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<div class=3DSection1>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>23
March 2009<o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>&nbsp;<o:p></o:p></span></p>

<p><b style=3D'mso-bidi-font-weight:normal'><span style=3D'mso-bidi-font-si=
ze:7.5pt;
font-family:Arial'>March 24 is World Tuberculosis (TB) Day<o:p></o:p></span=
></b></p>

<p><span class=3DGramE><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.=
5pt;
font-family:Arial'>The World Health organization (WHO) and Stop TB Partners=
hip
recognizes every March 24<sup>th</sup> as World TB Day.</span></span><span
style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'> &nbsp=
;This
date is 1882 is when Dr. Robert Koch found the bacteria that causes the
airborne disease tuberculosis.&nbsp; Extensive information on most aspects =
of
tuberculosis can be located via the WHO link at:&nbsp; <a
href=3D"http://www.who.int/mediacentre/events/annual/world_tb_day/en/index.=
html"
target=3D"_blank">www.who.int/mediacentre/events/annual/world_tb_day/en/ind=
ex.html</a><o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>Specific
information on the timely topics of multidrug resistant (MDR) and extensive=
ly
drug resistant (XDR) tuberculosis (&#8220;M/XDR-TB&#8221;) can be found at:=
 <a
href=3D"http://www.who.int/tb/challenges/mdr/en/index.html" target=3D"_blan=
k">www.who.int/tb/challenges/mdr/en/index.html</a><o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>As
of 2008, one or more XDR-TB cases had been confirmed in 45 nations.&nbsp; E=
ach
year an estimated 40,000 new cases of XDR-TB occur. An estimated 490,000 new
cases of MDR-TB cases occur each year<span class=3DGramE>, &nbsp;with</span=
> over
130,000 deaths. <o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>The
dual pandemics of HIV and TB are most common in <st1:place w:st=3D"on">Afri=
ca</st1:place>.
<st1:country-region w:st=3D"on"><st1:place w:st=3D"on">South Africa</st1:pl=
ace></st1:country-region>
is reported by the WHO and Stop TB partnership as having 28% of the global
number of HIV-positive TB cases.&nbsp; Persons living with HIV and infected
with the TB bacteria are up to 50 times more likely to develop active TB in
their lifetime than persons who are not infected with HIV.<o:p></o:p></span=
></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>This
week international TB conferences include the &#8220;Stop TB Partners
Forum&#8221; in <st1:country-region w:st=3D"on">Brazil</st1:country-region>=
 (<st1:City
w:st=3D"on"><st1:place w:st=3D"on">Rio <span class=3DGramE>De</span> Janeir=
o</st1:place></st1:City>)
from March 23-25. &nbsp;In <st1:City w:st=3D"on"><st1:place w:st=3D"on">Bei=
jing</st1:place></st1:City>,
from April 1-3, a high level meeting with Health Ministers from many nation=
s,
particularly those with the highest M/XDR TB burdens, will be held. <o:p></=
o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>Stop
TB Partnership is a network of 700 stakeholders and its secretariat is base=
d at
the WHO. Stop TB has seven working groups that include: Advocacy, Communica=
tion
and Social Mobilization; DOTS Expansion, MDR-TB, TB/HIV, New Drugs, New
Diagnostics, and New Vaccines. <o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>The
Stop TB and WHO has as one target goal to decrease by half tuberculosis
prevalence and deaths by the year 2015 compared with 1990. Currently, they
report that progress toward this goal is behind schedule in Africa and <st1=
:place
w:st=3D"on">Europe</st1:place>. <o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>&nbsp;<o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>&nbsp;<o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>Daniel
R. <span class=3DSpellE>Lucey</span>, MD, MPH<o:p></o:p></span></p>

<p><span class=3DSpellE><span style=3D'font-size:9.0pt;mso-bidi-font-size:7=
.5pt;
font-family:Arial'>EROne</span></span><span style=3D'font-size:9.0pt;mso-bi=
di-font-size:
7.5pt;font-family:Arial'> Institutes, <st1:place w:st=3D"on"><st1:PlaceName
 w:st=3D"on">Washington</st1:PlaceName> <st1:PlaceType w:st=3D"on">Hospital=
</st1:PlaceType>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></st1:place><o:p></o:p></=
span></p>

<p><st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on"><span style=3D'font-si=
ze:9.0pt;
  mso-bidi-font-size:7.5pt;font-family:Arial'>Washington</span></st1:PlaceN=
ame><span
 style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'> <st1=
:PlaceType
 w:st=3D"on">Hospital</st1:PlaceType> <st1:PlaceType w:st=3D"on">Center</st=
1:PlaceType></span></st1:place><span
style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'><o:p><=
/o:p></span></p>

<p><st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on"><span style=3D'font-si=
ze:9.0pt;
  mso-bidi-font-size:7.5pt;font-family:Arial'>Georgetown</span></st1:PlaceN=
ame><span
 style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'> <st1=
:PlaceType
 w:st=3D"on">University</st1:PlaceType> <st1:PlaceName w:st=3D"on">Medical<=
/st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></span></st1:place><span
style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'><o:p><=
/o:p></span></p>

<p><st1:place w:st=3D"on"><st1:City w:st=3D"on"><span style=3D'font-size:9.=
0pt;
  mso-bidi-font-size:7.5pt;font-family:Arial'>Washington</span></st1:City><=
span
 style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Arial'>, <st=
1:State
 w:st=3D"on">DC</st1:State></span></st1:place><span style=3D'font-size:9.0p=
t;
mso-bidi-font-size:7.5pt;font-family:Arial'><o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'><a
href=3D"http://mail.google.com/mail/h/vuqxohb1bfsh/?v=3Db&amp;cs=3Dwh&amp;t=
o=3DDRL23@Georgetown.edu"
target=3D"_blank">DRL23@Georgetown.edu</a><o:p></o:p></span></p>

<p><span style=3D'font-size:9.0pt;mso-bidi-font-size:7.5pt;font-family:Aria=
l'>&nbsp;<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p>=
</span></p>

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