HIV challenges

  • 33.3 million people live with HIV infection; 22.5 million are in sub-Saharan Africa
  • 1/3 of people infected with HIV have also latent TB infection
  • An HIV-positive person infected with latent TB is 20-30 times more likely to develop active TB than a person without HIV
  • One out of four people with HIV die due to TB
  • 1.1 million new TB cases among people with HIV in 2009
  • Up to 70% of TB patients are co-infected with HIV in some sub-Saharan countrie
    Sources: UN AIDS Global Report 2010, WHO TB HIV Fact Sheet 2010, WHO TB Fact Sheet 2010-11, www.who.int/tb/hiv/faq/en/print/html

HIV

HIV

Tuberculosis (TB) and HIV are inextricably intertwined, with one-third of the world's 33.3 million HIV-positive individuals also infected with Mycobacterium tuberculosis, the bacterium that causes TB disease. Since HIV infection weakens the immune system, an HIV-positive person who is infected with TB bacilli is much more likely to develop active TB than someone who is HIV-negative. TB has become a leading cause of death among those who are HIV-positive, despite the fact that today HIV infection can be managed with antiretroviral medication, and TB can be cured.

People living with HIV need early diagnosis and treatment of TB. One of the main obstacles in treating TB and HIV co-infection is the lack of coordination amongst TB and HIV programmes, resulting in a situation that can significantly complicate the management of patients with both diseases. The Union established a Department of HIV in 2002 with the aim of developing models and best practices to help reduce the morbidity and mortality caused by the dual epidemic of tuberculosis and HIV.

  • The Union Approach To TB/HIV

    The Union's strategy for combating TB and HIV with coordinated and integrated methods includes measures and resources to scale up participating countries' health-care systems, capacity build...

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  • IHC PLUS

    The IHC Programme was initially planned to promote TB/HIV collaborative activities and enrolled only TB/HIV co-infected patients and their family members. In Myanmar, the scope of its intervention has...

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  • Education & Training

    Education is an important element of The Union's HIV work. Training courses are developed based on project and country needs and are always included in project activities. An example of one such...

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  • Research & Publications

    Operational research is an essential component of The Union's TB/HIV work. Research that studied barriers to implementing TB/HIV service has been carried out in Uganda. The results identified bar...

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  • Advocacy & Partnerships

    HIV experts from The Union serve on many international committees and participate in working groups, including: Strategic and Technical Advisory Group for Tuberculosis (STAG-TB) TB HIV Working...

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