Nick calls for action to tackle TB and HIV co-infection

Lord Herbert of South Downs

My Lords, I welcome the Government’s recent commitment of £1 billion to the Global Fund which, in the circumstances fiscally here in the UK, is a remarkable and generous donation and makes us one of the best contributors still in the world to that important fund. Of the 650,000 deaths from AIDS every year globally, to which my noble friend Lord Fowler referred, some one-third are from tuberculosis, which is the biggest single cause of death of people who have HIV. The co-infection of the two diseases remains a serious problem. Does my noble friend recognise the importance of tackling both major epidemics—tuberculosis and HIV—together? That commitment will continue to be important if we are to have some chance of beating these diseases—although there is no chance of beating TB by 2030—at least within the lifetime of a generation.

The Minister of State, Foreign, Commonwealth and Development Office (Lord Goldsmith of Richmond Park)

I first thank the noble Lord for his comments about his contribution to the Global Fund. I agree with him—in the face of the budgetary pressures that we are facing, I was very relieved and pleased that we were able to make that commitment to the Global Fund, which is doing extraordinarily important work.

The noble Lord also makes an important point about TB. It is the case that until just a few years ago, the trajectory of TB was very much downwards. It was one of those historic illnesses that we had almost got to grips with, or certainly believed that we were getting to grips with. One problem is that we are seeing the weakening of the effectiveness of antibiotics. Currently, there is a limited supply of antibiotics and, if we continue to abuse them, as we are doing globally—well over half the world’s antibiotics are used just to keep animals alive in factory farm conditions in which they would not otherwise survive—that will be the height of irresponsibility. We will be wasting globally this treasure—because antibiotics are a miracle cure that our ancestors would have dreamed of—just to get our animals a bit fatter a bit quicker and to keep them alive in conditions in which we should not be keeping them in any case. So this is a priority—the UK is leading on this issue, and is doing extraordinarily important work on it—but I do not think that we can solve the problem that the noble Lord raised unless we get to grips with our abuse of antibiotics.