Fifth meeting of national tuberculosis programme managers (Wolfheze, 2002)



Tuberculosis (TB) control in some countries of Europe requires urgent attention. Drug-resistant TB is increasing rapidly. In parts of eastern and central Europe economic decline, poverty, prison overcrowding and fractured medical services mean that TB rates are increasing and multidrug-resistant strains are rapidly emerging. There is also a growing epidemic of HIV infection, which is likely to
compound TB control problems. Nevertheless, expansion of the DOTS (directly observed treatment, short-course) strategy has shown some improvement in Europe. This fifth meeting of National Tuberculosis Programme Managers facilitated the exchange of information on TB control between the countries of the WHO European Region and international partners. Progress and constraints in DOTS implementation, the influence of health care reform on national TB control programmes, and strategies to respond to multidrugresistant TB were addressed.