Thread by @GFadvocates

The #GlobalFund #ResultsReport was lacking data for 2021 on #TB.
The #WHO just released the 2021 Global Tuberculosis Report, featuring 2020 data. It's a sobering read.
You can find it here: reliefweb.int/sites/reliefwe…
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The headline is probably this graph. The scale was clearly chosen for dramatic effect (also data for more than 4 years shouldn't be too much to ask), but notifications fell off a cliff last year.
1.3mn fewer cases were found, a 19% drop y-to-y.
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Under that overall number we can find some solace (only 2.5% drop in the African region), but mostly tragedy.
In India and Indonesia, notification fell respectively ‼️25% and ‼️31%. Together they represent over half of the global drop.
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And the bad news don't stop there. The trend in notification during 2020 shows that there was no rebound late in the year in worst hit countries:
📉 India
📉 Indonesia
📉 the Philippines.
So it's likely that case detection has been depressed throughout 2021 too.
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Case detection was badly hit, and so was treatment, resulting in an increase in estimated #TB deaths, for the first time in 20 years ‼️
In 2020 100,000 more lives were lost to TB than in 2019. It's just...
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It's not all doom and gloom, and the report features some success stories of downward trends despite #COVID (in Kenya, Myanmar, Russia, Vietnam and a few others). But the headlines is definitely that we have missed the 2020 targets and are going further off track)
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Two graphs really sum-up the struggle ahead: the projection of the impact of 2020 on incidence and mortality going forward.
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TB deaths - it's a huge shock. We can hope to revert to baseline in a few years in many countries, but some are thrown way off track (Indonesia, India and the Philippines really stand out).
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Incidence: we will be paying for years and years to come.
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The best case scenario is that all the pain and loss of last year helps us come together, scale up and #GetBackOnTrack. There was amazing work all around to mitigate the impact of #COVID, and for all the bad that did happen, it could have been much worse.
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COVID threw everything further off track, but we can remedy that. A lot of it will play out in the next few months, and we need to stand up to the challenge.
#7thReplenishment @GlobalFund @StopTB @G_C_T_A

@GlobalFund @StopTB @G_C_T_A @threadreaderapp can you unroll this?