Building a TB-free world

This Commission report argues that ending tuberculosis is possible with better science, improved health systems, increased and sustainable financing and renewed political will. Current trends in decline in TB incidence and TB mortality are still far too slow to achieve the goals outlined in the Sustainable Development Goals (SDGs). As illustrated in the "Business as usual" map below, very few high burden countries are on track to achieve a 90% reduction in the TB mortality rate from 2015 levels by 2030. However, by scaling up proven strategies and investing in TB programs now, we can achieve rates of decline that are comparable with the highest performing, high-burden countries, and an end to the epidemic is in sight. As demonstrated in the "Accelerated map," a feasible, but accelerated decline in TB mortality will ensure that most of the globe will be able to reach the End TB target of 90% reduction in mortality rate compared to 2015 over the course of the next generation.

Business as usual

Rate of change in mortality annualized 2000-2016

TB mortality rate
Benchmark of < 2/100,000 reflects the End TB Strategy goal of 90% reduction in mortality rates

  • < 2/100,000
  • < 2/100,000 but rising incidence rate
  • > 2 and < 4/100,000
  • > 4/100,000

Accelerated rate

7.7% accelerated rate is maximum achieved by any country 2000-2016