CDC Logo Tuberculosis Information CD-ROM   Image of people
jump over main navigation bar to content area
TB Guidelines
Surveillance Reports
Slide Sets
TB-Related MMWRs and Reports
Education/Training Materials
Ordering Information


U.S. Department of Health and Human Services

jump over right navigation bar
TB Notes 1, 2000
Where We've Been and Where We're Going: Perspectives from CDC's Partners in TB Control
Changes I've Seen
TB Control in New York City: A Recent History
Not by DOT Alone
Baltimore at the New Millennium
From Crickets to Condoms and Beyond
The Denver TB Program: Opportunity, Creativity, Persistence, and Luck
National Jewish: The 100-Year War Against TB
Earthquakes, Population Growth, and TB in Los Angeles County
TB in Alaska
CDC and the American Lung Association/ American Thoracic Society: an Enduring Public/Private Partnership
The Unusual Suspects
The Model TB Prevention and Control Centers: History and Purpose
My Perspective on TB Control over the Past Two to Three Decades
History of the IUATLD
Thoughts about the Future of TB Control in the United States
Where We've Been and Where We're Going: Perspectives from CDC
Early History of the CDC TB Division, 1944-1985
CDC Funding for TB Prevention and Control
Managed Care and TB Control - A New Era
Early Research Activities of the TB Control Division
The First TB Drug Clinical Trials
Current TB Drug Trials: The Tuberculosis Trials Consortium (TBTC)
TB Communications and Education
TB Control in the Information Age
Field Services Activities
TB's Public Health Heroes
Infection Control Issues
A Decade of Notable TB Outbreaks: A Selected Review
International Activities
The Role of CDC's Division of Quarantine in the Fight Against TB in the U.S.
The STOP TB Initiative, A Global Partnership
Seize the Moment - Personal Reflections
Return to Table of Contents

This is an archived document. The links are no longer being updated.

TB Notes 1, 2000

Field Services Activities

by Patricia M. Simone, MD
Chief, Field Services Branch

In the early 1960s, with the initiation of categorical project grants, the Tuberculosis Branch moved to Atlanta to join CDC, called then the Communicable Disease Center. In 1974, the Tuberculosis Branch became the Division of Tuberculosis Control with two branches: the Program Services Branch (which also contained training and surveillance) and the Research Branch. In 1986, surveillance became a separate branch. The Program Services Branch was reorganized into two sections: the Program Operations Section and the Program Support Section. The Program Operations Section was responsible for providing technical assistance and administering cooperative agreement funding to the state and local TB programs. A team of program consultants served as project officers for the project sites, and field staff were assigned to various state and local TB programs to assist with program implementation. The Program Support Section was responsible for training and educational activities as well as program evaluation through information collected in the Program Management Reports.

Image 1: Logo promoting U.S. TB control staff: CDC DTBE field staff - making a difference.

In 1991, the name of the division changed to the Division of Tuberculosis Elimination. In 1996, the Division of Tuberculosis Elimination was reorganized. The Program Services Branch became the Field Services Branch (FSB). The Program Support Section of the Program Services Branch became the Communications and Education Branch, although the program evaluation activities remained in FSB. The Program Operations Section became two sections, Field Operations Sections I and II, with approximately one half of the project sites covered by each. A medical officer was assigned to each of the new sections to work closely with the program consultants to enhance technical assistance and program evaluation capacity. A third medical officer conducts studies and other activities centered around program evaluation and program operations.

The number of field staff positions grew from a low of 25 in 1980 to over 60 by 1996. In addition to assigning more Public Health Advisors to the project sites for enhanced capacity building, FSB has hired several field medical officers serving as medical epidemiologists and medical directors in various TB project sites. These positions also serve as key training positions to develop TB clinical and programmatic expertise as older TB experts retire. In order to better meet the needs of the larger field staff, the Field Staff Working Group was established to enhance communication between headquarters and the field, and a field staff training and career development coordinator was added to the headquarters staff of FSB.

The last group of persons hired in the Public Health Advisor (PHA) series were recruited in 1993. Through attrition and promotion, the pool of PHAs has continued to diminish without being replenished with new recruits, yet the demand for Public Health Advisors to be assigned to the TB project areas continues. FSB is in the process of completing work on a recruitment and training program for junior-level field staff to be assigned to state and local TB programs.

FSB is looking to the future by continuing to emphasize core TB prevention and control activities, enhancing program evaluation activities to help ensure that programs are as efficient and productive as possible, and working toward TB elimination.


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