China provides a demonstration of just how hard it is to tackle tuberculosis in the developing world. The country has many of the prerequisites for constructing an effective strategy for treatment and prevention. It has a relatively well-organised health system and a long history of aggressive action against infectious disease.
It first began to implement Dots – Directly Observed Treatment Short course, the internationally recommended strategy for controlling TB – in 1991 and has won international praise for what is the largest such programme in the world.
Yet despite all these efforts, it still faces an uphill struggle to control the disease.
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