Childhood tuberculosis : progress requires advocacy strategy now

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dc.contributor.authorSandgren, Andreasen_ZA
dc.contributor.authorCuevas, Luis E.en_ZA
dc.contributor.authorDara, Masouden_ZA
dc.contributor.authorGie, Robert P.en_ZA
dc.contributor.authorGrzemska, Malgorzataen_ZA
dc.contributor.authorHawkridge, Anthony en_ZA
dc.contributor.authorHesseling, Anneke C. en_ZA
dc.contributor.authorKampmann, Beate en_ZA
dc.contributor.authorLienhardt, Christian en_ZA
dc.contributor.authorManissero, Davide en_ZA
dc.contributor.authorWingfield, Claire en_ZA
dc.contributor.authorGraham, Stephen M. en_ZA
dc.date.accessioned2013-07-03T08:19:19Z
dc.date.available2013-07-03T08:19:19Z
dc.date.issued2012
dc.descriptionCITATION: Sandgren, A. et al. 2012. Childhood tuberculosis: progress requires advocacy strategy now. European Respiratory Journal, 40(2):294-297, doi:10.1183/09031936.00187711.
dc.descriptionThe original publication is available at https://publications.ersnet.org
dc.description.abstractChildhood tuberculosis (TB) is a preventable and curable infectious disease that remains overlooked by public health authorities, health policy makers and TB control programmes. Childhood TB contributes significantly to the burden of disease and represents the failure to control transmission in the community. Furthermore, the pool of infected children constitutes a reservoir of infection for the future burden of TB. It is time to prioritise childhood TB, advocate for addressing the challenges and grasp the opportunities in its prevention and control. Herein, we propose a scientifically informed advocacy agenda developed at the International Childhood TB meeting held in Stockholm, Sweden, from March 17 to 18, 2011, which calls for a renewed effort to improve the situation for children affected by Mycobacterium tuberculosis exposure, infection or disease. The challenges and needs in childhood TB are universal and apply to all settings and must be addressed more effectively by all stakeholders. It is estimated that of the nine million tuberculosis (TB) cases occurring every year worldwide, one million occur among children [1]. However, estimates of the burden of childhood TB are uncertain, and under-reporting and under-estimation of the global numbers are likely. In most settings, children with TB continue to be given low priority by National TB control Programmes (NTP) because they are less likely to transmit disease. Provision of more accurate data by national surveillance programmes is essential for improved global TB-burden estimates among children. Childhood TB has been largely absent from the global public health agenda despite being a major contributor to childhood morbidity and mortality particularly in high TB-burden settings and advocacy and scientific progress are still insufficient. Guidelines for childhood TB management have been developed and are already adopted by many countries. However, a wide policy/practice gap remains that needs to be addressed. Advocacy for the implementation and monitoring of these policies is, therefore, critical.
dc.description.versionPublisher's version
dc.format.extent4 pages
dc.identifier.citationSandgren, A. et al. 2012. Childhood tuberculosis: progress requires advocacy strategy now. European Respiratory Journal, 40(2):294-297, doi:10.1183/09031936.00187711.
dc.identifier.issn1399-3003 (online)
dc.identifier.urihttp://hdl.handle.net/10019.1/82064
dc.language.isoen
dc.publisherEuropean Respiratory Society
dc.rights.holderAuthors retain copyright
dc.subject.otherTuberculosisen_ZA
dc.titleChildhood tuberculosis : progress requires advocacy strategy nowen_ZA
dc.typeArticle
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