The impact of the COVID-19 epidemic on tuberculosis control in China

Huang, Fei; Xia, Yuqing; Chen, Hui; Wang, Ni; Du, Xin; Wei, Chen; Li, Tao; Huan, Shitong; Sun, Mingfei; Chen, Ming-Ting; Keshavjee, Salmaan; Zhao, Yanlin; Chin, Daniel P.; Liu, Jianjun

doi:10.1016/j.lanwpc.2020.100032

Cited by 72 publications

(87 citation statements)

References 31 publications

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“…The results of ( 1 ) and ( 2 ) are combined via rejection sampling (3; Fig. S5) to ( 4 ) determine the timing of the index case and its posterior distribution.…”

Section: Resultsmentioning

confidence: 99%

Timing the SARS-CoV-2 Index Case in Hubei Province

Pekar

Worobey

Moshiri

et al. 2020

Preprint

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Understanding when SARS-CoV-2 emerged is critical to evaluating our current approach to monitoring novel zoonotic pathogens and understanding the failure of early containment and mitigation efforts for COVID-19. We employed a coalescent framework to combine retrospective molecular clock inference with forward epidemiological simulations to determine how long SARS-CoV-2 could have circulated prior to the time of the most recent common ancestor. Our results define the period between mid-October and mid-November 2019 as the plausible interval when the first case of SARS-CoV-2 emerged in Hubei province. By characterizing the likely dynamics of the virus before it was discovered, we show that over two-thirds of SARS-CoV-2-like zoonotic events would be self-limited, dying out without igniting a pandemic. Our findings highlight the shortcomings of zoonosis surveillance approaches for detecting highly contagious pathogens with moderate mortality rates.

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“…The results of ( 1 ) and ( 2 ) are combined via rejection sampling (3; Fig. S5) to ( 4 ) determine the timing of the index case and its posterior distribution.…”

Section: Resultsmentioning

confidence: 99%

Timing the SARS-CoV-2 Index Case in Hubei Province

Pekar

Worobey

Moshiri

et al. 2020

Preprint

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“…Some indicators had been influenced at the beginning of the system reform, but they have rebounded and finally exceeded the numbers from before the reform (6). In addition, patient detection and treatment success rate were kept at a high level, which resulted in low mortality rates and the annual decreasing of the incidence rate was relatively more significant than global average (7).…”

Section: Discussionmentioning

confidence: 99%

Health Facilities and Treatment Service Models of the National Tuberculosis Program — China, 2010−2020

Liu

et al. 2021

China CDC Weekly

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What is already known about this topic?A new tuberculosis (TB) treatment service model called "trinity model" has been adopted in China since 2010 but the implementation coverage is still unknown. What is added by this report?In 2020, more than one-third (36.5%) of health facilities diagnosed less than 100 TB cases, about onefourth (25.5%) diagnosed 100 to 200 cases, and 94 health facilities diagnosed more than 800 cases. Among 2,960 county-level TB management areas, 157 (5.3%) counties were dominated by CDCs, 364 (12.3%) were dominated by TB/infectious diseases-specific hospitals, 370 (12.5%) independent TB dispensaries (or chronic disease stations), and 2,069 (69.9%) general hospitals. What are the implications for public health practice?The National TB Program (NTP) needs to explore more suitable treatment reimbursement mechanisms and help treatment facilities build an efficient referral system to provide quality treatment services for TB patients.

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“…In 2020, as the COVID-19 pandemic spread across high TB burden countries, their TB health services were disrupted ( Fei et al, 2020 , Alene et al, 2020 ). Recognizing that both TB and COVID-19 were airborne respiratory infections several countries used their TB programmes as a launch pad for mounting a response against COVID-19, diverting some cadres of staff, certain specialized health facilities and laboratories from TB to COVID-19.…”

Section: Setback and Impact Due To The Covid-19 Pandemicmentioning

confidence: 99%

Recovering from the Impact of the Covid-19 Pandemic and Accelerating to Achieving the United Nations General Assembly Tuberculosis Targets

Sahu¹,

Diţiu²,

Sachdeva³

et al. 2021

International Journal of Infectious Diseases

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In 2020, the novel COVID-19 pandemic replaced TB as the world’s top cause of death from an infectious disease. The October 21, 2020 the UN Secretary-General report on progress towards implementation of the UNHLM political declaration on TB stresses that although high-level commitments and targets had galvanized global and national progress towards ending TB, urgent and more ambitious investments and actions were required, especially in lieu of the COVID-19 pandemic where associated public health measures and travel restrictions, have disrupted health services universally. The report sets out 10 priority recommendations to get the world on track to reach agreed targets by 2022. Political commitment is more critical than ever. COVID-19 diagnostic and vaccination health services need to be aligned to TB and HIV services with active early case finding in communities, engaging the private sector care providers and mitigation of fear and stigma. Healthcare staff and community workers and leaders need to be provided with COVID-19 vaccination and personal protective equipment. The UNHLM declaration committed to mobilize 15 billion USD per annum for TB, of which 13 billion USD for TB care and 2 billion USD per annum for TB R&D. The Global Fund needs to increase funding for TB. Learning from the unprecedented speed of COVID-19 vaccine development, fastracking development and evaluation of TB vaccines is essential. World leaders need to urgently address and reverse the socio-economic consequences of the COVID-19 pandemic and these will determine to what extent they will impact on achieving TB targets.

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The impact of the COVID-19 epidemic on tuberculosis control in China

Cited by 72 publications

References 31 publications

Timing the SARS-CoV-2 Index Case in Hubei Province

Timing the SARS-CoV-2 Index Case in Hubei Province

Health Facilities and Treatment Service Models of the National Tuberculosis Program — China, 2010−2020

Recovering from the Impact of the Covid-19 Pandemic and Accelerating to Achieving the United Nations General Assembly Tuberculosis Targets

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