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The Population Biology of Tuberculosis$
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Christopher Dye

Print publication date: 2015

Print ISBN-13: 9780691154626

Published to Princeton Scholarship Online: October 2017

DOI: 10.23943/princeton/9780691154626.001.0001

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Elimination and Eradication

Elimination and Eradication

Chapter:
(p.190) Chapter 7 Elimination and Eradication
Source:
The Population Biology of Tuberculosis
Author(s):

Christopher Dye

Publisher:
Princeton University Press
DOI:10.23943/princeton/9780691154626.003.0007

This chapter examines the prospects for elimination and eradication of tuberculosis. It considers how TB elimination could be achieved in principle, making use of the interventions and procedures available now and anticipating new technologies in the future. It places special emphasis on combining interventions for maximum effect and gives a guide to the combinations that work best. These principles are then applied in a detailed analysis of five countries with contrasting TB epidemics: South Africa, India, China, Kiribati, and the United States. To achieve very low incidence rates in their entire populations, these countries must maintain low TB transmission rates domestically and prevent TB arising from old infections in the native-born population. They must also prevent TB arising from imported infections in the foreign-born population. This underscores the point that in today's highly interconnected world, elimination in any country depends on effective TB control in every country.

Keywords:   tuberculosis, TB elimination, South Africa, India, China, Kiribati, incidence rates, TB transmission, infection, TB control

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