logo-full arrow-left arrow-right magnify story members projects twitter facebook youtube download

 

 

 

TB AND HIV: THE POWER OF TWO COMMUNITIES

Canada’s TB and HIV communities are coming together to break down silos between the two responses. Our communities are building on expertise, experience and lessons learned to strengthen Canada’s response to TB and HIV.

 

What’s at Stake? TB and HIV in Canada and globally

Tuberculosis (TB) is the world’s leading infectious killer, claiming 1.7 million lives every year. In Canada, TB disproportionately affects newcomer communities (who represent 70% of cases annually) and Indigenous communities (with Inuit populations specifically being nearly 300 times more likely to develop TB than the general population). Furthermore, people living with HIV/TB co-infection are up to 24 times more likely to develop active TB than persons without HIV, and TB remains not only the most common presenting illness among people living with HIV—even when taking antiretroviral therapy—but is also the leading cause of death among people living with HIV globally.

TB and HIV: A Dangerous Duo

TB co-infection with HIV poses a tremendous challenge to health systems, communities and families worldwide, particularly in resource-constrained settings that can be observed in communities across Canada. Recent reports show pronounced disparities in certain population groups and geographic regions across the country, with foreign-born individuals and Indigenous peoples in particular being disproportionately affected by HIV, TB and HIV/TB co-infection.

The UN High-Level Meeting on Tuberculosis

In September 2018, the United Nations (UN) held a high-level meeting on TB, a historic opportunity to ensure TB gets on the agenda of the heads of states and governments, and that we get different sectors engaged and accelerate our efforts to put the world on course to ending TB. UN Member States, including Canada, endorsed the Political Declaration on Tuberculosis that emerged from the HLM, reaffirming their commitment to end tuberculosis by 2030.

How is the 2018 HLM on TB relevant to Canadians?

By endorsing the Political Declaration that emerged from the HLM, Canada made commitments to addressing TB within Canada and globally. We can hold our government accountable to these commitments, which align with previous Canadian commitments, as expressed through Canada’s Feminist International Assistance Policy, the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), the Sustainable Development Goals (SDGs) and the 2016 Political Declaration on HIV and AIDS. They also align with the health-related Calls to Action from the Truth and Reconciliation Commission of Canada. They can support ongoing efforts by Canadian civil society and governments to address TB within Canada among Indigenous communities, newcomers, immigrants, refugees, and people living with HIV and internationally in several high-prevalence regions and key populations.

 

“We cannot win the battle against AIDS if we do not also fight TB.”
– Nelson Mandela

 

Our Activities:

TB or not TB? Canada’s Role in Eradicating the Inter-Connected TB and HIV Epidemics – A Policy Dialogue on Tuberculosis and HIV

Participants at the TB and HIV Policy Dialogue in Ottawa support the #UnmaskStigma campaign. @UnmaskStigma @TBProof

Date: 5-6 November, 2018
Location: Ottawa, ON
ICAD, in partnership with RESULTS Canada, hosted a multi-sectoral policy dialogue in November 2018. The dialogue complemented global and national activities surrounding the 2018 HLM on TB and ensured that civil society is engaged in shaping Canada’s national and international response to commitments made at the HLM on TB. Participants and speakers included community partners, advocates, people affected by TB/HIV and policy makers. Given the context of TB in Canada, there was a strong focus on Indigenous health and the health of newcomers, immigrants and refugees. Given the global context of TB and HIV, we applied a gender and feminist lens.

What’s Next?

ICAD and RESULTS are exploring ways to make progress on the Policy and Programming Options that emerged from the Policy Dialogue. This could include forwarding them as recommendations for our governments, including the three federal government departments that were at the Policy Dialogue: Indigenous Services Canada; Public Health Agency of Canada; Department of Foreign Affairs and International Trade (Immigration and Citizenship Canada was unavailable).
The development of resources is underway as a follow-up to the Policy Dialogue. These resources will include:

  • Factsheet: Key facts on TB-HIV in Canada, with sections providing a focus on Indigenous communities and a focus on immigrant/refugee/newcomer/foreign-born communities. Issues these communities face in relation to screening, access to treatment and services, stigma and other barriers to good health.
  • Case study: Focussed on Indigenous responses to TB (e.g., the development of the TB Elimination Strategy in Inuit Nunungat, in partnership with ITK, focussing on the community engagement process; screening initiatives such as TAIMA (Stop) TB campaign in Iqaluit; or screening programs in Qikiqtarjuaq and Whale Cove).
  • Key recommendations policy brief: The Policy and Programming Options that emerged from the Policy Dialogue will be adapted into more focussed work on key recomendations.

Take ACTION: How Can I Get Involved?

There are a number of ways in which Canadian HIV and TB communities and advocates can get involved in both national and global activities.

Canadian Activities:

  • Join the Canadian TB and HIV group hosted by RESULTS Canada. This group aims to foster dialogue, share lessons learned, expertise and experiences in an effort to strengthen Canada’s response to TB and HIV. Contact Shelley Garnham, at shelley@results-resultats.ca for more information.

Global Activities:

Our Resources:

Both as a lead-up to the 2018 United Nations High-Level Meeting on Tuberculosis (UN HLM on TB) and as follow-up to this historic event, the Interagency Coalition on AIDS and Development (ICAD) and RESULTS Canada worked with key partners to produce a number of webinars and policy briefs that supported the involvement of its members in the activities surrounding the UN HLM on TB:

Webinar Recordings:

RECORDING: Civil Society Roundtable with Peter Sands, Executive Director, The Global Fund
As the Global Fund prepares for the 2019 Replenishment, Canadian civil society met with Peter Sands, Executive Director of The Global Fund about the Global Fund’s Case for Investment, Canada’s contributions to the Global Fund, and the role of civil society and partners in getting to a fully funded Global Fund.
Date held:
30 January 2019
HOSTS:
ICAD, RESULTS Canada, ONE Campaign, GFAN, The Global Fund

WEBINAR RECORDING: The High-Level Meeting on TB: What happened and what’s next for Canada and the World?
In September 2018, the United Nations (UN) held a high-level meeting on TB, a historic opportunity to ensure TB gets on the agenda of the heads of states and governments, and that we get different sectors engaged and accelerate our efforts to put the world on course to ending TB. UN Member States, including Canada, endorsed the Political Declaration on Tuberculosis that emerged from the HLM, reaffirming their commitment to end tuberculosis by 2030. What are the implications of this historic commitment for addressing TB in Canada? For the global community? And most importantly – for the communities most affected by TB?
Date held: 31 October 2018
Hosts: ICAD and RESULTS Canada
Panelists:

  • Mandy Slutsker, ACTION – A global advocacy perspective
  • Shelley Garnham, RESULTS Canada – A Canadian advocacy perspective
  • Nandita Venkatesan (India) A perspective from a person with lived experience


WEBINAR RECORDING: Canada and the High-Level Meeting on TB: Gender matters
Why does gender matter in the fight to end the TB epidemic? How does TB affect women and maternal health? Gender is a key priority for the Canadian government, how can Canada take a leadership role in the TB response? What role does Canadian civil society have to play?
Date held: 10 May 2018
Hosts: ICAD and RESULTS Canada
Panelists:

  • Mandy Slutsker, ACTION Secretariat (United States)
  • Kate O’Brien, Maternal TB Survivor (United States)
  • Amrita Daftary, McGill Academic/Research (Canada)
  • Aluki Kotierk, Nunavut Tunngavik Incorporated – NTI (Canada)


Policy Brief Series:

POLICY BRIEF SERIES: TB AND GENDER

RESULTS Canada in partnership with ICAD

Gender is an area often neglected by those seeking
to end the TB epidemic. While men tend to
disproportionately contract the disease, TB has a
significant impact on women worldwide. TB is one
of the top five leading causes of death among
women aged 20-59. In Sub-Saharan Africa, where
the prevalence of HIV is high, TB is the third leading
cause of death for women.

POLICY BRIEF SERIES: TB-HIV

RESULTS Canada in partnership with ICAD

UN high-level meetings are rare, and there have
only ever been six dedicated to health issues –
including two on HIV/AIDS. The HIV/AIDS
community has a breadth of experience in
maximizing the impact of these meetings and the TB
community could greatly benefit from collaboration.


Canada in the News:

Blogs:

  • We Have A New Roadmap To A World Without Tuberculosis
    21 March 2019
    By Dr. Madhukar Pai, Professor & Director of Global Health, McGill University
    Source: Huffington Post Canada
    How can we end TB within a generation? A bold goal needs a bold strategy. This week, “The Lancet Commission on TB: building a tuberculosis-free world” was released. The commission provides a roadmap with five priority areas for tackling TB.
  • A human-rights approach is essential to end the global TB epidemic
    21 March 2019
    By Dr. Madhukar Pai, Professor & Director of Global Health, McGill University
    Source: The Conversation
    While the world has witnessed dramatic success in tackling infections such as smallpox, polio, malaria and HIV, why are we struggling to imagine and build a world free of TB?
  • It’s Time For The World’s Leaders To Support The Fight Against Tuberculosis
    23 March 2018
    By Ms. Brenda Shanahan, MP, Mr. Dean Allison, MP, and Ms. Mobina Jaffer, Senator, on behalf of the Global Health Caucus on HIV/AIDS, Tuberculosis and Malaria, with support from RESULTS Canada
    Source: Huffington Post Canada
    Decades of neglect have allowed TB to become the world’s leading infectious killer.
  • We Need To Stand On The Shoulders Of The HIV/AIDS Community
    28 December 2017
    By Shelley Garnham, RESULTS Canada
    Source: Huffington Post Canada
    The tuberculosis advocacy community needs to build on their [the HIV community] expertise, experience and the lessons they learned.

Press:


High-Level Meeting on TB:
Outcomes, Statements and Next Steps

2018 Political Declaration on the Fight Against TB, United to End Tuberculosis: An Urgent Global Response to a Global Epidemic

26 September 2018 – The UN General Assembly unanimously adopted the political declaration on TB committing world leaders to accelerate national and collective actions, investments and innovations in fighting the preventable disease.

Key Asks from TB Stakeholders and Communities

Stop TB Partnership
The TB Key Asks were developed over several months of discussions and consultations with the TB community at large and most stakeholders and partners.

 


Official Meeting Coverage and Minutes:

World Leaders Reaffirm Commitment to End Tuberculosis by 2030, as General Assembly Adopts Declaration Outlining Actions for Increased Financing, Treatment Access 26 September 2018 (United Nations)

Civil Society Statement:

In the News…

 

 

Canada at the UN HLM on TB:

Power Play: Eliminating tuberculosis in Canada
Indigenous Services Minister Jane Philpott says it’s a stunning fact that many Canadians are unaware of tuberculosis rates in the North.

Recommended Resources:


TB in Canada

TB Profile – Canada (WHO)

Tuberculosis country profiles are generated automatically based on data reported by countries and which are held in WHO’s global TB database. Countries can update information at any time via WHO’s TB data collection system (or, for countries in the European region, via the ECDC – WHO/Europe Joint Surveillance system). Therefore data in country profiles may differ slightly from the data available at the time Global Tuberculosis Report was written.

 


Global Reports

WHO Global Tuberculosis Report 2017

Global efforts to combat tuberculosis (TB) have saved an estimated 53 million lives since 2000 and reduced the TB mortality rate by 37%, according to the “Global TB Report 2017” released by the World Health Organization (WHO) today. Despite these achievements, the latest picture is grim. TB remains the top infectious killer in 2016. TB is also the main cause of deaths related to antimicrobial resistance and the leading killer of people with HIV. Progress in most countries is stalling and is not fast enough to reach global targets or close persistent gaps in TB care and prevention.

FACT SHEET: WHO Global Tuberculosis Report 2017

Despite progress and millions of lives saved, global actions and investments fall far short of those needed.

This fact sheet provides high-level information from the WHO 2017 Global Tuberculosis Report including:
– an overview of the global TB situation and response,
– TB financing,
– research and development and
– universal health coverage and social protection.