63 rd Annual TB/RD INSTITUTE. TB Elimination: One Step at a Time. Presented by. August 12 13, 2014



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63 rd Annual TB/RD INSTITUTE TB Elimination: One Step at a Time Presented by August 12 13, 2014 Raleigh Marriott Crabtree Valley 4500 Marriott Drive Raleigh, NC 27612 Purpose: To provide continuing education in the form of current diagnostic, management and research concepts as presented by local and regional experts. Audience: Physicians, nurses, and other public health professionals working towards the elimination of tuberculosis in the United States. Tuesday, August 12, 2014 7:30 a.m. Continental Breakfast PROGRAM AGENDA 7:30 a.m. 3:00 p.m. Registration Desk Open 8:30 a.m. 8:45 a.m. Announcements and Welcome Evelyn Foust, MPH, CPM Branch Head NC Communicable Disease Branch 8:45 a.m. 9:30 a.m. The Herman F. Easom Distinguished Lecture: Moving Forward to TB Elimination: What is NTCA Doing? Donna Wegener, MA Executive Director National TB Controllers Association 9:30 a.m. 9:45 a.m. Break 9:45 a.m. 10:45 a.m. TB Radiology Philip Goodman, MD Professor of Radiology 10:45 a.m. 10:50 a.m. Instant Recess

10:50 a.m. 11:50 a.m. Why Does TB Go Where it Goes? David M. Tobin, PhD 11:50 a.m. 1:25 p.m. Lunch (on your own) 1:25 p.m. 2:25 p.m. Complicated TB Nursing Case Presentations: A Multi-County TB Contact Investigation Susan Cardwell, RN, BSN Guilford County Health Department Breanne Watson, RN Alex Pruitt, RN 2:25 p.m. - 2:30 p.m. Instant Recess An Investigation of TB in a Prison Gina Frazier, RN, BSN Teresa Stallings, RN 2:30 p.m. 3:15 p.m. IGRAs and TSTs, What a Bear, Oh My! Wake County TB Clinician, NC TB Medical Director 3:15 p.m. 3:30 p.m. Break 3:30 p.m. 4:30 p.m. Use of New Treatment Protocols for Latent TB Infection in Corrections Paula Smith, MD Chief of Health Services NC Department of Public Safety 4:30 p.m. 5:00 p.m. Ask the Expert (Questions submitted at registration) Wake County TB Clinician, NC TB Medical Director 5:00 p.m. Adjourn

7:00 p.m. 9:00 p.m. Networking Social Call the Midwife TV Series, an Episode about TB TB Themed Music by Kristy Wilkins, Country Music Singer Herman Easom, MD Distinguished Lecture Dr. Herman Easom devoted most of his professional and personal life to the prevention of lung disease, particularly tuberculosis, silicosis and asbestosis. Through his quiet efforts, lasting more than seven decades, the quality of life improved for many North Carolinians. This named lecture acknowledges his contributions and assures their remembrance a legacy for the future. His career was legendary in North Carolina public health. He served as Director of the state Occupational Health Department from 1935 to 1944, working here from its inception in the 1930s through the program s end in 2000. Dr. Easom served as Chest Consultant and Chair of the Advisory Medical Committee for the Dusty Trades Program, Occupational Surveillance Unit. He was the Clinic Physician and Medical Director of the N.C. Sanatorium in Eastern N.C. from 1942 to 1975, and served as a volunteer and held the office of President of the American Lung Association of N.C., Tar River Region and the State Board, volunteering from 1948 to 1986. Until the age of 100, he read x-rays for the TB Control Program twice a month for more than 60 years. Born on October 4, 1902, he was the longest serving public health employee in North Carolina, passing away on December 16, 2005, in Wilson County at the age of 103. Wednesday, August 13, 2014 8:00 a.m. 8:30 a.m. Continental Breakfast 8:00 a.m. 8:30 a.m. Registration 8:30 a.m. 9:30 a.m. Infections in the Movies: Fact or Fiction David Weber, MD, MPH Professor of Medicine, Pediatrics and Epidemiology University of North Carolina Chapel Hill 9:30 a.m. 9:35 a.m. Instant Recess 9:35 a.m. 10:05 a.m. TB After the 2011 Great East Japan Earthquake Hajime Kanamori, MD, PhD, MPH Hospital Epidemiology University of North Carolina Health Care 10:05 a.m. 10:20 a.m. Break 10:20 a.m. 11:20 a.m. TB in Older Patients Lara Beth Gadkowski, MD, MPH, MS Eastern Virginia Medical School TB Consultant, Virginia Department of Health 11:20 a.m. 12:05 p.m. TB and Smoking Ashley Natad, RN, MSN Nurse-Family Partnership Wake County Human Services 12:05 p.m. 1:30 p.m. Lunch (on your own) 1:30 p.m. - 2:30 p. m. Complicated TB Medical Case Presentations

A MDR Case Lara Beth Gadkowski, MD, MPH, MS Eastern Virginia Medical School TB Consultant, Virginia Department of Health A Health Department Case Arlene Sena, MD, MPH, UNC Chapel Hill Medical and Laboratory Director Durham County Department of Health 2:30 p.m. 3:30 pm. Choosing the Appropriate Latent TB Infection Treatment Option David Holland, MD, MHS Division of Infectious Disease Duke University Medical School Medical Consultant, NC TB Control Program 3:30 p.m. 3:45 p.m. Discussion and Evaluations 3:45 p.m. 4:00 p.m. Closing Remarks Wake County TB Clinician, NC TB Medical Director 4:00 p.m. Adjourn Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Duke University School of Medicine and the American Lung Association in Florida. The Duke University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation The Duke University School of Medicine designates this live activity for a maximum of 11.75 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Continuing education credit will be provided through the Public Health Nursing and Professional Development (PHNPD) Unit. Public Health Nursing and Professional Development, Department of Health and Human Services, is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. CONTINUE TO Faculty & Planning Committee Listing.....

63 rd TB/RD INSTITUTE FACULTY Opening Speaker to welcome: Evelyn Foust, MPH, CPM Branch Head, Communicable Disease/Epidemiology Section NC Division of Public Health evelyn.foust@dhhs.nc.gov Donna Wegener, MA Executive Director National TB Controllers Association dhwegener@tbcontrollers.org Philip Goodman, MD Professor of Radiology Phillip.goodman@duke.edu David M. Tobin, PhD David.tobin@duke.edu Susan Cardwell, RN, BSN Guilford County Health Department SCAREDWE@co.guilford.nc.us Breanne Watson, RN watsonb@co.sunny.nc.us Alex Pruitt, RN pruitta@co.surry.nc.us Gina Frazier, RN, BSN Gina.Frazier@ncdps.gov Teresa Stallings, RN Teresa.Stallings@ncdps.gov Wake County TB Clinician, NC TB Medical Director stout002@mc.duke.edu Paula Smith, MD Chief of Health Services NC Department of Public Safety Paula.Smith@ncdps.gov David Weber, MD, MPH Professor of Medicine, Pediatrics and Epidemiology University of North Carolina Chapel Hill dweber@unch.unc.edu Hajime Kanamori, MD, PhD, MPH Hospital Epidemiology University of North Carolina Health Care kanamori@med.tohoku.ac.ip Lara Beth Gadkowski, MD, MPH, MS Eastern Virginia Medical School TB Consultant, Virginia Department of Health Beth.gadowski@yahoo.com Ashley Natad, RN, MSN Nurse-Family Partnership Wake County Human Services ashley.edwards@wakegov.com Arlene Sena, MD, MPH, UNC Chapel Hill Medical and Laboratory Director Durham County Department of Health asena@dconc.gov David Holland, MD, MHS Division of Infectious Disease Duke University Medical School Medical Consultant, NC TB Control TB Program David.p.holland@duke.edu

63 rd TB/RD INSTITUTE PLANNING COMMITTEE Debbie Murphy, LPN TB/CD/Adult Immunization Program Nurse Lenoir County Health Department dmurphy@health.co.lenoir.nc.us Ellen Fortenberry, RN, BSN Public Health TB Nurse Consultant NC DHHS/DPH/ EPI/Communicable Disease Branch ellen.fortenberry@dhhs.nc.gov Myra Allen, RN, BSN Public Health TB Nurse Consultant NC DHHS/DPH/EPI/Communicable Disease Branch myra.g.allen@dhhs.nc.gov Gail Finneran, RRT Director of Medical Education Southeast Thoracic Association (SETA) American Lung Association of the Southeast Jacksonville, Florida gfinneran@lungse.org Martha Bogdan President and Chief Executive Officer American Lung Association of the Southeast Jacksonville, Florida mbogdan@lungfla.org (also a speaker) TB Medical Director North Carolina TB Control Program stout002@mc.duke.edu Karen Simpson, MSHSE Director of Education Southeastern National TB Center Karen.Simpson@medicine.ufl.edu Lee Ann Stimpson, RN, BSN TB Control Nurse Forsyth County Health Department stimpsla@forsyth.cc Debbie Bissette, RN Retired TB Nurse, Wake County dbissette@nc.rr.com Gina Frazier, RN, BSN(also a speaker) Nurse Clinician NC Department of Public Safety Gina.Frazier@ncdps.gov Kitty Herrin, PhD Epidemiologist NC TB Control Program Kitty.herrin@dhhs.nc.gov Jamie Watts, RN, BSN TB Nurse Durham County Health Department jwatts@dconc.go