“In a bid to ensure the global fight against three of the world’s most devastating diseases remains efficient, the Board of the … Global Fund to Fight AIDS, Tuberculosis and Malaria voted [Thursday] to begin an immediate transition” to a new grant-funding approach, the U.N. News Centre reports (11/15). The new funding model “is designed to be simpler, more flexible, and have greater impact in conquering the diseases,” according to Reuters. “The new system relies upon closer discussions with the recipient countries, along with other donor groups and experts, over the design of their disease-fighting programs”; “will focus on addressing the needs of the poorest countries with the highest number of infections”; and will allow flexible grant cycles “instead of falling in set time periods, so that they can be coordinated better with a country’s budgetary cycle, [the Board] said,” the news agency writes (Dawson, 11/15).
The Wall Street Journal examines how “Greece has seen decades of advances in public health rolled back, as a flood of illegal immigrants, a dysfunctional government and budget cuts ravage a once proud health-care system.” Noting “[o]ver the past two years, more than 50 endemic cases of [malaria] and more than 100 imported cases have been identified in Greece,” the newspaper writes, “The return of malaria, a scourge in developing countries, to Greece is a disturbing indicator of the nation’s decline since it crashed in 2009 under the weight of a debt binge.” The Wall Street Journal examines the history of malaria’s return to the country and how the government is responding. “In addition to malaria, public health officials say they are worried about rises in everything from infectious respiratory-tract diseases and skin conditions to tuberculosis and HIV,” the newspaper notes (Granitsas, 11/14).
In a guest post on the Global Health Technology Coalition’s “Breakthroughs” blog, Mandy Slutsker, senior project associate with the ACTION Partnership, describes a new report that calls for increased efforts to fight tuberculosis (TB) among children worldwide (Lufkin, 11/13). The report, titled “Children and Tuberculosis: From Neglect to Action,” “makes some core recommendations for donor governments and high burden countries to tackle the rates of children with TB and the knock-on financial and social difficulties faced by millions,” according to the TB Europe Coalition (11/13). In the GHTC’s blog, Slutsker writes, “It’s time for civil society, health care workers, governments, and the private sector to come together and ensure no child dies from this preventable and treatable disease” (11/13).
Recent successes in increasing the treatment and decreasing the incidence of HIV/AIDS, tuberculosis (TB), and malaria, along with other global health advances, “is thanks to the hard work and cooperation of people from many different walks of life: politicians of all stripes, business leaders, grassroots activists, clergy, health workers, government agencies and many more,” Deborah Derrick, president of Friends of the Global Fight Against AIDS, Tuberculosis and Malaria, writes in the Huffington Post “Impact” blog. She says the Global Fund to Fight AIDS, Tuberculosis and Malaria has been “[c]entral” to these developments, and the “U.S. government has been a crucial leader in supporting international health and the Global Fund.” She adds, “Sustained commitment will ensure more lifesaving success.” Derrick also recognizes the work of doctors and businesses.
The BMJ examines the history of fraud allegations against the Global Fund to Fight AIDS, Tuberculosis and Malaria and the organization’s ongoing reform efforts. “Most observers agree that after a honeymoon first decade, the Global Fund had grown so big, and the economic climate and attitudes to diseases such as AIDS have changed so dramatically, that more rigor and efficiency was needed, fraud or no fraud,” BMJ writes. The Fund is expected to appoint a new director “and a new funding model, to be announced on November 15, [which] are supposed to get things back on track” (Arie, 11/12).
“Look in the global strategies for HIV, [tuberculosis (TB)], malaria, maternal and child health, polio eradication, [neglected tropical diseases (NTDs)], and [non-communicable disease (NCDs)] — among many others — and you’ll see Nigeria at or near the top of the ‘Must Win’ countries,” Todd Summers, a senior adviser at the Center for Strategic & International Studies’ (CSIS) Global Health Policy Center, writes in the CSIS “Smart Global Health” blog. “Home to 170 million people, many of them desperately poor, Nigeria carries a huge and disproportionate share of burden for many of the world’s most deadly diseases,” he writes, noting the country, “one of the most important countries for all three diseases, is losing more in revenues than all of the Global Fund’s annual contributions combined.” He continues, “So, somehow, the Nigerian government needs to do a better job of capturing the revenues it’s due, and channeling a greater percentage of that revenue to the urgent health needs of its citizens, but that doesn’t seem to be happening.” However, Summers concludes “there’s some good news to report” on overall governance in the country, and he provides some examples (11/8).
“With $2.5 trillion in mineral reserves, South Africa has the largest mining sector in the world,” but “[t]he work can be devastatingly toxic for the body,” with “inhumane and untenable” working conditions, Archbishop Desmond Tutu, archbishop emeritus of Cape Town, South Africa, writes in a Wall Street Journal opinion piece. “South Africa’s 500,000 mine workers have the highest recorded rate of [tuberculosis (TB)] among any demographic in the world,” he states, noting that cramped working and living conditions put them at an increased risk of the disease. Overall, “mine-associated TB gives rise to 760,000 new cases annually in Africa,” and “costs South Africa alone $886 million each year in health care costs and in impoverishment when family providers are too sick to work, or die,” according to a study conducted by the Southern African Development Community (SADC), Tutu writes. Therefore, the 15 SADC nations this summer pledged to take “concrete steps” to fight the disease, he notes.
The November 2012 issue of USAID’s “Global Health News” newsletter focuses on tuberculosis (TB). The newsletter features a link to a video titled “Voices of TB,” an infographic (.pdf) on innovations in TB diagnostics, and links to an IMPACTblog piece and a USAID press release discussing TB diagnostics (November 2012).
In an interview with GlobalPost’s “Global Pulse” blog, Mario Raviglione, director of the WHO’s Stop TB Department, explains “why the fight against [tuberculosis (TB)] is at a crossroads.” Because of advances in diagnostics and treatment, “we have a possibility here of envisioning a much brighter future for TB care and control over the next few decades,” he says, according to the interview transcript. “On the other hand, we have a financial gap that we are estimating at about $3 billion out of the $8 billion that are necessary for care and control efforts in countries, plus another $1.4 billion gap in the area of research,” he continues. According to the transcript, Raviglione addresses “why the funding gap exists, what would help reduce it, and what’s at stake as we choose a path forward” (Judem, 11/1).
According to a Pan American Health Organization (PAHO) and WHO joint press release, USAID “has tripled its financial support for the Pan American Health Organization/World Health Organization (PAHO/WHO) Regional Tuberculosis Program, which seeks to prevent 15,000 deaths from tuberculosis in Latin America and the Caribbean over the next five years and reduce the incidence of this disease.” The press release notes the commitment “increases a previous $5 million USAID/PAHO agreement, signed in November 2011 to strengthen programs for tuberculosis, maternal and neonatal health, and health systems in the region over the course of a three-year period, to a total of $8.9 million.” The press release states that $5.1 million is earmarked for the tuberculosis program, “up from an originally expected investment of $1.5 million” (10/31).