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The impact of COVID-19 on TB: a review of the data

2021; International Union Against Tuberculosis and Lung Disease; Volume: 25; Issue: 6 Linguagem: Inglês

10.5588/ijtld.21.0148

1815-8439

Christopher Finn McQuaid, Anna Vassall, Ted Cohen, Kathy Fiekert, COVID TB Modelling Working Group, Richard G. White,

Pneumocystis jirovecii pneumonia detection and treatment

Early in the COVID-19 pandemic, models predicted hundreds of thousands of additional TB deaths as a result of health service disruption. To date, empirical evidence on the effects of COVID-19 on TB outcomes has been limited. Here we summarise the evidence available at a country level, identifying broad mechanisms by which COVID-19 may modify TB burden and mitigation efforts. From the data, it is clear that there have been substantial disruptions to TB health services and an increase in vulnerability to TB. Evidence for changes in Mycobacterium tuberculosis transmission is limited, and it remains unclear how the resources required and available for the TB response have changed. To advocate for additional funding to mitigate the impact of COVID-19 on the global TB burden, and to efficiently allocate resources for the TB response, requires a significant improvement in the TB data available.