Tuberculosis elimination: Theory and practice in Europe

Lia D'Ambrosio, Masoud Dara, Marina Tadolini, Rosella Centis, Giovanni Sotgiu, Marieke J. Van Der Werf, Mina Gaga, Daniela Cirillo, Antonio Spanevello, Mario Raviglione, Francesco Blasi, Giovanni Battista Migliori*, Hasan Hafizi, Maryse Wanlin, Wouter Arrazolade Oñate, Guido Groenen, Vera Katalinić Janković, Aleksandar Šimunović, Jiri Wallenfels, Constantia VoniatisPeter Henrik Andersen, Piret Viiklepp, Manfred Danilovits, Tiina Kummik, Petri Ruutu, Thierry M. Comolet, Walter Haas, Gerit Korr, Sabine Rüsch-Gerdes, Torsten Bauer, Barbara Hauer, Bonita Brodhun, Konstantinou Papavenstsis, Spala Papadima, Zsofia Pusztai, Joan O'Donnell, Daniel Chemtob, Enrico Girardi, Rukije Mehmeti, Vija Riekstina, Analita Pace Asciak, Trude M. Arnesen, Ewa Augustynowicz-Kopeć, Maria Korzeniewska-Kosela, Paulina Marianna Miskiewicz, Dominika Miecznikowska, Raquel Duarte, Ana Maria Correia, Antonio Manuel S.C. Diniz, Stefan Talevski, Maja Zakoska, Gilda Popescu, Domnica Chiotan, Gordana Radosavl Jevic Asic, Ivan Solovic, Marijan Ivanuša, Mitja Košnik, Elena Rodríguez Valín, Odorina Tello Anchuela, Jerker Jonsson, Peter Helbling, Jean Pierre Zellweger, Gerard De Vries, Connie Erkens, Laura Anderson, Ian Laurenson

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    138 Citations (Scopus)


    Although Europe identified the pathway to tuberculosis (TB) elimination in 1990, no information on programmes for country preparedness is available. A questionnaire investigating TB elimination activities was submitted to 38 national TB programme representatives of low TB incidence (<20 cases per 100 000 population) European countries/territories of the World Health Organization European region. Out of 31 providing a complete answer, 17 (54.8%) reported to have a dedicated national TB programme, 20 (64.5%) a national plan including TB elimination (13 (41.9%) including targets), 22 (71%) guidelines, 14 (45.2%) a specific budget for TB activities, and 23 (74.2%) TB reference centres. All countries reported having case-based electronic TB surveillance, 19 (61.3%) perform regular supervision, 12 (38.7%) have a monitoring and evaluation plan and five (16.1%) perform modelling. In three countries (9.7%), TB health services are free for insured individuals only. In 22 countries/territories (71%) not all TB drugs were available, while in 12 (38.7%) drug stock-outs have been described. Although high-risk group screening for latent TB infection is performed by the majority of countries, only 6 (19.4%) provided figures on preventive treatment completion rates. Not all elements identified as essential for country preparedness to achieve TB elimination are available in the countries surveyed.

    Original languageEnglish
    Pages (from-to)1410-1420
    Number of pages11
    JournalEuropean Respiratory Journal
    Issue number5
    Publication statusPublished - 1 May 2014


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