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Cordaid NL

Tuberculosis: the fight continues 

While the entire world focuses on COVID-19, silent killers like tuberculosis still wreak havoc in many countries. In 2019, a total of 1.4 million people died from tuberculosis.


It’s not that we do not know how to prevent or cure tuberculosis. Weak health systems and poor living conditions are the main culprits of this health tragedy.

What is tuberculosis?

Tuberculosis is one of the most threatening infectious diseases in the world. It is caused by bacteria and about one-fourth of the world’s population carries this TB bacteria. Many people, despite being infected, may not show any symptoms of the disease at all and they will not spread the germ.

People with weak immune systems and other serious conditions like diabetes or HIV are more likely to get sick from the bacteria.  The same applies to people who too much alcohol and smokers. The bacteria spread through the air when people with active TB sneeze or cough. Anyone who breathes that air, could inhale the germ and get infected.

A specific type of TB is especially dangerous: multidrug-resistant TB (MDR-TB).

Multidrug-resistant TB: an effect of bad health practices

There are two lines of drugs for curing tuberculosis. Unfortunately, sometimes the first line of TB drugs do not affect the TB bacteria. Then the patient must have the second line of cure which is expensive, long-term and often unavailable in low-income countries. That leaves them almost helpless in the face of this disease.

But what causes MDR-TB? According to the WHO: “Drug resistance (of the bacteria) emerges when anti-TB medicines are used inappropriately, through incorrect prescription by health care providers, poor quality drugs, and patients stopping treatment prematurely.”

This clearly stresses the importance of good quality health care services, conscious and aware patients, a good reporting system and trained health care workers.

A bleak reality: HIV patients with TB

HIV is already a fatal disease. Patients who are HIV positive have compromised immunity. A TB infection can lead to a deadly combination. In 2019, about 208.000 people died of HIV-associated TB.

Fragile countries suffer the most

Tuberculosis can be cured and prevented by good practices. There is no need for it to be one of the top 10 causes of death worldwide. South Asian and African countries are the most affected. In the last few decades, there has been very slow progress in stopping TB globally, about 2% per year.

Strong health systems – with, among others, a regular supply of good quality, affordable medicines and skilled health workers – are crucial to stop TB.

Cordaid works with The Global Fund to Fight against Tuberculosis, Malaria and AIDS in the DR Congo. As part of the Global Health, Global Access project, funded by the Bill & Melinda Gates Foundation, we help raise awareness on Global Fund’s work in the Netherlands.