April 22, 2015 Curry International Tuberculosis Center
|
|
- Isabel White
- 8 years ago
- Views:
Transcription
1 Tools for TB Elimination: Early Case Finding and Prevention Determining Your High-Risk Groups: Using the Universal Risk Assessment Tool Wednesday, d Sacramento, California Mike Carson, MS Program Manager Orange County TB Control Program Why Now? ~2.5 million Californians are infected with tuberculosis but most unaware Current guidelines are - not simple or clear - don t account for combination of exposure and progression risks What evidence supports this change? The best public health and medical evidence suggests that universal TB testing is neither necessary nor costeffective. TST or IGRA should be applied routinely only among high-risk populations. 1
2 What evidence supports this change? Since 1999, the CDC has discouraged the practice of testing individuals without risk factors for TB exposure, infection and disease due to the potential for false positive tests in persons with a low probability of infection. What was available previously? AAP Red Book 2012 Validated questions to assess LTBI risk Has a family member or contact had TB? Has a family member had a positive TST? Was your child born in a high-risk country? Has your child traveled (had contact with resident population) to a high-risk country for more than 1 week? What was available previously? CDC Latent Tuberculosis Infection: A Guide for Primary Health Care Providers Sample Tool 2013 Persons with any of the following risk factors should be tested for TB infection unless there is written documentation or a previous positive TST or IGRA result 2
3 CDC Sample Risk Assessment Tool Risk Factors Close contact to infectious TB disease Foreign-born person from or recent traveler to high-prevalence area CXR with fibrosis suggesting past TB HIV infection Organ transplant recipient Immunosuppressive medication CDC Sample Risk Assessment Tool Risk Factors (continued) Injection drug user Resident/employee of congregate setting Medical conditions associated with risk of progressing to TB disease, if infected Signs and symptoms of TB What was available previously? Pre-K & K R l d i l TB t ti f i t Replaced universal TB testing for private, parochial, public K-12 school and nursery school employees and volunteers 3
4 California Who should use it? Licensed healthcare providers In public health and private settings California Who should it be used for? Adult patients Not previously tested Persons who previously tested negative, and have new risk factors since the last assessment 4
5 Where did the pieces come from? TB exposure and TB progression risk factors were identified from scientific literature and guidelines Risk factors and risk factor combinations were assigned a testing and treatment priority (high, medium, low) Based on the risk magnitude from available evidence Characteristics of TB Risk Levels High Very high TB progression risk, if infected OR Both exposure with high likelihood of infection and progression risk Characteristics of TB Risk Levels Medium Exposure with high infection likelihood OR Exposure with lower, variable infection risk plus medical risk for progression 5
6 Characteristics of TB Risk Levels Low Exposure with lower, variable infection risk and no medical risk for progression Priority Level Assignments No risk factors identified, no testing Exposure risk alone Exposure risk + Medical Risk Received a priority level higher Age was not factored into priority level Medical Risks Diabetes mellitus End-stage renal disease Smoker within past one year Leukemia, lymphoma, head/neck cancer Silicosis Intestinal bypass/gastrectomy Chronic malabsorption Body mass index < 20 6
7 Summary What is the purpose? Provide a simple tool for assessing TB risk in individualsid Provide priority levels for testing and treatment based on risk magnitude for TB disease Who will use it? Summary Licensed healthcare providers Public and private providers 7
8 Questions? Mike Carson Program Manager TB Control Program County of Orange Health Care Agency (714)
CDC TB Testing Guidelines and Recent Literature Update
Pocket Guide QuantiFERON -TB Gold CDC TB Testing Guidelines and Recent Literature Update Using IGRAs for TB screening in your patients June 2010 A full copy of the US Centers for Disease Control and Prevention
More informationPediatric Latent TB Diagnosis and Treatment
Date Updated: April 2015 Guidelines Reviewed: 1. CDC Latent TB Guidelines 2. Harborview Pediatric Clinic Latent TB Management, 2010 3. Pediatric Associates Latent TB Guidelines, 2013 4. Seattle Children
More informationTargeted Testing for Tuberculosis Infection
Targeted Testing for Tuberculosis Infection CONTENTS Introduction... 3.2 Purpose... 3.2 Policy... 3.2 When to Conduct Targeted Testing... 3.3 Approaches to increasing targeted testing and treatment for
More informationAbstract. 1. Basic underlying view
_ Abstract 1. Basic underlying view Mycobacterium tuberculosis Table 1 2. LTBI treatment subjects 1. Basic view 2. TB development risk factors and infection diagnosis i. HIV/AIDS ii. Hemodialysis for
More informationTuberculosis (TB) Screening Guidelines for Substance Use Disorder Treatment Programs in California
Tuberculosis (TB) Screening Guidelines for Substance Use Disorder Treatment Programs in California 1 of 7 Table of Contents Preface 2 TB Symptoms and TB History 2 Initial Screening 2 Follow-Up Screening
More informationSan Francisco Guidelines on the Use of QuantiFERON-TB Gold (In Tube Method) for the Diagnosis of Latent TB Infection
San Francisco Guidelines on the Use of QuantiFERON-TB Gold (In Tube Method) for the Diagnosis of Latent TB Infection Rationale When to Screen for TB Choosing the Right TB Test Patient Registration Pre-Test
More informationSan Francisco Treatment Guidelines for Latent Tuberculosis Infection
City and County of San Francisco Department of Public Health Tuberculosis Control Unit Julie Higashi, MD, PhD Director Population Health Division Edwin M. Lee Mayor Disease Prevention and Control Branch
More informationTUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG
TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG Tx CENTERS Tuberculosis Control Program Health and Human Services Agency San Diego County INTRODUCTION Reducing TB disease requires
More informationAssisted Living - TB Risk Assessment
Montana DPHHS Tuberculosis Program Assisted Living - TB Risk Assessment Assisted Living, Adult Day Care, Adult Foster Care & Transitional Living Centers Today s Date Facility Address Phone County Completed
More informationNevada State Health Division Technical Bulletin
Nevada State Health Division Technical Bulletin Topic: Using QuantiFERON and Tuberculin Skin Test to Screen for TB Section/Program/Contact: Bureau of Community Health / Tuberculosis Program / Susanne Paulson,
More informationChapter 3 Testing for Tuberculosis Infection and Disease
Chapter 3 Testing for Tuberculosis Infection and Disease Table of Contents Chapter Objectives.... 45 Introduction.... 47 Identifying High-Risk Groups for M. tuberculosis Testing... 47 Testing Methods for
More informationRecent Advances in The Treatment of Mycobacterium Tuberculosis
Recent Advances in The Treatment of Mycobacterium Tuberculosis Dr Mohd Arif Mohd Zim Senior Lecturer & Respiratory Physician Faculty of Medicine, Universiti Teknologi MARA mohdarif035@salam.uitm.edu.my
More informationSelf-Study Modules on Tuberculosis
Self-Study Modules on Tuberculosis Epidemiology of Tuberculosis U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for HIV/AIDS, Viral Hepatitis, STD,
More informationCTCA POSITION ON TB EXAMINATION OF SCHOOL EMPLOYEES AND VOLUNTEERS
CTCA POSITION ON TB EXAMINATION OF SCHOOL EMPLOYEES AND VOLUNTEERS Introduction Although progress has been made, tuberculosis (TB) continues to be a significant public health problem; appropriate TB examination
More informationChapter 5 Treatment for Latent Tuberculosis Infection
Chapter 5 Treatment for Latent Tuberculosis Infection Table of Contents Chapter Objectives.... 109 Introduction.... 111 Candidates for the Treatment of LTBI.... 112 LTBI Treatment Regimens.... 118 LTBI
More informationGuidelines for TB Blood Testing. Minnesota Department of Health TB Prevention and Control Program June 2011
Guidelines for TB Blood Testing Minnesota Department of Health TB Prevention and Control Program June 2011 Outline Interferon-Gamma Release Assays aka TB blood tests 1. What are they? 2. What are the current
More informationMaria Dalbey RN. BSN, MA, MBA March 17 th, 2015
Maria Dalbey RN. BSN, MA, MBA March 17 th, 2015 2 Objectives Participants will be able to : Understand the Pathogenesis of Tuberculosis (TB) Identify the Goals of Public Health for TB Identify Hierarchy
More informationDIVISION of SUBSTANCE ABUSE SERVICES. Tuberculosis Control Guidelines for Alcohol and Drug Abuse Treatment Programs
DIVISION of SUBSTANCE ABUSE SERVICES Tuberculosis Control Guidelines for Alcohol and Drug Abuse Treatment Programs 1. Purpose: This policy provides guidance and instruction to identify and prevent tuberculosis
More informationLong-term Care - TB Risk Assessment
Montana DPHHS Tuberculosis Program Long-term Care - TB Risk Assessment Long-term Care, Residential Treatment, ESRD (outpatient), Hospice (inpatient) Today s Date Facility Address Phone County Completed
More informationPrimary Care Management of Latent Tuberculosis Infection in the Foreign-Born
Primary Care Management of Latent Tuberculosis Infection in the Foreign-Born Investigators Carey Jackson MD, MPH University of Washington Jenny Pang MD, MPH, Seattle-King County Department of Public Health
More informationTuberculosis. Subject. Goal/Objective. Instructions. Rationale. Operations Directorate, Health Branch Immigration Medical Examination Instructions
Subject Instructions for the screening of clients to detect tuberculosis (TB) in the context of the Canadian immigration medical examination (IME). Goal/Objective These instructions are provided to ensure
More informationNew York City Department of Health Protocols for Latent TB Infection Treatment
New York City Department of Health Protocols for Latent TB Infection Treatment CONTENT A. Medical evaluation for latent TB infection (LTBI) treatment 1. Medical history and physical examination 2. Chest
More informationGuidelines for Tuberculosis Screening of Healthcare Students in the greater Auckland region
Guidelines for Tuberculosis Screening of Healthcare Students in the greater Auckland region Auckland Regional Public Health Service 2013 Document Controller: Updated December 2013 Medical Officer of Health,
More informationLTBI Program Implementation in a Substance Abuse Treatment Facility
LTBI Program Implementation in a Substance Abuse Treatment Facility (A Case Study) Acknowledgments The New Jersey Medical School (NJMS) National Tuberculosis Center wishes to acknowledge the following
More informationMassachusetts Department of Public Health Division of Global Populations and Infectious Disease Prevention
Massachusetts Department of Public Health Division of Global Populations and Infectious Disease Prevention Screening Infants and Children for Tuberculosis in Massachusetts Executive Summary In Massachusetts,
More informationTuberculosis Prevention and Control Protocol, 2008
Tuberculosis Prevention and Control Protocol, 2008 Preamble The Ontario Public Health Standards (OPHS) are published by the Minister of Health and Long- Term Care under the authority of the Health Protection
More informationWhat is an IGRA? What is an IGRA? Are they available here? How do I use them? Learning Objectives
What is an IGRA? Are they available here? How do I use them? Debbie Staley, RN, MPH TB Nurse Consultant VDH Division of Disease Prevention TB Control Program Learning Objectives Participants will be able
More informationTuberculosis Screening and Targeted Testing of College and University Students
APRIL 2014 ACHA Guidelines Tuberculosis Screening and Targeted Testing of College and University Students Purpose Screening and targeted testing for tuberculosis (TB) is a key strategy for controlling
More informationTUBERCULOSIS SCREENING AND TREATMENT IN PREGNANCY. Stephanie N. Lin MD 2/12/2016
TUBERCULOSIS SCREENING AND TREATMENT IN PREGNANCY Stephanie N. Lin MD 2/12/2016 Epidemiology of TB 9.6 million new cases in 2014 12% of them are in HIV positive patients 1.5 million deaths in 2014 ~646
More informationQuality and Productivity Commission 26 th Annual Productivity and Quality Awards Program Investing in a Quality Future 2012 APPLICATION
DATE OF IMPLEMENTATION/ADOPTION: JUNE 1, 2011 (Must have been implemented at least one year - on or before June 30, 2011) PROJECT STATUS: X Ongoing One-time only DID YOU SUBMIT THIS PROJECT BEFORE? Yes
More informationAmerican College Health Association (ACHA) TB Screening and Targeted Testing Recommendations Gregory Juckett, MD, MPH Professor of Family Medicine
American College Health Association (ACHA) TB Screening and Targeted Testing Recommendations Gregory Juckett, MD, MPH Professor of Family Medicine West Virginia University gjuckett@hsc.wvu.edu Objectives
More informationSanta Clara County Tuberculosis Screening Requirement for School Entrance Effective June 1, 2014. Frequently Asked Questions
Frequently Asked Questions A child has history of BCG vaccination, should they have TST or IGRA? According to the American Academy of Pediatrics Red Book (2012), Interferon Gamma Release Assay (IGRA) is
More informationImpact of Diabetes on Treatment Outcomes among Maryland Tuberculosis Cases, 2004-2005. Tania Tang PHASE Symposium May 12, 2007
Impact of Diabetes on Treatment Outcomes among Maryland Tuberculosis Cases, 2004-2005 Tania Tang PHASE Symposium May 12, 2007 Presentation Outline Background Research Questions Methods Results Discussion
More informationTuberculosis Surveillance and Screening for Long Term Care Facilities in Colorado
Tuberculosis Surveillance and Screening for Long Term Care Facilities in Colorado Developed by the Colorado Medical Directors Association and The Colorado Department of Public Health and Environment Introduction:
More informationTargeted Testing and Treatment of Latent Tuberculosis Infection in Adults and Children
C D H S / C T C A J O I N T G U I D E L I N E S Targeted Testing and Treatment of Latent Tuberculosis Infection in Adults and Children Targeted Skin Testing and Treatment of Latent Tuberculosis Infection
More informationApril King-Todd 2014 National TB Conference Atlanta, Georgia June 10, 2014
An Outbreak of TB Among the Homeless: The Aftermath in a High Incidence County April King-Todd, RN, MPH Los Angeles County Department of Public Health Tuberculosis Control Program National TB Nurses Coalition
More informationTuberculosis in Children and Adolescents
Tuberculosis in Children and Adolescents Ritu Banerjee, MD, Ph.D TB Clinical Intensive April 8, 2015 2014 MFMER slide-1 Disclosures None 2014 MFMER slide-2 Objectives Describe the epidemiology of pediatric
More informationGuidelines for Source Case Investigation (SCI) for Latent Tuberculosis (TB) Infection
Guidelines for Source Case Investigation (SCI) for Latent Tuberculosis (TB) Infection CDPH/CTCA Guidelines for Source Case Investigation (SCI) for Latent Tuberculosis (TB) Infection 21 1 of Table of Contents
More informationRice University - Student Health Data Form
* NOTE: A STUDENT MAY NOT REGISTER FOR CLASSES UNTIL THIS FORM IS PROPERLY COMPLETED AND SUBMITTED TO THE STUDENT HEALTH SERVICE. Rice University - Student Health Data Form Last Name First Name Middle
More informationTuberculosis And Diabetes. Dr. hanan abuelrus Prof.of internal medicine Assiut University
Tuberculosis And Diabetes Dr. hanan abuelrus Prof.of internal medicine Assiut University TUBERCULOSIS FACTS More than 9 million people fall sick with tuberculosis (TB) every year. Over 1.5 million die
More informationLisa Y. Armitige, MD, PhD has the following disclosures to make:
Interferon Gamma Release Assays (IGRAs) Lisa Y. Armitige, MD, PhD May 13, 2015 TB for Pulmonologist Phoenix, AZ March 13, 2015 EXCELLENCE EXPERTISE INNOVATION Lisa Y. Armitige, MD, PhD has the following
More informationBASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC
BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC HIV What are HIV and AIDS? HIV stands for Human Immunodeficiency Virus. This is the virus that causes AIDS. HIV is
More informationTuberculosis Exposure Control Plan for Low Risk Dental Offices
Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.
More informationTable. Positive Purified Protein Derivative Results (Pediatrics In Review Apr 2008)
PPD and TB Sreening COMPETENCY- The resident should know the risk factors for TB exposure, when to screen, and the appropriate criteria for recognizing a positive PPD in children of different age groups
More informationUsing Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services
Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services ADP Training Conference, Sacramento, August 21, 2012 Rachel McLean, MPH, CA Dept. of Public
More informationPregnancy and Tuberculosis. Patient and Public information sheet
Pregnancy and Tuberculosis Patient and Public information sheet Who is at risk of TB? Anyone can catch TB, but it is possible that pregnant women have a slightly higher risk of TB. Some people are more
More informationHealth Protection Agency position statement on the use of Interferon Gamma Release Assay (IGRA) tests for Tuberculosis (TB)
Health Protection Agency position statement on the use of Interferon Gamma Release Assay (IGRA) tests for Tuberculosis (TB) Draft Interim HPA Guidance HPA Tuberculosis Programme Board Health Protection
More informationGuidelines for Tuberculosis Control in New Zealand 2010 Chapter 8: Diagnosis and Treatment of Latent Tuberculosis Infection
Guidelines for Tuberculosis Control in New Zealand 2010 Chapter 8: Diagnosis and Treatment of Latent Tuberculosis Infection Ministry of Health. 2010. Guidelines for Tuberculosis Control in New Zealand
More informationDiagnosis of Tuberculosis Infection
Diagnosis of Tuberculosis Infection CONTENTS Introduction... 7.2 Purpose... 7.2 Policy... 7.2 High-Risk Groups... 7.3 Diagnosis of Tuberculosis Infection... 7.4 Interferon gamma release assays... 7.4 Mantoux
More informationDATA MANAGEMENT STRATEGIES IN COMPLEX INVESTIGATIONS
DATA MANAGEMENT STRATEGIES IN COMPLEX INVESTIGATIONS Kristy M. Bolen, MPA Senior Regional Epidemiologist May 7, 2013 OBJECTIVES Ways to manage data during a complex investigation Including data collection
More informationJoint MSPAS/MPH Student Health and Immunization Clearance Requirements Effective October 2014
Joint MSPAS/MPH Student Health and Immunization Clearance Requirements Effective October 2014 Students must remain in compliance throughout enrollment within the program. Students who are not in compliance
More informationMaryland County Health Department Tuberculosis Infection Control Plan
Maryland County Health Department Tuberculosis Infection Control Plan Introduction In 1998, the Division of TB Control developed a Tuberculosis (TB) Prevention Plan template for use by the local health
More information4/25/2016. Transplant Journey. Objectives. Reason for Transplantation at Mayo Clinic. Mayo Clinic Model of Care
Transplant Journey Lynette Fix, RN, BAN, CCTC Objectives Identify key components of transplant evaluation process Identify the patient follow-up process Describe diseases indicated for transplantation
More informationObjectives. Tuberculosis and Diabetes Challenges and Outcomes 3/23/2015. Global Tuberculosis Epidemiology 2013
Objectives Tuberculosis and Challenges and Outcomes Felicia Dworkin, MD Deputy Director of Medical Affairs Bureau of TB Control New York City Department of Health & Mental Hygiene World TB Day March 15
More informationInterim Guidance for Medical Schools on health checks for active and latent Tuberculosis in medical students returning from elective periods overseas
Interim Guidance for Medical Schools on health checks for active and latent Tuberculosis in medical students returning from elective periods overseas This document has been developed by: Dr Mathina Darmalingam
More informationSelf-Study Modules on Tuberculosis
Self-Study Modules on Tuberculosis Treatment of Latent Tuberculosis Infection and Tube rc ulos is Disease U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National
More informationRecommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet
Recommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet The Facility TB Risk Assessment Worksheet, developed by the Centers for Disease
More informationOverview of Vital Records and Public Health Informatics in CDPH
Overview of Vital Records and Public Health Informatics in CDPH Este Geraghty, MD, MS, MPH/CPH, FACP, GISP Deputy Director, Center for Health Statistics and Informatics California Department of Public
More informationFrequently Asked Questions
Frequently Asked Questions QuantiFERON -TB Gold Health Professionals www.quantiferon.com 2 FAQ - Health Professionals Table of contents About TB 6 What is latent TB? And how is it different from active
More informationJoint MSPAS/MPH Student Health and Immunization Clearance Requirements Effective February 2016
Joint MSPAS/MPH Student Health and Immunization Clearance Requirements Effective February 2016 Students must remain in compliance throughout enrollment within the program. Students who are not in compliance
More informationTranscript: The Impact of the Patient Protection and Affordable Care Act on Tuberculosis Control
Transcript: The Impact of the Patient Protection and Affordable Care Act on Tuberculosis Control Christine S. Ho, M.D., M.P.H. Medical Officer, Centers for Disease Control and Prevention The Affordable
More informationChapter 1 Overview of Tuberculosis Epidemiology in the United States
Chapter 1 Overview of Tuberculosis Epidemiology in the United States Table of Contents Chapter Objectives.... 1 Progress Toward TB Elimination in the United States.... 3 TB Disease Trends in the United
More informationKidney Transplantation and Cancer - A Review
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: renal_kidney_transplantation 4/1980 4/2016 4/2017 4/2016 Description of Procedure or Service A kidney transplant
More informationChallenges in Pediatric Tuberculosis. Mimi Emig, MD Spectrum Health Kent County Health Department
Challenges in Pediatric Tuberculosis Mimi Emig, MD Spectrum Health Kent County Health Department Pediatric Tuberculosis: A Missed Public Health Opportunity Mimi Emig, MD Spectrum Health Kent County Health
More informationPolicy Number 3.16. Date Filed. Subject
Total s KENTUCKY CORRECTIONS Policies and Procedures Date Filed 5 Authority/References P & P ACA Standard 3A-03 ACA 2-CO-1C-19 Subject * EMPLOYEE HEALTH ISSUES I. DEFINITIONS "Employee emergency healthcare"
More informationGuidelines for Tuberculosis Control in New Zealand 2010 Chapter 10: Tuberculosis Control in People from Countries with a High Incidence of
Guidelines for Tuberculosis Control in New Zealand 2010 Chapter 10: Tuberculosis Control in People from Countries with a High Incidence of Tuberculosis Ministry of Health. 2010. Guidelines for Tuberculosis
More informationTB in Refugees and Immigrants. Dora Marrufo, RN, BSN Delphina Sánchez, MA March 17, 2015
TB in Refugees and Immigrants Dora Marrufo, RN, BSN Delphina Sánchez, MA March 17, 2015 TB Nurse Case Management March 17 19, 2015 San Antonio, Texas EXCELLENCE EXPERTISE INNOVATION Dora Marrufo, RN, BSN
More informationUsing a Survey to Assess LTBI in Foreign-Born College Students in the Southeastern Pennsylvania / Philadelphia Metropolitan Area
Using a Survey to Assess LTBI in Foreign-Born College Students in the Southeastern Pennsylvania / Philadelphia Metropolitan Area by Sean Kerry Walter June 2011 A Community Based Master s Project presented
More informationLatent Tuberculosis Infection: A Guide for Primary Health Care Providers
Latent Tuberculosis Infection: A Guide for Primary Health Care Providers A B Latent Tuberculosis Infection: A Guide for Primary Health Care Providers U.S. Department of Health and Human Services Centers
More informationTuberculosis Transmission in Households and Communities
Tuberculosis Transmission in Households and Communities Christopher C. Whalen, M.D., M.S. Department of Epidemiology and Biostatistics 2008, The University of Georgia. All rights reserved. Model for M.
More informationPregnancy and Tuberculosis. Information for clinicians
Pregnancy and Tuberculosis Information for clinicians When to suspect Tuberculosis (TB)? Who is at risk of TB during pregnancy? Recent research suggests that new mothers are at an increased risk of TB
More informationANNOUNCEMENTS. Navy and Marine Corps Public Health Center 0
ANNOUNCEMENTS All participants must register for the Monthly Disease Surveillance Trainings in order for us to provide CMEs/CNEs: 1. Log-on or Request log-on ID/password: https://tiny.army.mil/r/zb8a/cme
More informationPhiladelphia TB Newsletter
Philadelphia Department of Public Health Philadelphia TB Newsletter Volume 6, 6, Issue Issue 1 1 WORLD TB DAY EDITION Spring 2012 500 S. Broad Street, 2nd Floor Philadelphia, PA 19146 Michael Nutter Mayor
More informationSFHRenTP14 Help the patient develop approaches to lifestyle and health management
Help the patient develop approaches to lifestyle and health Overview This standard is about working together with the recipient not only to adopt the principles of healthy living, but specify strategies
More informationCommonly Asked Questions About Chronic Hepatitis C
Commonly Asked Questions About Chronic Hepatitis C From the American College of Gastroenterology 1. How common is the hepatitis C virus? The hepatitis C virus is the most common cause of chronic viral
More informationRecommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965
Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 MMWR August 17, 2012 Prepared by : The National Viral Hepatitis Technical Assistance Center
More informationFEDERAL BUREAU OF PRISONS REPORT ON INFECTIOUS DISEASE MANAGEMENT
FEDERAL BUREAU OF PRISONS REPORT ON INFECTIOUS DISEASE MANAGEMENT What is the purpose of this report? The purpose of this report is to present the administrative policies and clinical guidelines for the
More informationDRAFT FOR CONSULTATION
Interferon Gamma Release Assay (IGRA) testing for tuberculosis (TB) - Questions & Answers (Q&As) For Health Care Workers HPA Tuberculosis Programme Board DRAFT FOR CONSULTATION October 2007 Interferon
More informationScreening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults)
Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults) H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg
More informationDisegion and the Hepatitis B HPV Vaccine - A Comparison
Awareness, Priorities and Action among Diabetes Educators and Adults with Diabetes A Report by the American Association of Diabetes Educators and GSK 1 I. Overview The hepatitis B virus (HBV) remains a
More informationChapter 8 Community Tuberculosis Control
Chapter 8 Community Tuberculosis Control Table of Contents Chapter Objectives.... 227 Introduction.... 229 Roles and Responsibilities of the Public Health Sector Providers.... 229 Roles and Responsibilities
More informationMay 2015. Jennie Ho, M.D. Director, Student Health Services. 757 College Way, Claremont, CA 91711 (909) 621-8222 (909) 621-8472 F
May 2015 Dear Claremont Colleges Student: Congratulations and welcome to The Claremont Colleges (TCC) and your Student Health Services! Attached is your Entrance Personal Health History/Medical Examination
More informationNew Jersey Department of Health and Senior Services. Standards of Care for Tuberculosis Disease and Latent TB Infection
New Jersey Department of Health and Senior Services Standards of Care for Tuberculosis Disease and Latent TB Infection Tuberculosis Medical Advisory Board March 2007 Table of Contents Standard # 1: Diagnosis
More informationNational Health Burden of CLD in Italy
National Health Burden of CLD in Italy 11,000 deaths due to liver cirrhosis or HCC in 2006 Direct costs for the National Health System for treating CLD patients: 420 M / year for hospital care 164 M /
More informationSeptember 17, 2010. Dear Secretary Sebelius:
September 17, 2010 Secretary Kathleen Sebelius Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 RE: Comments on OCIIO- 9992- IFC, Interim
More informationBeth Israel Deaconess Medical Center Employee Occupational Health Service Manual
Beth Israel Deaconess Medical Center Employee Occupational Health Service Manual Title: PRE-PLACEMENT SCREENING OF EMPLOYEES, MEDICAL STAFF, VOLUNTEERS, AND CONTRACT PERSONNEL Policy #: PM-19 Purpose:
More informationThe Impact of the ACA and USPSTF Grade Change on Coverage of HIV Testing
The Impact of the ACA and USPSTF Grade Change on Coverage of HIV Testing Lindsey Dawson Public Policy Associate United States Conference on AIDS New Orleans, LA September 9, 2013 Coverage of Preventive
More informationPatient Education CONTENTS. Introduction... 12.2
CONTENTS Introduction... 12.2 Purpose... 12.2 General Guidelines... 12.3 Language and Comprehension Barriers... 12.4 Education Topics... 12.5 Medical Diagnosis... 12.5 Contact Investigation... 12.6 Isolation...
More informationMEMO. Prevention Partnership Providers and Local Public Health Units. Vaccines for Children Coordinator. New Hib Vaccine Available
MEMO TO: FROM: RE: Prevention Partnership Providers and Local Public Health Units Tatia Hardy Vaccines for Children Coordinator New Hib Vaccine Available DATE: October 12, 2009 The Food and Drug Administration
More informationLEARNING OUTCOMES. Identify children at risk of developing TB disease. Correctly manage and refer children suspected of TB. Manage child contacts
TB in Children 1a TB IN CHILDREN 2 LEARNING OUTCOMES Identify children at risk of developing TB disease Correctly manage and refer children suspected of TB Manage child contacts 3 TB Infection and Disease
More informationRefugees with diabetes mellitus have higher prevalence of latent tuberculosis infection
Refugees with diabetes mellitus have higher prevalence of latent tuberculosis infection Matthew Magee Division of Epidemiology and Biostatistics School of Public Health, Georgia State University Saturday,
More informationCOMMUNICABLE DISEASE
Public Health Activities & Services Inventory Technical Notes COMMUNICABLE DISEASE CLINICAL SERVICES, SURVEILLANCE AND CONTROL In 2014, decision was made to adopt number of national public health activities
More informationImmunization Information for Blinn College Students
1 Immunization Information for Blinn College Students *Important Information Regarding the Bacterial Meningitis Vaccine* The State passed Senate Bill 1107 in 2011 and recently Senate Bill 62 in 2013, which
More informationTuberculosis Case Management for Undocumented and Deportable Inmates/Prisoners/Detainees in Federal Custody
Background Federal Bureau of Prisons (BOP) Tuberculosis Case Management for Undocumented and Deportable Inmates/Prisoners/Detainees in Federal Custody Federal Bureau of Prisons (Department of Justice)
More informationTuberculosis Screening and Targeted Testing of College and University Students
APRIL 2016 ACHA Guidelines Tuberculosis Screening and Targeted Testing of College and University Students Purpose Screening and targeted testing for tuberculosis (TB) is a key strategy for controlling
More informationPANCREAS, PANCREAS-KIDNEY, SEGMENT OF PANCREAS AND ISLET PANCREATIC TISSUE TRANSPLANTATION SUR703.013
PANCREAS, PANCREAS-KIDNEY, SEGMENT OF PANCREAS AND ISLET PANCREATIC TISSUE TRANSPLANTATION SUR703.013 COVERAGE: A simultaneous or combined pancreas-kidney transplant (SPK) from a cadaver donor or a simultaneous
More informationOAKLAND UNIVERSITY SCHOOL OF NURSING Instructions for completing the Clinical Health Requirements
OAKLAND UNIVERSITY SCHOOL OF NURSING Instructions for completing the Clinical Health Requirements Submission Deadline Dates for NEW Accelerated Second Degree and NEW Basic-BSN students Semester Admitted
More informationTuberculosis Contact Investigation in a Renal Dialysis Center: Blood Vs. Skin test
Tuberculosis Contact Investigation in a Renal Dialysis Center: Blood Vs. Skin test Kevin L. Winthrop M.D., M.P.H. Assistant Professor of Medicine Divisions of Infectious Diseases and Public Health and
More informationTuberculosis. TB the disease, its treatment and prevention
Tuberculosis TB the disease, its treatment and prevention Tuberculosis TB (tuberculosis) is an infectious disease that usually affects the lungs, although it can affect any part of the body. About 150
More informationECDC GUIDANCE. Management of contacts of MDR TB and XDR TB patients. www.ecdc.europa.eu
Management of contacts of MDR TB and XDR TB patients www.ecdc.europa.eu Management of contacts of MDR TB and XDR TB patients The content of this guidance was developed by the European Centre for Disease
More information