A/RES/73/3
Political declaration of the high-level meeting of the General Assembly
on the fight against tuberculosis
tuberculosis, and 6 million people living with HIV, re ceive preventive treatment by
2022, and with the vision of reaching millions more, and further commit to the
development of new vaccines and the provision of other tuberculosis prevention
strategies, including infection prevention and control and tailored approaches, and to
enacting measures to prevent tuberculosis transmission in workplaces, schools,
transportation systems, incarceration systems and other congregate settings;
26. Commit to overcoming the global public health crisis of multidrug resistant tuberculosis through actions for prevention, diagnosis, treatment and care,
including compliance with stewardship programmes to address the development of
drug resistance in line with General Assembly resolution 71/3 on antimicrobial
resistance, improved national, regional and global pharmaco -vigilance, and improved
treatment adherence for people with drug-sensitive tuberculosis; universal, equitable
and affordable access to quality diagnosis, treatment, care and support for people with
drug-resistant tuberculosis; global collaboration to ensure accelerated development
of accessible and affordable diagnostic tools, and shorter and more effective oral
regimens, including those that meet the unique needs of childr en; and through an
urgent response to multidrug-resistant tuberculosis and the scale and severity of local
and national epidemics of the disease;
27. Ensure that tuberculosis programmes actively contribute to developing
national antimicrobial resistance strategies, capacities and plans and that lessons
learned from global, regional and national efforts to combat drug -resistant
tuberculosis inform the design and implementation of both global antimicrobial
resistance strategies and national action plans according to national contexts;
28. Commit to address tuberculosis prevention, diagnosis, treatment and care
in the context of child health and survival, as an important cause of preventable
childhood illness and death, including among children with HIV and as a
co-morbidity of other common childhood illnesses, especially pneumonia, meningitis
and malnutrition; to enable child-friendly policies and an integrated, family-based
approach to tuberculosis care and services, address the vulnerabilities faced by
children affected by tuberculosis, support their caregivers, in particular women and
the elderly, and provide related social protection; to promote equitable access to childfriendly formulations of medicines to optimize the prevention and treatment of drug sensitive and drug-resistant tuberculosis among children, including through
addressing national regulatory and policy barriers;
29. Given the strong association between the two diseases, and associated high
mortality, commit to coordination and collaboration between tuberculosis and HIV
programmes, as well as with other health programmes and sectors, to ensure univers al
access to integrated prevention, diagnosis, treatment and care services, in accordance
with national legislation, including through promoting testing for HIV among people
with tuberculosis and screening all people living with HIV regularly for tuberculo sis,
and providing tuberculosis preventive treatment, as well as to eliminate the burden
faced by affected people, to leverage resources to maximize impact, and to address
the common social, economic and structural determinants of tuberculosis, HIV, viral
hepatitis, non-communicable diseases, in particular diabetes, and the complex
biological factors that increase tuberculosis incidence and mortality, worsen treatment
outcomes and increase drug resistance;
30. Commit to finding the missing people with tuberculosis, and integrating
tuberculosis efforts more fully into all relevant health services to increase access to
tuberculosis services, recognizing that reaching undetected and untreated men, as well
as empowering women and girls through community health care and outreach, is a
critical part of the solution, and to considering responses appropriate for men and
women, boys and girls;
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