deaths divided by the number of new cases in the same
China, Ethiopia, Myanmar, the Russian Federation and
year. The CFR allows assessment of variation in equity Viet Nam) to limited changes (e.g. in Angola and Congo).1 in terms of access to TB diagnosis and treatment among High TB burden countries with rates of decline in TB countries (because if everyone with TB had access to deaths among HIV-negative people that exceeded 6% per timely diagnosis and high-quality treatment, the CFR year in the 5-year period 2013–2017 included the Russian would be low in all countries). To achieve the milestones Federation (13% per year), Ethiopia (12% per year), Sierra for reductions in TB deaths set for 2020 and 2025 in the Leone (10% per year), Kenya (8% per year) and Viet Nam End TB Strategy, the global CFR needs to fall to 10% by (8% per year). 2020 and to 6.5% by 2025 (Chapter 2). Globally, the number of TB deaths among HIV-positive people has fallen by 44% since 2000, from 534 000 In 2017, the global CFR (calculated as the combined (range, 460 000–613 000) in 2000 to 300 000 (range, number of TB deaths in HIV-negative people and HIV- 266 000–335 000) in 2017, and by 20% since 2015. Most positive people, divided by the total number of incident of this reduction was in the WHO African Region (Fig. cases in both HIV-negative and HIV-positive people)2 was 3.15). In several high TB burden countries, the number 16%, down from 23% in 2000. It varied widely among
GLOBAL TUBERCULOSIS REPORT 2018
countries (Fig. 3.17), from under 5% in a few countries of deaths caused by TB among HIV-positive people has to more than 20% in most countries in the WHO African fallen substantially in recent years; for example, in Region. Intensified efforts are required to reduce the CFR Cambodia, Kenya, Namibia, South Africa, the United Republic of Tanzania and Zimbabwe (Fig. 3.16). to 10% globally by 2020.
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