A/RES/73/3
Political declaration of the high-level meeting of the General Assembly
on the fight against tuberculosis
illness and mortality place an additional burden on health and community systems,
especially in low- and middle-income countries, and thereby pose a critical challenge
that could reverse the progress made against the disease, against antimicrobial
resistance and towards the Sustainable Development Goals, and that there is a
profound gap in access to quality diagnosis, treatment and care for those affected, and
there is still a low treatment success rate for those who are treat ed, and therefore
acknowledge that it is necessary to ensure global collaboration, sustainable and
sufficient political buy-in and financial investment from all sources, a strong public
health response, including strong and resilient health systems, and ad ditional
investment in research, development and innovation, recognizing that innovation has
the potential to benefit society at large;
13. Note with concern that the protection and promotion of the right to the
enjoyment of the highest attainable standard of physical and mental health, as well as
access for millions of people to tuberculosis health services and to quality, safe,
efficacious and affordable tuberculosis diagnostics and treatment, remains
challenging, especially in developing countries;
14. Recognize the profound socioeconomic challenges and financial hardships
faced by people affected by tuberculosis, including in obtaining an early diagnosis,
in being subject to extremely long treatment regimens, with drugs that could involve
severe side effects, as well as in securing integrated support, including from the
community, and therefore affirm that all these people require integrated, people centred prevention, diagnosis, treatment, management of side effects, and care, as
well as psychosocial, nutritional and socioeconomic support for successful treatment,
including to reduce stigma and discrimination;
15. Recognize the role played by the Stop TB Partnership/Global Drug
Facility, which has, since its creation in 2001, increased access to high -quality and
affordable tuberculosis treatment and diagnostics for populations in need and is open
as an option to be considered for use by all nations, and therefore encourage all
nations to use the Stop TB Partnership/Global Drug Facility;
16. Recognize the potential of digital technologies to be used in a variety of
ways for tuberculosis prevention, treatment and care, including to support health
systems by improving the accessibility, quality and affordability of health services
and to help with adherence, surveillance, logistics management and e-learning;
17. Recognize the enormous, often catastrophic, economic and social impacts
and burden of tuberculosis for people affected by the disease, their households, and
affected communities, and that the risk and impact of tuberculosis can vary depending
on demographic, social, economic and environmental circumstances, and, in order to
make the elimination of tuberculosis possible, prioritizing, as appropriate, notably
through the involvement of communities and civil society and in a non-discriminatory
manner, high-risk groups and other people who are vulnerable or in vulnerable
situations, such as women and children, indigenous peoples, health -care workers,
migrants, refugees, internally displaced people, people living in situations of complex
emergencies, prisoners, people living with HIV, people who use drugs, in particular
those who inject drugs, miners and others exposed to silica, the urban and rural poor,
underserved populations, undernourished people, individuals who face food
insecurity, ethnic minorities, people and communities at risk of exposure to bovine
tuberculosis, people living with diabetes, people with mental and physical disabilities,
people with alcohol use disorders and people who use tobacco, recognizing the higher
prevalence of tuberculosis among men;
18. Recognize the various sociocultural barriers to tuberculosis prevention,
diagnosis and treatment services, especially for those who are vulnerable or in
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