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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.056762v1 96/1/14    most recent Submit a response View responses Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (4) Citing Articles via Google Scholar Google Scholar Articles by Rusen, I. D. Articles by Enarson, D. A. Search for Related Content PubMed PubMed Citation Articles by Rusen, I. D. Articles by Enarson, D. A. Related Collections Global Health Access to Care Tuberculosis Public Health Practice

I. D. Rusen, MD, MSc and Donald A. Enarson, MD

The authors are with the Department of Scientific Activities, International Union Against Tuberculosis and Lung Disease (The Union), Paris, France.

Correspondence: Requests for reprints should be sent to I. D. Rusen, Department of Scientific Activities, International Union Against Tuberculosis and Lung Disease (The Union), 68 boulevard Saint Michel, 75006 Paris, France (e-mail: irusen{at}iuatld.org).

Tuberculosis was declared a global public health emergency in 1993. In 2003, only 45% of the world’s estimated new smear-positive tuberculosis cases were detected—well below the 70% global case detection target set by the World Health Organization.

The FIDELIS (Fund for Innovative DOTS Expansion Through Local Initiatives to Stop TB) initiative is a new global disease control initiative that has been developed to rapidly assess and implement innovative approaches to increase tuberculosis case detection. To date, 32 projects have been approved—covering approximately 378 million people in 13 countries—24 (75%) of which are in the world’s 6 highest-burden countries. A wide range of target populations and interventions have been incorporated into successful FIDELIS projects. The FIDELIS initiative may serve as a model to discover best practices to address other urgent global public health problems.

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