1	Tuberculosis: Why a faith-based approach? Clydette Powell, MD, MPH US Agency for International Development cpowell@usaid.gov
2	Objectives To understand the extent to which global TB is a re-emerging problem and which populations are most susceptible To identify aspects of TB prevention and control for which faith-based organizations are well positioned for achieving Kingdom purposes To know where to go for more information
3	The Lord will smite you with consumption, and with fever, inflammation, and fiery heat, and with drought, and with blasting, and with mildew; and they shall pursue you until you perish.” Deut 28:20 (Biblical reference to TB)
4	Why is TB a global emergency? 1/3 of the world’s population is infected with TB TB kills 5,000 people a day – 2-3 million each year TB kills more young women than any other disease More than 100,000 children will die needlessly from TB this year
5	Where are the TB patients? Of the 8.7 million who develop TB… 95% live in the developing world. Of the 2 million who die of TB….. 98% live in the developing world.
6	Who are the TB patients? The poor and marginalized The slum dweller and the homeless The prisoner The widow The young child and the elderly The substance abuser The hungry, the malnourished The person living with HIV/AIDS The immigrant, the sojourner
7	High-Burden Countries
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10	TB is a Leading Killer of Women
11	TB and HIV – a “noxious synergy” 40 million people are living with HIV/AIDS . At least 1 in 3 people with HIV in developing countries will develop TB. TB may accelerate the clinical course of HIV infection. TB is the single leading infectious disease cause of death for people living with AIDS.
12	TB and AIDS
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15	Challenges to TB Prevention and Control Slow expansion of DOTS coverage Private sector activities Health sector reform HIV infection Multiple drug resistance (MDR-TB) Fiscal resources Lack of human resources (“more laborers for the harvest”)
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18	DOT as a means of outreach WHO-approved approach for case detection and treatment. Legitimate use in “closed access” countries. Regular contact with a TB patient and family. Relationship built on frequency of encounter and interest expressed in patient and family. Finite duration of time. Message of hope – and a cure.
19	TB - a message of hope Known pathogen Simple technology for identification Well-established means of treatment - medicines and protocols Cure is possible within 6 to 8 months Very inexpensive to identify and to treat Does not require doctors to carry out every aspect of the work Success is more likely with a “support system”
20	International Journal of Tuberculosis and Lung Disease
21	Where to go for more information on Tuberculosis World Health Organization Geneva, Switzerland www.stoptb.org