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Free Content The value of tuberculosis elimination and of progress in tuberculosis control in twentieth-century England and Wales [Review article]

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OBJECTIVE: To calculate the monetary value of tuberculosis (TB) elimination and of progress in TB control in twentieth-century England and Wales.

METHODS: An original methodology that utilises original data is used, which facilitates the calculation of the number of life years that have been saved as a result of the decline in the TB mortality rate, prevalence rate and quality of life burden.

RESULTS: The magnitude of the decline in the mortality and morbidity burden of TB is estimated at 104 425 life years, which is valued to be worth in excess of US$127 billion. The value of improvements in morbidity contributes nearly as much as the more obvious gains for mortality.

CONCLUSION: Such significant results indicating the value of improvements in TB control have important implications for our understanding of these achievements and justify increased spending in developing countries that continue to be plagued by high rates of TB prevalence.

Keywords: morbidity; mortality; quality-adjusted life year (QALY); tuberculosis

Document Type: Review Article

Affiliations: University of Cambridge, Cambridge, UK

Publication date: September 1, 2009

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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