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Dear Colleagues
and Friends, 
On behalf of the
many individuals and organizations that constitute CREATE, the Consortium to
Respond Effectively to the AIDS-TB Epidemic, I am pleased to present this
overview and summary of our activities.
The tuberculosis
and HIV epidemics have collided catastrophically in many developing countries,
resulting in enormous suffering and death. CREATE is a global initiative that is trying to reverse the worsening
course of the TB/HIV co-epidemics.
CREATE was
launched by Nelson Mandela at the International AIDS Conference in Bangkok in July,
2004. Mr. Mandela described his own
experience as a TB patient, and advocated a vigorous assault on TB and HIV,
stating “We cannot fight AIDS unless we do much more to fight TB
as well.”
CREATE has begun implementing research projects to assess the impact of novel public health
paradigms for controlling HIV-related TB.
Over the next five years, the CREATE projects will produce critically
important information about the impact of these new strategies on TB control in
areas affected by HIV. The CREATE
projects are bold in concept, large in scope and targeted at producing
population-level benefits. The CREATE
research teams and supporting Cores are comprised of dedicated and talented
individuals committed to changing the trajectory of the TB/HIV epidemic,
working in close collaboration with local and national health authorities,
clinicians and representatives of the affected communities.
Through our
Policy and Advocacy Core, CREATE is working closely with the World Health
Organization (WHO) and the Stop-TB Partnership to use the fruits of the
research effort to shape and influence global public health policy through
evidence-based advocacy. Thus, CREATE
will identify the public health strategies that can reduce rates of HIV-related
TB in those parts of the world suffering from the tragic overlap of these two
epidemics and will advocate to restructure the public health responses to
TB/HIV on the basis of the new information generated by our research.
The scope of the
TB/HIV problem is enormous, and the goals of CREATE are correspondingly
ambitious. We are committed to
developing new paradigms of public health practice that will drive down the
global burden of HIV-related TB for years to come. We welcome your interest in our mission and
invite you to learn more about our activities through this website.
Sincerely yours,
Richard E. Chaisson, MD, Principal
Investigator, CREATE
Professor of
Medicine, Epidemiology and International Health
Johns Hopkins University Center for TB Research
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