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LETTER |
The authors are with the Department of Tuberculosis and Lung Health, International Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
Correspondence: Requests for reprints should be sent to I. D. Rusen, MD, MSc, Department of Tuberculosis and Lung Health, International Union Against Tuberculosis and Lung Disease, 68 boulevard Saint Michel, 75006 Paris, France (e-mail: irusen@iuatld.org).
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We appreciate Lauer and Birns interest in our article. However, many of the concerns they raise are speculative and are not consistent with the operational reality of FIDELIS. First, the authors question the local nature of the FIDELIS projects and suggest that FIDELIS is most accessible to organizations affiliated with developed countries. In fact, the projects approved to date are truly local in nature; internationally associated nongovernmental organizations and academic institutions have been awarded only 7 of 32 projects approved in rounds 1 through 4.
Second, Lauer and Birn wonder whether the members of the "existing TB control structure" who
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