The article by Brewer et al1 in this issue of THE JOURNAL provides an excellent opportunity to assess our nation's progress toward the elimination of tuberculosis (TB). In 1989, the secretary of the US Department of Health and Human Services approved the Strategic Plan for the Elimination of Tuberculosis in the United States.2 In that plan, the elimination of TB is defined as a reduction in the incidence of TB to 1 case per million population by the year 2010. An expert advisory committee deemed TB elimination feasible on the basis of 3 factors: the retreat of TB into geographically and demographically definable foci; the existence of biotechnology to generate improved tools for TB diagnosis, treatment, and prevention; and the availability of computer, telecommunications, and other technologies to enhance the rapid transfer of new technology.
See also p 1898.
Between 1985 and 1992, coincident with the development and