesia, Philippines, Thailand, Afghanistan, Bangladesh, Cambodia, Myanmar, Pakistan, and Vietnam. These 11 Asian nations accounted for 1 million of the 1.7 million TB deaths in the 22 countries studied, Laxminarayan said.
Among these countries, the economic impact of TB deaths and the benefits of TB control are greatest in China and India, where rising incomes and a relatively high number of TB deaths are combining to create a significant economic effect, the study found.
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