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TB Notes 3, 2004


Respiratory Protection Program Offered by the
TB Resource and Education Center, Texas

The Tuberculosis Resource and Education Center (TBREC), an affiliate of the Texas Department of Health (TDH), Texas Center for Infectious Disease, is pleased to introduce a new training program related to respiratory protection for health care workers involved with the care of TB patients. The first presentation of the “Respiratory Protection Program” was piloted in San Antonio, Texas, on April 30, 2004.

The program addressed all required components of a comprehensive respiratory protection program as outlined by CDC, OSHA, and NIOSH. The program contained presentations and discussions on the components of a respiratory protection program such as responsibility, selection of respirators, employee education, medical evaluation, fit-checking and fit-testing, maintenance, cleaning and storage of respirators, record keeping, and program evaluation, including written policies and annual review, and monitoring the use of respirators. The program also included an overview of engineering and administrative controls. Methods of presentation included video presentations as well as a hands-on practicum that enabled the participants to practice the qualitative fit-test procedure.

Participants were provided with enduring educational materials including manuals, videos, presentation outlines, and a CD-ROM containing two PowerPoint presentations that will enable participants to train their staff; a sample medical evaluation form; the fit-test procedure and fit-test worksheet; and suggested policy templates related to employee training, medical evaluation, selection of respirators, fit-check and fit-testing procedures, and maintenance and storage of respirators. Target audiences for this program include TB Program Managers and Respiratory Protection Administrators.

For further information about the TB Resource and Education Center and its courses please visit the TBREC website:

Reported by Faye McCarthy, RN, Todd Braun, RN, BSN, MPH,
Jean Montgomery,RN, MSN, and Stephanie Ott
TB Resource and Education Center
Texas Department of Health (TDH)/Texas Center for Infectious Disease

Products from the New Jersey Medical School
National TB Center

The following are new and updated products from the New Jersey Medical School National Tuberculosis Center. They may be downloaded from the Center's website at or ordered by calling (973) 972-0979.

Treatment of Tuberculosis:  Standard Therapy for Active Disease in Adults - Revised 2004
This pocket-sized card for clinicians provides information on standard anti-TB therapy for active disease, including dosages, daily and intermittent regimens, side effects, treatment information, and pictures of first-line drugs. The card is based on the 2002 official joint statement of CDC, the American Thoracic Society, and the Infectious Diseases Society of America.

Treatment of Tuberculosis:  Standard Therapy for Active Disease in Children & Adolescents
This card provides the same information as the adult card (see above), but is specific to the treatment of pediatric tuberculosis. The card is based on the 2002 official joint statement of CDC, the American Thoracic Society, and Infectious Diseases Society of America, as well as on the American Academy of Pediatrics 2003 Red Book: Report of the Committee on Infectious Diseases.

Treatment of Tuberculosis in Adult and Adolescent Patients Co-Infected with the Human Immunodeficiency Virus (HIV) -  Revised 2004
This pocket-sized drug card for clinicians provides information on treatment options and recommendations for the co-infected patient, including drug interactions and side effects.

TB & Cultural Competency: Notes from the Field
This newsletter provides suggestions for culturally proficient skills development and an ongoing forum for continued learning for those working in TB control. The newsletter includes relevant cases, articles, and resources around culturally competent health care with a focus on TB.  The debut issue was released this past June, and is available in both print and electronic formats.

TB Field Investigation: A Resource for the Health Care Worker
This resource outlines the TB field investigation process as it relates to pre-investigation preparation, communication with individuals in the field, confidentiality, field safety, and working with community providers. An accompanying checklist, which can be used during field work, highlights essential points from the manual.

Performance Guidelines: A Supervisor’s Guide for the Development and Assessment of Field Investigation Skills
This manual provides supervisors with methods for training and tools to assess field investigation skills of health care workers including ability to set priorities, locate patients, and provide motivation and education to ensure medical evaluation, use appropriate investigation techniques, and conduct investigations in a timely manner. 

—Submitted by Nisha Ahamed, Rajita Bhavaraju,
and Lauren Moschetta

New Jersey Medical School TB Center


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

Please send comments/suggestions/requests to:, or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333