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World leaders are expected to address this chasm at the United Nations next week, and they must do more than give speeches. They need to act. Tuberculosis, an ancient malady, is caused by a bacillus, called mycobacterium tuberculosis, and is spread when people who are sick expel bacteria into the air, usually by coughing. Effective treatments have existed since the 1940s, alleviating in some parts of the world what was once a death sentence. A new report from the World Health Organization shows that in 2016, the global success rate of treatment was 82 percent; the incidence rate is declining; and the share of people with TB who die from it is down to 16 percent, compared with 23 percent in 2000. Yet even with this progress, the alarming fact is that millions of infected people remain undetected and untreated. According to the WHO, there were some 10 million new cases of tuberculosis in 2017, but only about 6.4 million were reported to national authorities and the WHO. That means 3.6 million people may be overlooked. Although a portion may be due to data uncertainties, there can be no doubt that real people are falling through the cracks without quality treatment.
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