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At the launch of the WHO Global Tuberculosis Control Report, UNAIDS Executive Director highlighted the need for TB and HIV communities to scale up collaboration if the goal of universal access to quality TB and HIV prevention, diagnostic, treatment and care services is to be achieved. The report, released by WHO, indicates that the worldwide TB epidemic has leveled off for the first time since it was declared a public health emergency in 1993. But despite signs that the epidemic may be slowing, there are still major impediments to rapid progress against TB - prominent among them being the lack of investment, uneven access to diagnosis and treatment within countries, the emergence of XDR-TB, the inextricable links between HIV and TB and the ageing population.