Recently, the Global TB Caucus released “The Price of a Pandemic 2017,” a new report that estimates that deaths from TB will cost the global economy nearly US$1 trillion over the next 15 years.

So unless there is serious political commitment, funding, and execution, it will be impossible to meet the global End TB targets.

This is why the G20, Moscow, Delhi, and UNGA meetings are so critical—to convince our political leaders that they need to wake up to the realities of the TB epidemic, and step up with clear actions and commitments.

India’s leadership challenge

Will our leaders deliver? Following the Delhi End TB Summit, I am feeling optimistic they will, because they’ve seen the impressive progress made in global HIV and malaria control, and have understood the human and societal benefits to tackling killer diseases such as AIDS and malaria.

India’s leadership, in particular, is absolutely fundamental to meeting global End TB goals.

India accounts for a quarter of the global TB cases, and nearly a third of all TB deaths. TB is a huge drain on India’s economy. So without progress in India, there is no hope for ending the TB epidemic.

While everyone has welcomed India’s ambitious plan of TB elimination by 2025, the world is watching whether India will follow up on the prime minister’s commitment with the substantially increased budget that is required, and rapidly execute the ambitious TB Free India campaign. 2025 is just seven years away and the clock is ticking!

The 2025 target is audacious. Anyone who understands TB knows the 2025 goal is not realistic. But the international TB community appreciates the ambition displayed by India. It is great to aim high, and even if India doesn’t reach that goal, it would still represent progress if the TB Free India campaign is implemented.

A big question for the TB community now is this: How do we hold our leaders accountable for their big declarations and commitments? What kind of sustained effort would be required to convert the political aspirations into tangible progress on the ground?

BRICS countries can lead the charge

Thinking beyond India, I am convinced other high-TB countries also have a key leadership role to play.

Brazil, Russia, India, China and South Africa (BRICS) together account for 46% of all incident cases of TB and 40% of all TB-related mortality.

With strong economic growth in BRICS, and their growing stature and leadership in the political as well as scientific arena, these countries are well-placed to lead the charge against a disease that is a leading killer of their citizens and a huge drain on their economies.

The US government, the largest donor in the fight against TB, is rapidly scaling back on overseas aid, slashing billions from global health and humanitarian aid.

As wealthy donor countries focus their priorities on populist and nationalist demands, it is unclear whether any other rich country will pick up the slack.

It is therefore critical for countries most affected by TB to step up, show leadership and invest in TB control. The world simply cannot depend on a few wealthy countries with very low TB incidence to support all the effort that is required to tackle TB.

Lastly, investments in TB must occur as part of overall health systems investments required to realize the goal of Universal Health Coverage (UHC).

UHC is a human right, and all countries have agreed to the UN’s Sustainable Development Goals with the following target by 2030: Achieve universal health coverage, including financial risk protection, access to quality essential health-care services, and access to safe, effective, quality, and affordable essential medicines for all.

If countries achieve UHC, the battle against TB can be won.

Madhukar Pai, director of Global Health & professor, McGill University. This article was originally published on The Conversation. Read the original article. We welcome your comments at ideas.india@qz.com

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