Tuberculosis (TB) remains the world’s deadliest infectious disease. It has claimed more lives than HIV and malaria combined. The disease’s grim history is now taking an even darker turn; strains of the disease can now withstand existing treatment options.
Drug-resistant tuberculosis (DR-TB) affected 558,000 people in 2017 which caused 230,000 deaths. Historically, drug resistance was unusual but most common in patients who had previously suffered from TB. Now, first-time TB patients are increasingly showing drug resistance. DR-TB is spreading from person to person leaving many vulnerable and without treatment options.
Drug resistance is forecasted to increase in high TB-burden nations including the Philippines, South Africa and Russia but also impacting Iran, India and South Africa. In 2007, the first reports emerged of totally drug-resistant TB; TB that is resistant to all first and second-line drugs. Unless these highly resistant forms are stopped, an untreatable epidemic could emerge.
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