Ending Neglect

Tuberculosis emerged as an epidemic in the 1600s, began to decline as sanitation improved in the 19th century, and retreated further when effective therapy was developed in the 1950s. TB was virtually forgotten until a recent resurgence in the U.S. and around the world?ominously, in forms resistant to commonly used medicines.What must the nation do to eliminate TB? The distinguished committee from the Institute of Medicine offers recommendations in the key areas of epidemiology and prevention, diagnosis and treatment, funding and organization of public initiatives, and the U.S. role worldwide. The panel also focuses on how to mobilize policy makers and the public to effective action.The book provides important background on the pathology of tuberculosis, its history and status in the U.S., and the public and private response.The committee explains how the U.S. can act with both self-interest and humanitarianism in addressing the worldwide incidence of TB.Table of ContentsFront MatterExecutive Summary1 Fundamentals of Tuberculosis and Tuberculosis Control2 The Current Situation and How We Got Here3 Tuberculosis Elimination and the Changing Role of TuberculosisControl Programs4 Advancing Toward Elimination5 Developing the Tools for Tuberculosis Elimination6 The U.S. Role in Global Tuberculosis Control7 Mobilizing for EliminationAppendix A Statement of TaskAppendix B Public Session AgendasAppendix C Site Visit SummariesAppendix D Role of Public Health Laboratories in the Control ofTuberculosisAppendix E Estimating the Number of Tuberculosis Cases That Can BePrevented by a Program of Screening and Preventive Therapy of NewlyArrived Immigrants to the United States from Countries with a HighRate of Tuberculosis aAppendix F Approval Dates for Existing and Prospects forDevelopment of New Antituberculosis Drugs and VaccinesAppendix G Committee BiographiesIndex