“POLITICAL COM M ITM ENT TO NATIONAL TB PROGRAM : A CASE OF THE PHILIPPINES”
Hon. Angelina “Helen” D.L. Tan, M.DChairperson, Committee on Health, House of Representatives - Philippines
Executive Committee Member, Global TB Caucus
Co-Chairperson, Asia Pacific TB Caucus
6th Conference of International Union Against Tuberculosis and Lung Disease, Asia Pacific Region, TheUnion, APRC 201722 - 25th March, 2017, Tokyo International Forum, Yurakucho, Tokyo___________________________________________________GREETINGS…
THANK YOU FOR INVITING ME HERE TO SPEAK ON THE TOPIC, “POLITICAL COMMITMENT TONATIONAL TB PROGRAM: A CASE OF THE PHILIPPINES”. I AM DEEPLY HONORED AND EXTREMELYPRIVILEGED TO PARTICIPATE IN THIS SYMPOSIUM AND SHARE MY IDEAS AND EXPERIENCE BEFORE ANAUDIENCE OF MY FELLOW ADVOCATES IN THE FIGHT TO END TB.
MY TALK WILL REVOLVE AROUND THE CONCEPTUALIZATION OF THE ANTI-TB LAW IN THEPHILIPPINES, PROCESS AS WELL AS CHALLENGES IN THE CRAFTING OF THE LEGISLATION. I WILL ALSOTOUCH ON THE IMPORTANT ASPECTS THAT I REALIZED THROUGH MY LEGISLATIVE ACTIVITIES, ANDFINALLY, ABOUT OUR PLANS FOR THE NEXT MONTHS AND YEARS OF OUR CONTINUING QUEST TOEND THE TB EPIDEMIC.
W HY TB?
AS A LAWMAKER AND MEDICAL PRACTITIONER I AM OFTEN ASKED, “WHY TB?” MY ANSWER
IS SIMPLE: TUBERCULOSIS IS A DISEASE OF POVERTY, AND THE DEVELOPMENT OR DECAY OF OURSOCIETY WILL BE MIRRORED BY THE VERY ACTION THAT WE PUT TO STOP THIS ANCIENT DISEASE. IF I
MAY QUOTE JOHN B. HUBER, AN AMERICAN PUBLIC HEALTH PHYSICIAN, “THE TUBERCLE BACILLUS ISAN INDEX BY INVERSION OF THE REAL PROGRESS OF THE HUMAN RACE.
BY IT THE CLAIM OF CIVILIZATION TO DOMINATE HUMAN LIFE MAY FAIRLY BE JUDGED.
TUBERCULOSIS WILL DECREASE WITH THE SUBSTANTIAL ADVANCE OF CIVILIZATION, AND THEDISEASE WILL AS SURELY INCREASE AS CIVILIZATION RETROGRADES.” WHETHER OR NOT OURPRESENT CIVILIZATION WILL EVENTUALLY MAKE PROGRESS OR RETROGRESS WILL BE SEEN, IN PART,IN OUR COLLECTIVE EFFORT TODAY TO STOP TB.
CONCEPTUALIZING THE TB BILL?
AS A MEDICAL PRACTITIONER PRIOR TO MY FORAY INTO POLITICS, I HAVE HEARD ANDPERSONALLY WITNESSED, TIME AND AGAIN, HOW SO MANY OF MY COUNTRYMEN, SO MANY OFTHEM ARE POOR, SUFFER FROM TB DISEASE. IT IS, AS IF, HAVING TUBERCULOSIS IS ONLY A NATURALOCCURRENCE FOR MANY OF MY COUNTRYMEN SIMPLY BECAUSE THEY ARE FILIPINOS. IN FACT, YOUWILL EVEN HEAR FILIPINO DOCTORS TELLING THEIR PATIENTS THAT IT IS ONLY NATURAL FORFILIPINOS TO BE INFECTED WITH TB. THIS SAD REALIZATION WAS EVEN COMPOUNDED WHEN IHEARD DR. L. MASAE KAWAMURA, FORMER PRESIDENT OF THE NORTH AMERICAN REGION OF THEINTERNATIONAL UNION AGAINST TUBERCULOSIS AND LUNG DISEASE, TELLING THE MEDIA TO MYThe Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of different
organisations around the world.

EXTREME EMBARRASSMENT, THAT A LARGE PROPORTION OF TUBERCULOSIS PATIENTS IN THE U.S.
ARE ASIANS, MOST OF THEM FILIPINOS. SHE FURTHER EXPLAINED THAT TB IS AN “OUTCOME OFPOOR PUBLIC HEALTH” IN THE COUNTRY.
AS A MEDICAL DOCTOR AND MEMBER OF PARLIAMENT, I TOLD MYSELF THAT IN THE FACE OFTHIS SAD REALITY, I CANNOT JUST SIT DOWN AND BURY MY HEAD IN THE SAND. I HAVE TO DOSOMETHING ABOUT THIS IN MY OWN LITTLE WAY SO I DECIDED TO STICK MY NECK OUT FOR ACAUSE THAT IS MUCH LARGER THAN MYSELF. HENCE, THE BIRTH OF THE ANTI-TB BILL.
TB IN THE PHILIPPINES AND THE COM PREHENSIVE TUBERCULOSIS ELIM INATION PLANACTSEVERAL LEGISLATIONS HAVE BEEN FILED IN THE PHILIPPINE CONGRESS SINCE THE EARLYPART OF 2000 TO ADDRESS THE PROBLEM OF TUBERCULOSIS IN THE COUNTRY. HOWEVER, THEYWERE PIECEMEAL LEGISLATIONS AND EVENTUALLY WERE NOT APPROVED INTO LAW. IT WAS MYBELIEF THAT A MORE COMPREHENSIVE STRATEGY IS NEEDED TO STRENGTHEN THE FIGHT AGAINSTTUBERCULOSIS. HENCE, I HAVE INTRODUCED A BILL TO EFFICIENTLY IMPLEMENT THE NECESSARYCONTROLS TO ARREST THE SPREAD OF TB DISEASE.
I AM VERY PLEASED TO INFORM YOU THAT LESS THAN THREE YEARS AFTER THE FILING OFTHIS MEASURE, IT IS NOW A LANDMARK PIECE OF LEGISLATION KNOWN AS REPUBLIC ACT 10767 ORTHE “COMPREHENSIVE TUBERCULOSIS ELIMINATION PLAN ACT” WHICH WAS SIGNED INTO LAW ONAPRIL LAST YEAR. THE GLOBAL TB CAUCUS HAS ALREADY RECOGNIZED IT AS ONE OF THE MOSTCOMPREHENSIVE GLOBAL LAWS ON TUBERCULOSIS TODAY. THE UNANIMOUS SUPPORT FROMMEMBERS OF CONGRESS, PRACTICALLY NO OPPOSITION WHATSOEVER, AND THE SPEED BY WHICHTHIS LAW WAS PASSED, MERELY SHOWS THE STRONG COMMITMENT ON THE PART OF OURLEGISLATORS.
GENERALLY, THE GESTATION PERIOD FOR THE CRAFTING OF LAWS IN THE PHILIPPINES ISUSUALLY 4 TO 6 YEARS AND AT TIMES EVEN MORE THAN A DECADE OR SO. SO TO HAVE A BILLPASSED WITHIN A THREE-YEAR TERM IS QUITE AN ACCOMPLISHMENT, ESPECIALLY BECAUSE THE BILL
HAS TO GO THROUGH A BICAMERAL CONGRESS, THE SENATE AND THE HOUSE OF REPRESENTATIVESWHERE A BILL HAS TO GO BACK TO SQUARE ONE ONCE IT REACHES THE OTHER CHAMBER. THECHALLENGE THEREFORE, IT TURNS OUT, IS NOT IN THE CRAFTING BUT IN THE IMPLEMENTATION OFTHE ANTI-TB LAW AS I WILL TRY TO ELABORATE IN THE LATTER PART OF MY TALK.
AS I HAVE POINTED OUT EARLIER, THE ANTI-TB LEGISLATION WAS ENACTED INTO LAW INAPRIL 2016. UNTIL NOW, HOWEVER, ALMOST A YEAR SINCE IT WAS PASSED INTO LAW, WE ARE STILLAWAITING THE IMPLEMENTING RULES AND REGULATIONS OR IRR THAT WILL FACILITATE THEENFORCEMENT OF THE PROVISIONS OF THIS LEGISLATION AS IT IS STILL GOING THROUGH A MAZE OFBUREAUCRACY. HOPEFULLY THOUGH, THE IRR WILL BE OUT BEFORE THE 2ND QUARTER OF THE YEARIS OVER.
BUT EVEN BEFORE ITS ENACTMENT INTO LAW, THE MEASURE WAS ALREADY PRESENTEDDURING THE ASIA PACIFIC FORUM OF THE GLOBAL TB CAUCUS IN 2015 IN SYDNEY, AUSTRALIA ASWELL AS IN THE GLOBAL TB SUMMIT ALSO IN 2015 IN CAPE TOWN, SOUTH AFRICA TO BE REPLICATEDAS A MODEL PIECE OF LEGISLATION TO FIGHT TUBERCULOSIS IN OTHER COUNTRIES.
The Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of differentorganisations around the world.

AT THIS POINT, ALLOW ME TO SHARE WITH YOU VERY BRIEFLY A FEW HIGHLIGHTS OF OUR
COUNTRY’S SUCCESSES AGAINST TB DISEASE. ACCORDING TO THE 2015 GLOBAL TUBERCULOSISREPORT, THE PHILIPPINES IS ONE OF THE NINE (9) HIGH TB BURDEN COUNTRIES THAT HAVEATTAINED THE MILLENNIUM DEVELOPMENT GOALS OF DECREASING THE TREND OF TB INCIDENCERATE AND DECREASING BY HALF THE MORTALITY RATE AND PREVALENCE RATE. THISNOTWITSTANDING, IT REMAINS AS ONE OF THE TOP 30 HIGH TB BURDEN COUNTRIES LISTED BY THEWORLD HEALTH ORGANIZATION.
BUT AS OF THE LATEST REVIEW, CASE NOTIFICATION IS INCREASING, WHICH IS GOODBECAUSE AT LEAST WE CAN PROVIDE CURE TO TB PATIENTS. WE ARE NOW USING NEW DRUGS ANDNEW REGIMEN SUCH AS BEDAQUILINE AND THE INTRODUCTION OF NINE (9) MONTH TREATMENTREGIMEN FOR DRUG RESISTANT TB CASES. SIGNIFICANTLY, A TB LAW, ALREADY CONSIDERED ASFLAGSHIP LEGISLATION AGAINST TB IN THE ASIA PACIFIC REGION, IS NOW IN PLACE.
THIS LAW SEEKS TO ADDRESS THE PERSISTENT PROBLEMS BESETTING THE CURRENT EFFORTSTO ERADICATE TUBERCULOSIS IN THE PHILIPPINES. THE ENACTMENT OF THE “COMPREHENSIVETUBERCULOSIS ELIMINATION PLAN ACT RIDES ON THE WAVE OF THE NEW GLOBAL STRATEGY THATENVISIONS “A WORLD FREE OF TB” AND EXPRESSED AS “ZERO DEATHS, DISEASE AND SUFFERING DUETO TB”. THE LAW SQUARELY ADDRESSES THIS VISION THROUGH BOLDER POLICIES AND BYHARNESSING SUPPORTIVE SYSTEMS TO STOP TB.
IT CONSISTS OF THE COUNTRY’S TARGETS AND STRATEGIES IN ADDRESSING THE DISEASE;PREVENTION, DIAGNOSIS, TREATMENT, CARE AND SUPPORT, AND OTHER COMPONENTS OF THECOUNTRY’S RESPONSE; DEVELOPMENT AND APPLICATION OF APPROPRIATE TECHNOLOGIES TODIAGNOSE AND TREAT THE DISEASE; STRENGTHENING OF LINKAGES WITH LOCAL ANDINTERNATIONAL ORGANIZATIONS FOR POSSIBLE PARTNERSHIP IN EDUCATION, ADVOCACY,RESEARCH AND FUNDING ASSISTANCE; ESTABLISHMENT OF A REVIEW AND MONITORING SYSTEM TOGATHER DATA AND MONITOR THE PROGRESS MADE IN THE ELIMINATION OF TUBERCULOSIS; ANDIMMEDIATE MOBILIZATION OF ANTI-TB SERVICES DURING AND AFTER NATURAL AND MAN-MADEDISASTERS THROUGH COLLABORATIVE EFFORTS OF NATIONAL AND LOCAL GOVERNMENTS ANDOTHER ENTITIES.
IT ESCALATES THE FIGHT AGAINST TB DISEASE WITH THE USE OF BOLDER TERMS SUCH AS“COMPREHENSIVE” AND THE USE OF THE TERM “ELIMINATE” INSTEAD OF “CONTROL” CONSISTENTWITH THE NEW GLOBAL STRATEGY THAT ENVISIONS “A WORLD FREE OF TB” AND EXPRESSED AS“ZERO DEATHS, DISEASE AND SUFFERING DUE TO TB” AS EARLIER STATED. IT EVIDENTLY REFLECTSTHE NEEDED CHANGE IN ATTITUDE AND ACTION FROM “CONTROLLING” TB TO “ENDING” TB AND“SAVING LIVES ALONE” TO “STOPPING TRANSMISSION AS WELL”.
THE LAW PROVIDES FOR THE CONDUCT OF RESEARCHES, DEMONSTRATION PROJECTS,EDUCATION AND TRAINING. THE CHALLENGE HERE IS TO DEVELOP AND DEPLOY NEW TOOLS LIKEVACCINES, RAPID DIAGNOSTIC TESTS AND DRUG REGIMENS OR WE CANNOT SUCCEED IN ENDING TB.
WE NEED TO IMMEDIATELY INVEST IN R&D WHERE THERE IS A HUGE GAP IN FINANCING.
ESSENTIALLY, THE INTENT OF CRAFTING THIS LEGISLATION IS TO FORMALIZE EXISTINGPOLICIES AND PROGRAMS INTO A COHESIVE PIECE OF LEGISLATION WITH THE VIEW OFAPPROPRIATING ADEQUATE FUNDS TO THIS MASSIVE EFFORT.

The Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of differentorganisations around the world.

CHALLENGES AND POLITICAL COM M ITM ENT IN TB ELIM INATIONAGAINST THIS BACKDROP, ONE OF THE CHALLENGES, THE CRITICAL PART I BELIEVE, IN THEIMPLEMENTATION OF THE ANTI-TB LAW IS TO SECURE ADEQUATE AND SUSTAINABLE FUNDING INTHE FACE OF CONTINUOUS UNMET FUNDING NEEDS AGAINST TB DISEASE. SINCE THE LAW WAS JUSTRECENTLY BEEN ENACTED AND ITS IMPLEMENTING RULES AND REGULATIONS IS STILL IN THEDRAFTING PROCESS, THE FULL BUDGETARY EFFECT OF THE LAW WILL ONLY BE REFLECTED IN 2019WHERE WE EXPECT A SIGNIFICANT INCREASE IN ANTI-TB BUDGET APPROPRIATIONS. CURRENTLY, THEPROPOSED BUDGET FOR TB CONTROL IS PHP1.3B OR MORE THAN $27M.
IT BEARS STRESSING HOWEVER THAT NO MATTER HOW SOUND A LEGISLATION MAY BE, IT ISONLY AS GOOD AS THE PEOPLE WHO WILL GIVE FLESH TO ITS EXISTENCE. THERE HAS TO BE ADRIVING FORCE TO MATERIALIZE THE SPECIFIC AND VARYING PROVISIONS OF AN ANTI-TBLEGISLATION. THAT FORCE IS POLITICAL COMMITMENT.
POLITICAL COMMITMENT IS NECESSARY TO DEVELOP AND SUSTAIN AN EFFECTIVE RESPONSETO ULTIMATELY END TB. HENCE, IN ENSURING TB CONTROL POLICY, IT IS ESSENTIAL THAT WE LOOKNOT JUST IN THE BOLDNESS AND RELEVANCE OF THE PROVISIONS OF AN ANTI-TB LEGISLATION BUTMORE IMPORTANTLY, IN THE EXPLICIT, QUANTIFIABLE, AND VERIFIABLE COMMITMENT OF OURPOLITICAL LEADERS. POLITICAL COMMITMENT AGAINST TB CAN BE MADE MANIFEST IN BOTH THEPRONOUNCEMENTS AND ACTIONS OF THE POWERS THAT BE SUCH THAT CONCRETE RESULTS AREMADE AND NOT MERELY LIP SERVICE.
FOR THOSE FEW COUNTRIES WHICH ARE FORTUNATE TO HAVE AN EXISTING LEGISLATIONON TB, POLITICAL COMMITMENT MUST BE SUSTAINED BY CONTINUOUSLY AND REGULARLYUPDATING OR REVISITING EXISTING POLICIES IN LIGHT OF EMERGING DEVELOPMENTS INKNOWLEDGE AND BEST-PRACTICES, ESPECIALLY IN THE FACE OF EXPLOSION OF TB CASES DUE TOALARMING HIV EPIDEMIC, WHICH ACCELERATE THE ONSET OF ACUTE MDR-TB AND EMERGENCE OFDISEASES LIKE DIABETES, WHICH FURTHER COMPOUND THE ALREADY UNFORTUNATE SITUATION.
POLITICAL COMMITMENT IS INDISPENSABLE IN ENSURING THAT ANNUAL NATIONAL ANTI-TBPROGRAMS ARE CONTINUOUSLY AND ADEQUATELY FUNDED. WE NEED TO BE ABLE TO HELP BRIDGETHE GAPS IN FUNDING ANTI-TB ACTIVITIES SPECIFICALLY IN TERMS OF FUNDING PRIORITY AREASSUCH AS EXPANDED DIAGNOSIS AND EFFECTIVE TREATMENT FOR DRUG-SUSCEPTIBLE TB, MDR-TBTREATMENT, RAPID DIAGNOSTICS AND ASSOCIATED LABORATORY STRENGTHENING, TB-HIVCOLLABORATIVE ACTIVITIES, AND RESEARCH AND DEVELOPMENT. IT IS IMPORTANT THEREFORE THATMEMBERS OF PARLIAMENTS MUST USE THE FULL STRENGTH OF OVERSIGHT AND ACCOUNTABILITYTOOLS AT THEIR DISPOSAL.
THE ISSUE OF FUNDING JUXTAPOSED TO THE OBJECTIVE TO SCALE UP AND SUSTAIN
COVERAGE OF DIRECTLY OBSERVED TREATMENT SHORT COURSE OR TB DOTS IMPLEMENTATION ANDTO ENSURE PROVISION OF QUALITY TB SERVICES ALREADY CREATES A SUBSTANTIAL FINANCIALBURDEN. IT IS ALSO IMPERATIVE THAT PROPER, ADEQUATE, AND SUSTAINABLE BUDGET MUST BEIMMEDIATELY INVESTED IN R&D IF WE ARE REALLY SERIOUS IN OUR FIGHT AGAINST TB.

The Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of differentorganisations around the world.

SIGNIFICANT REALIZATIONS AND FUTURE ANTI-TB ACTIVITIESI AM CONVINCED THAT IN THE FACE OF HUGE FINANCIAL RESOURCES NEEDED EACH YEARTO FIGHT TB, THERE IS A NEED TO BRING TOGETHER MEMBERS OF PARLIAMENTS AND EVEN LOCALLEGISLATORS, BUDGET EXECUTIVES, FINANCE EXPERTS, AND FUNDING ORGANIZATIONS – THEBROAD POOL OF ANTI-TB ADVOCATES - TO EXCHANGE NOTES AND BUILD COLLABORATIVE EFFORTSIN ORDER TO BRIDGE THE FUNDING GAP ESPECIALLY FOR THE TREATMENT OF MDR-TB CASES.
I AM HAPPY TO INFORM YOU THAT AS THE CHAIRPERSON OF THE COMMITTEE ON HEALTHOF THE PHILIPPINE HOUSE OF REPRESENTATIVES AND AS CO-CHAIR OF THE ASIA PACIFIC TB CAUCUSAND EXECUTIVE COMMITTEE MEMBER OF THE GLOBAL TB CAUCUS, I HAVE TAKEN IT UPON MYSELFTO ESTABLISH THE PHILIPPINE TB CAUCUS, WHICH I HAVE SUCCESSFULLY LAUNCHED RIGHT IN THEPHILIPPINE CONGRESS JUST A WEEK BEFORE COMING HERE. THE CAUCUS WILL SERVE AS ASTRATEGIC VENUE FOR MEMBERS OF THE PHILIPPINE CONGRESS TO WORK TOGETHER ACROSSPOLITICAL AND GEOGRAPHICAL DIVIDES AND PROMOTE BOLDER POLICIES TO STOP TUBERCULOSIS.
I WOULD LIKE TO BELIEVE THAT THE PHILIPPINE TB CAUCUS EMBODIES THE FUTURE OF OURFIGHT AGAINST TUBERCULOSIS INASMUCH AS THE LOCUS OF OUR FIGHT AGAINST TB RESTS IN THEREALM OF BUDGETARY PROCESS. IT IS ALSO SIGNIFICANT THAT THE PHILIPPINE COALITION AGAINSTTUBERCULOSIS, A PUBLIC – PRIVATE MIX MODEL OF INDIVIDUALS AND ORGANIZATIONS COMMITTEDTO FIGHTING THE TB DISEASE, NOW SITS AS SECRETARIAT OF THE PHILIPPINE TB CAUCUS AND THUSSERVES AS A CONTINUITY PLATFORM IN TB ELIMINATION AMIDST THE TRANSITORY NATURE OF THEMEMBERSHIP OF THE PHILIPPINE TB CAUCUS.
MOREOVER, WE NEED TO RAISE AWARENESS FOR INCREASED INVESTMENT DEMANDS INFIGHTING TB AND TO HELP ADDRESS FUNDING PROBLEMS. IT IS ESTIMATED THAT AN INVESTMENTOF ONE US DOLLARS IN TB CARE YIELDS A RETURN OF 30.2 US DOLLARS OR EVEN AS HIGH AS 115 USDOLLARS FOR EACH DOLLAR INVESTED.
I BELIEVE IT WILL DO A LOT IF WE CAN BE A LITTLE MORE ACTIVE IN RAISING TB CONCERNS INOUR RESPECTIVE BUDGET, APPROPRIATIONS OR FINANCE COMMITTEES AND PUTTING THEADMINISTRATIVE AGENCIES AND PERSONNEL TO TASK TO MAKE SURE THAT TB FUNDS ARE PROPERLYUTILIZED AND MAXIMIZED. WE MUST ADVOCATE FOR LINES IN THE HEALTH BUDGET TO BEEARMARKED FOR THE PROVISION OF TB ELIMINATION ACTIVITIES. MAINSTREAMING THE FIGHTAGAINST TB IN THE CORRIDORS OF POWER IS A VITAL STEP WE HAVE TO MAKE IF WE WANT TO ENDTB.
IT IS IMPORTANT TO GENERATE AND SUSTAIN POLITICAL WILL, WHICH IS ESSENTIAL IF WEARE TO STOP TB. ALLOW ME TO EMPHASIZE THAT GENUINE POLITICAL COMMITMENT AGAINST TB ISMORE THAN JUST THE AFFIRMATIVE VOTES. IT IS MORE THAN JUST ATTENDING TB CONVENTIONSIMPORTANT AS THEY MAY BE. IT IS MORE THAN JUST DECLARING, AS POWERFUL AS IT MAY BE, THATTB HAS NO PLACE IN THE FUTURE. MORE THAN ANYTHING ELSE, IT IS ABOUT PROVIDING FORADEQUATE AND APPROPRIATE RESOURCES FOR TB CARE AND PREVENTION AND IT IS IN THISPARTICULAR AREA OF CONCERN WHERE WE MUST SHOW UP, UNITE AND FLEX OUR MUSCLES.
IT IS ALSO IMPORTANT THAT WE NURTURE REGIONAL AND INTERNATIONAL COOPERATION.
IN TODAY’S GLOBAL VILLAGE, A FLAT WORLD AS OTHERS WOULD WANT TO CALL IT, WE NEED TORECOGNIZE THAT NO MATTER HOW PROSPEROUS OR POWERFUL OR ADVANCED A COUNTRY MAY
BE, IT CANNOT CONTAIN THE SPREAD OF TB ALL BY ITSELF. WE NEED INTER-COUNTRY, REGIONAL,AND INTERNATIONAL COOPERATION AND ASSISTANCE, WHICH IS THE VERY REASON WHY WE ARE
ALL HERE TODAY.
The Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of differentorganisations around the world.

IN THE END, WE MUST ALL REALIZE THAT THERE IS NO EASY WAY TO ELIMINATETUBERCULOSIS IN OUR LIFETIME. BUT IT CAN BE DONE. TOGETHER, WE CAN MAKE A DIFFERENCE INTHE GLOBAL FIGHT AGAINST TB. LET’S DO IT NOW. LET’S JOIN FORCES TO STOP TB.
THANK YOU AND GOOD DAY!

The Global TB Caucus Secretariat is hosted by Results UK in London, and benefits from the ongoing support of a number of different
organisations around the world.