Biosafety experiences at Biosafety experiences at European and International European and International

LevelLevel

David C BentonChief Executive Officer

International Council of Nurses

Presentation OutlinePresentation Outline

• Future/Current Challenges

• The Nurse’s Role in MDR TB

• Preparedness

Future/Current ChallengesFuture/Current Challenges

• Advances in Technology

• Numbers and Competence of Staff

• Cost

• Xenomics, Morphogenesis and Xeno-Transplantation

• Bioterrorism

• Increasing Drug Resistance

Global TB trendsGlobal TB trends

• TB incidence falling >1% per year but number growing with population

• 9.7 new cases of TB in 2007

• 1.7 million co-infected with HIV

• Around 500,000 cases MDR-TB emerge each year

1.2 2.1 2.0 10.1 11.616.3 16.4 21.3

36.4 34.7

407.5 406.5

426.6403.5

443.8

0

50

100

150

200

250

300

350

400

450

500

2004 2005 2006 2007 2008

Estimated # of new cases

non-GLC

GLC

Notified cases of MDR-TB and patients Notified cases of MDR-TB and patients treated for MDR compared to estimated treated for MDR compared to estimated

burden of MDR-TBburden of MDR-TBEstimated 510,000 new MDR-TB cases each year

Less than 10% receive treatment

Source: GLC April 2008

ICN TB/MDR-TB ProjectICN TB/MDR-TB Project

• Aims to build global nursing capacity to respond to the growing challenge of TB and MDR-TB by– Training nurse trainers– Developing practical teaching and

learning materials– Advocacy and representation

Training of trainers (TOT)Training of trainers (TOT)

• In collaboration with National Nurses Associations in 18 countries with high TB/MDR-TB burden by end 2011

• Over 850 nurses trained as trainers in 14 countries to date

• 18000 nurses and allied health workers have so far received training from these trainers

ICN TB Project coverageICN TB Project coverage

Nurses……Nurses……

• Are the first point of call for people with symptoms

• Are exposed to resistant TB where no treatment available and infection control is ineffective

• Are crucial to planning and implementation of effective infection control

Be Prepared!Be Prepared!

• Knowledge and Education

• Protective Innovations

• Sufficient Numbers of Health Care Workers

• Health Working Conditions

• Strategic Plans

• Think of the Impossible

Thank YouThank You

International Council of Nurses

3 Place Jean-Marteau

Geneva, 1201

Switzerland