“The Global Fund’s drive to ensure sustainability and efficiency means that it may not be able to meet its commitments to combat disease, says Laurie Garrett,” a senior fellow for global health at the Council on Foreign Relations, in Nature’s “World View” column. Citing his resignation letter, Garrett discusses the “the political struggle” that led Michel Kazatchkine to step down as executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria last week and writes, “It is a classic battle of titans, pitting urgency against long-term sustainability. … Kazatchkine essentially conceded victory to the forces for sustainability.”
In this post on USAID’s “IMPACTblog,” Christina Lau, USAID health officer for Central Asia, discusses tackling tuberculosis (TB) in migrant populations, writing, “Most migrants are unable to access the health care system because they are undocumented laborers, who lack proper identification documents required for health care treatment, and who fear deportation if their documentation status becomes known.” She notes, “USAID is working in coalition with government and international partners in order to improve access to TB services and treatment for this crucial population” (1/26).
In this post in the PLoS “Speaking of Medicine” blog, guest blogger Christian Lienhardt, senior scientific adviser at the Stop TB Partnership and WHO, “discusses the International Roadmap for Tuberculosis (TB) Research, a framework outlining priority areas for investment in TB research.” He writes, “The tools available for TB control are old, lack effectiveness, and are not readily accessible in many settings,” adding, “Fortunately there is hope, thanks to notable progress in the development of new tools for TB control over the last decade,” such as “the recent introduction of Xpert MTB/RIF — a DNA-based molecular assay that can diagnose TB and the presence of rifampicin-resistance in 100 minutes” (1/26).
This post in the Center for Strategic and International Studies’ “Smart Global Health” blog examines drug-resistant tuberculosis (TB), stating, “[S]ince the recent outbreak of the so-called totally drug-resistant tuberculosis (TDR-TB) in India, TB has a new face.” The blog details what TDR-TB is, recaps how resistant strains of TB develop and suggests several ways in which the global health community should respond (Kramer, 1/25).
“As the Global Fund [to Fight AIDS, Tuberculosis and Malaria] turns 10 on January 26, 2012, Nigerian families should join in the celebration of this innovative initiative that has saved the lives of millions here in Nigeria and across the globe,” Bello Bissalla, project manager for private sector and government partnerships at Friends of the Global Fund Africa, writes in Nigeria’s BusinessDay. “Much of the Global Fund’s success could be attributed to its performance-based financing mechanism, which creates room for transparency in the purchase, distribution and administration of drugs for these three diseases,” Bissalla continues, noting the grant review process “ensures that grant recipients show verified evidence of performance before receiving the next tranche of funding, thus ensuring transparency and implementation of the grant according to the plan.”
In this post in Global Health Frontline News’ “Notes From the Field” blog, Kevin Cain, chief of the tuberculosis (TB) branch for a research and public health collaboration between the Kenya Medical Research Institute (KEMRI) and the CDC in Kisumu, Kenya, reports on TB research underway as part of the collaboration. Cain highlights several current research initiatives in Kisumu and concludes, “The world cannot afford another phase of neglect. We know by partnering with governments as well as affected communities in innovative ways more progress can be made improving programs and the tools available for diagnosing, treating, and preventing TB, and lives will be saved” (1/20).
This post in the Foreign Policy Association blog discusses reports from earlier this month of “an emerging strain of ‘totally drug-resistant’ tuberculosis (TDR-TB)” in India, which the Indian government last week denied, “arguing that the 12 cases were in fact extensively drug resistant (XDR).” The blog states, “Whether or not it’s fair to use the TDR moniker, drug resistance is a serious, emerging issue that may very well define the next stage of global health,” concluding, “We are reaching a turning point, one at which some drug resistant pathogens are on the cusp of shifting from a handful of cases, an endemic, to a bigger, epidemic or even pandemic problem. Now is the time to initiate discussions on what the global community will do to stem drug resistance” (Robinson, 1/21).
A funding shortfall led the Global Fund to Fight AIDS, Tuberculosis and Malaria to announce in November that “it won’t make any grants to fund programs for at least two years,” a Deseret News editorial notes and calls on the U.S. to take a leadership position in saving the fund. The editorial states, “Few worldwide initiatives have the success record of the Global Fund …, but those breakthroughs may not have much chance to save many lives,” and notes that the non-profit lobbying group “Results is calling for the Obama administration to assemble an emergency meeting of donor nations this spring to find ways to ensure that the fund and its programs are able to continue and to provide new medicines where they are needed most.”
Discussing the recent reports of so-called “totally drug-resistant” tuberculosis (TDR-TB) in India, journalist John Donnelly in this GlobalPost “Global Voices” blog entry writes, “Overall, the world is treating drug-resistant TB extraordinarily poorly, and that creates more and more cases of resistant TB that aren’t being cured.” Donnelly describes his experience in Peru, where he and photographer Riccardo Venturi recently traveled at the invitation of the Japanese company Otsuka Pharmaceutical and “met with local scientists, doctors and patients to explore the scope of the struggle to fight drug-resistant TB” (1/19).
In a January 17 statement, India’s Ministry of Health and Family Welfare “dismissed reports that a form of incurable tuberculosis [TB] has arrived in the country,” saying “that a team of doctors sent by the ministry found that seven of the patients are responding to treatment” and the cases would be classified and managed as extremely drug-resistant TB (XDR-TB), Nature News Blog reports (Jayaraman, 1/19). “Earlier, doctors in Mumbai said 12 patients had a ‘totally drug resistant’ form of TB, and three had died,” according to BBC News. “A WHO official in India told the BBC that there is no recognized case of totally drug resistant TB anywhere in the world,” the news service writes (1/20).