There is also more about TB in India, TB in China, TB in Nigeria & TB in South Africa. The TB statistics page has the estimated TB incidence for each of these countries. Top 20 by estimated absolute number (in alphabetical order)Īngola, Bangladesh, Brazil, China, DPR Korea, DR Congo, Ethiopia, India, Indonesia, Kenya, Mozambique, Myanmar, Nigeria, Pakistan, Philippines, Russian Federation, South Africa, Thailand, UR Tanzania, Viet NamĪdditional 10 by estimated incidence rate (in alphabetical order)Ĭambodia, Central African Republic, Congo, Lesotho, Liberia, Namibia, Papua New Guinea, Sierra Leone, Zambia, Zimbabwe
In 2020 the three lists were as follows and have been used between 20. With several countries appearing in more than one list, in total the three lists include 48 countries. This would avoid any of the lists including countries with a very small number of cases. There would also be a threshold of a minimum number of 10,000 cases per year for TB and 1,000 per year for TB/HIV and MDR-TB.
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This meant that the countries would be the top 20 in terms of absolute numbers of incident cases, plus the ten countries with the most severe burden in relative terms that did not already appear in the top 20. It was also decided that each list would contain 30 countries using a “20 + 10” approach. After a period of consultation it was decided that there would still be three lists for the next five years. So it was decided in 2015 that the lists would be revised. One particular disadvantage is that the main high burden country list was based on absolute burden, so countries with very high rates per head of population were not included. Revising the three high burden country listsīy 2015 it has been realised that there were advantages but also disadvantages to the lists. These were countries that would not otherwise be eligible for support. This was especially the case for middle income countries with a high MDR-TB burden in central Asia and Eastern Europe. The list was used in advocating for Global Fund support for MDR-TB activities. Every country in the list was also required to either have more than 4,000 estimated TB cases a year and/or greater than or equal to 10% of new TB cases needed to be of MDR-TB. The list would consist of countries that collectively accounted for 85% of the estimated global total. After some debate the criteria was agreed. In 2008 it was decided that a list of high MDR-TB burden countries was important. The list was updated each year until 2009. This list was then used to promote the scaling up of TB and HIV activities and to help advocate for Global Fund support for these activities. The countries in the list made up 97% of the estimated global burden of TB among people living with HIV. Subsequently in 2005 a list of 41 TB/HIV high burden countries was agreed.
The aim was to jointly address the co-epidemics of TB and HIV. Then in 2004 the WHO issued its first guidance on the implementation of 12 collaborative TB/HIV activities. Subsequently Peru was removed from the list and replaced by Mozambique. The 22 high burden countries were defined as those countries with the highest absolute burden of TB in respect of the estimated number of incident cases. The aim in creating the list was to highlight the scale of the global TB epidemic, by focusing on a small number of countries responsible for 80% of the total number of TB cases worldwide. At this time TB was barely on the global health agenda. In 1998 the initial list of 22 high burden countries was defined based on the burden of TB in absolute terms. Initial 1998 lists of high burden countries
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