Political declaration of the high-level meeting of the General Assembly on the fight against tuberculosis A/RES/73/3 31. Commit to systematic screening, as appropriate, of relevant risk groups, as identified in World Health Organization guidance documents, for active and latent tuberculosis, to ensure early detection and prompt treatment in groups disproportionately affected by tuberculosis, such as people living with diabetes and people living with HIV, and to implementing primary preventi on in high-risk occupations by reducing silica dust exposure in mining, construction and other dusty workplaces, and worker tuberculosis surveillance and infection prevention and control in health-care settings; 32. Commit to adapting and implementing rapidly the End TB Strategy to ensure that current guidance from the World Health Organization and other relevant international entities, relevant to the tuberculosis response in each country, is rapidly adapted and implemented and scaled up, where necessary, in taking forward the commitment to quality prevention, diagnosis, treatment and care of tuberculosis; 33. Commit to developing community-based health services through approaches that protect and promote equity, ethics, gender equality and human rights in addressing tuberculosis by focusing on prevention, diagnosis, treatment and care, including socioeconomic and psychosocial support, based on individual needs, that reduce stigma, and integrated care for related health conditions, such as HIV and AIDS, undernutrition, mental health, non-communicable diseases including diabetes and chronic lung disease, and tobacco use, harmful use of alcohol and other substance abuse, including drug injection, with access to existing and new tools; 34. Commit to related improvements in policies and systems on each country’s path towards achieving and sustaining universal health coverage, such that all people with tuberculosis or at risk of developing tuberculosis receive the quality, accessible and affordable prevention, diagnosis, treatment and care services they need without suffering financial hardship, with stewardship of antimicrobials and prevention and infection control, within public and community, including faith -based, organizations, and private sector services; 35. Given the global nature of the tuberculosis epidemic and the critical public health challenge of multidrug-resistant tuberculosis, commit to strengthening public health systems as an essential pillar of the tuberculosis response, including health workforce capacity-building for public and private sector care, as well as communitybased care services, and related robust multisectoral partnership frameworks in countries where the non-public sector is the leading tuberculosis care provider, laboratory networks, infection prevention and control, medicines procurement, distribution and regulatory capacity and access to diagnostic technologies for drug resistance; cross-border collaboration; and robust health information systems comprising integrated case-based electronic surveillance, reliable data, including at the national and subnational levels, with disaggregation by age, sex, disability and other characteristics relevant to national contexts, for monitoring the level of and trends in the epidemic, treatment outcome monitoring, and improvements in national vital registration systems; 36. Commit to considering, as appropriate, how digital technologies could be integrated into existing health system infrastructures and regulation for effective tuberculosis prevention, treatment and care, reinforcing national and global health priorities by optimizing existing platforms and services, for the promotion of people centred health and disease prevention and in order to reduce the burden on health systems; 37. Commit to protect and promote the right to the enjoyment of the highest attainable standard of physical and mental health, in order to advance towards universal access to quality, affordable and equitable prevention, diagnosis, treatment, care and education related to tuberculosis and multidrug-resistant tuberculosis and 18-16895 7/10