Drug-resistant tuberculosis in war and complex emergencies: jeopardising progress towards TB elimination and antimicrobial resistance control – a scoping review and perspective
Like in other infectious diseases, war significantly alters DR-TB dynamics in affected countries and bordering or refugee-hosting countries, threatening progress towards TB elimination and exacerbating the global antimicrobial resistance crisis. While innovations have improved the feasibility of DR-TB care in CE, access remains severely constrained. Identified risk factors, challenges and priorities underscore the need for expanded TB support and targeted research, particularly for vulnerable populations in CE scenarios.
Authors
- Irina Felker (ORCID: https://orcid.org/0000-0002-6037-5790)
- Ignacio Monedero-Recuero (ORCID: https://orcid.org/0000-0002-2959-571X)
- Mary Rosary T. Santiago
- Xiangxu Wei (ORCID: https://orcid.org/0000-0002-9097-3855)
- Fabienne Jouberton
- Paul Daru (ORCID: https://orcid.org/0000-0002-1644-5165)
- Mariama Mahmoud
- Afshan K. Isani
- Alena Skrahina
- Adekola Oyedokun Adekunle
- María Rodríguez-Ortega
- Hoang Thi Thanh Thuy
- Chen-Yuan Chiang
- Sha Wei
- Raquel Duarte
- Hamdan Mustafa Hamdan
Institutions
- Family Health International 360 (US)
- Department of Health (PH)
- Pakistan Institute of Engineering and Applied Sciences (PK)
- Universidade do Porto (PT)
- University of Toronto (CA)
- University of the Witwatersrand (ZA)
- National Ribat University (SD)
- National Centre for Research (Sudan) (SD)
- LRS Institute of Tuberculosis and Respiratory Diseases (IN)
- Novosibirsk Tuberculosis Research Institute (RU)
- Republican Scientific and Practical Centre of Pulmonology and Tuberculosis (BY)
- Institute of Human Virology (NG)
- International Union Against Tuberculosis and Lung Disease (FR)
- Public Health Ontario (CA)
- Shanghai Pulmonary Hospital (CN)
- Ministry of Health (MN)
- Instituto de Saúde (BR)
- National Institute of Health Dr. Ricardo Jorge (PT)
- Wan Fang Hospital (TW)
- Ministry of Health (BB)
- Hanoi Lung Hospital (VN)
- Médecins Sans Frontières (FR)
- Taipei Medical University (TW)
- Universidad Pontificia Comillas (ES)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1136/bmjgh-2025-019011
- Primary Topic
- Tuberculosis Research and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Tongji University
- Action Damien
- Shanghai Pulmonary Hospital