Abstract

Tuberculosis, although preventable and curable, causes more adult deaths than any other infectious disease. A theoretical framework for designing effective control strategies is developed and used to determine treatment levels for eradication, to assess the effects of noneradicating control, and to examine the global goals of the World Health Organization. The theory is extended to assess how suboptimal control programs contribute to the evolution of drug resistance. A new evaluation criterion is defined and used to suggest how control strategies can be improved. In order to control tuberculosis, treatment failure rates must be lower in developing countries than in developed countries.

Keywords

TuberculosisControl (management)Developing countryDisease controlDiseaseTuberculosis controlInfectious disease (medical specialty)MedicineRisk analysis (engineering)Intensive care medicineDevelopment economicsEnvironmental healthEconomic growthComputer scienceEconomicsPathology

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Publication Info

Year
1996
Type
article
Volume
273
Issue
5274
Pages
497-500
Citations
339
Access
Closed

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Sally Blower, Peter M. Small, Philip C. Hopewell (1996). Control Strategies for Tuberculosis Epidemics: New Models for Old Problems. Science , 273 (5274) , 497-500. https://doi.org/10.1126/science.273.5274.497

Identifiers

DOI
10.1126/science.273.5274.497