The HIV-Associated Tuberculosis Epidemic – When Will We Act?, Anthony D. Harries et al., The Lancet (2010)

This journal article argues for a more aggressive approach to the HIV-associated tuberculosis (TB) epidemic, namely the implementation of the 3Is policy (intensified TB case finding, infection control, and isoniazid preventive therapy) combined with earlier start of antiretroviral therapy. The authors emphasize the importance of the WHO’s 2004 interim policy on collaborative TB and HIV (updated in 2012), and add that frequent universal HIV testing plus immediate or much earlier start of ARV is critical to significantly reducing and preventing HIV-associated TB. They claim that without fully utilizing and scaling up this collaborative model, the epidemic will continue in the long term.