A tale of two global emergencies: tuberculosis control efforts can learn from the Ebola outbreak

Extract

In 1993, the World Health Organization (WHO) issued a press release announcing that tuberculosis (TB) was a global emergency, making it the first infectious disease to be declared as such. Although progress has been made, no country has eliminated TB and there are 3 million missed TB diagnoses each year [1]. The term global health emergency has since evolved and most recently, the term “Public Health Emergency of International Concern” (as defined by the International Health Regulations in 2005) was applied to the Ebola epidemic in West Africa, which has caused over 11 000 deaths [2]. Ebola control efforts are now focussed on getting to zero cases. Yet, while huge public interest has focussed on Ebola, TB is bereft of public attention despite causing 1.5 million deaths since the Ebola epidemic began a year ago.