The global tuberculosis epidemic is significantly more serious than previously thought, according to a new World Health Organization (WHO) report that urges nations to “move much faster to prevent, detect, and treat the disease.”

The WHO which published its “Global Tuberculosis Report 2016” on Thursday. According to its findings, in 2015, there were an estimated 10.4 million new cases of tuberculosis worldwide, while only 6.1 million were detected and officially registered. The gap of 4.3 million appeared due to the underreporting and under-diagnosing of TB cases in countries with “large unregulated private sectors” and poor healthcare.

According to the report, TB claimed 1.8 million lives last year. The rate of reduction in TB cases remained alarmingly static at 1.5 percent from 2014 to 2015. TB remains in the top-ten cases of death worldwide, beating HIV and malaria. It should be noted, though, that among 1.8 million of TB victims 0.4 million were co-infected with HIV.

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