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. 2022 Mar;76(3):310-316.
doi: 10.1136/jech-2021-217529. Epub 2021 Sep 17.

Tuberculosis in times of COVID-19

Alexandra Jaye Zimmer  1   2 , Joel Shyam Klinton  2   3 , Charity Oga-Omenka  1   2 , Petra Heitkamp  2   3 , Carol Nawina Nyirenda  4 , Jennifer Furin  5 , Madhukar Pai  6   2
Affiliations

Tuberculosis in times of COVID-19

Alexandra Jaye Zimmer et al. J Epidemiol Community Health. 2022 Mar.

Abstract

The COVID-19 pandemic has caused widespread disruptions to tuberculosis (TB) care and service delivery in 2020, setting back progress in the fight against TB by several years. As newer COVID-19 variants continue to devastate many low and middle-income countries in 2021, the extent of this setback is likely to increase. Despite these challenges, the TB community can draw on the comprehensive approaches used to manage COVID-19 to help restore progress and mitigate the impact of COVID-19 on TB. Our team developed the 'Swiss Cheese Model for Ending TB' to illustrate that it is only through multisectoral collaborations that address the personal, societal and health system layers of care that we will end TB. In this paper, we examine how COVID-19 has impacted the different layers of TB care presented in the model and explore how we can leverage some of the lessons and outcomes of the COVID-19 pandemic to strengthen the global TB response.

Keywords: COVID-19; health services; public health; tuberculosis.

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Conflict of interest statement

Competing interests: MP serves as an advisor to the Bill & Melinda Gates Foundation, WHO Stop TB Partnership and Foundation for Innovative New Diagnostics.

Figures

Figure 1
Figure 1
Annual change in tuberculosis (TB) case notification among 84 countries reporting monthly or quarterly TB case notification data (2016–2020). Arrow represents the per cent change in TB notifications relative to the previous year. Data from the WHO.
Figure 2
Figure 2
The Swiss Cheese Model for Ending TB (adapted for TB by Furin and Pai [13], with permission from Dr Ian Mackay). With input from Amrita Daftary, Petra Heitkamp, Joel Klinton, Emily MacLean, Lena Faust, Giorgia Sulis, Sophie Huddart and Anita Svadzian. POC, point of care; TB, tuberculosis.
See this image and copyright information in PMC

References

    1. World Health Organization . Global tuberculosis report 2020, 2020. Available: https://www.who.int/publications/i/item/9789240013131 [Accessed 15 Aug 2021].
    1. World Health Organization . The end TB strategy, 2015. Available: https://www.who.int/tb/End_TB_brochure.pdf [Accessed 10 Mar 2021].
    1. The Global Fund . The Impact of COVID-19 on HIV, TB and Malaria Services and Systems for Health - Updates - The Global Fund to Fight AIDS, Tuberculosis and Malaria, 2021. Available: https://www.theglobalfund.org/en/updates/other-updates/2021-04-13-the-im... [Accessed 25 May 2021].
    1. World Health Organization . Impact of the COVID-19 pandemic on TB detection and mortality in 2020, 2021. Available: https://www.who.int/publications/m/item/impact-of-the-covid-19-pandemic-... [Accessed 21 May 2021].
    1. Stop TB Partnership . The devastating effect of the COVID-19 pandemic on the TB Response-A minimum of 5 years of progress lost and 6 million additional people ill with TB, 2020.