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U.S. Department of Health and Human Services


TB Notes Newsletter

No. 1, 2006


TB ETN Member Highlight

David L. Oeser is a Health Program Representative for TB Control and Missouri’s Refugee Health Coordinator for the Missouri Department of Health and Senior Services.

His job responsibilities include serving as a TB Training Focal Point, Refugee Health Coordinator, and Diagnostic Services Program Manager. He is also responsible for reviewing all latent TB infection reports for appropriate diagnosis and treatment, and providing technical assistance to the state’s Department of Corrections and all local public health agencies in regard to TB and refugee health.

David first learned of TB ETN when he was browsing DTBE’s Internet home page, saw the link for TB ETN, and investigated it. He joined to keep up to date on available TB resources, training, and information. He is also a member of TB ETN’s Communications and Membership Subcommittee. “This is a very valuable resource, and I have gotten a lot of information from TB ETN and wanted to give back by contributing in some way,” David said. He hopes to continue the excellent work accomplished by the members of the Communications and Membership Subcommittee.

He recently completed six TB in-services for all TB staff in the local public health agencies in Missouri. He held a TB Grand Rounds session via Missouri’s Telemedicine Network, during which several difficult TB cases were discussed among nurses, doctors, and other interested personnel.

Annually, David coordinates Missouri’s TB Fortnight activities. Missouri’s TB Fortnight is held during the last 2 weeks of March to raise awareness about TB. David and his coworkers in Missouri conduct seminars, TB Grand Rounds, and radio interviews, and also host a Governor’s Proclamation event. “Missouri has had speakers such as Drs. Michael Iseman and Ram Koppaka at these functions,” he relates.

In his spare time, he enjoys hiking, reading, researching family history, and doing cross stitch and plastic canvas craft work. Interestingly, David came to TB control after a career in the Navy. He retired from the U.S. Navy in 1995 after 25 years of service.

If you’d like to join David as a TB ETN member and take advantage of all TB ETN has to offer, please send an e-mail requesting a TB ETN registration form to You can also send a request by fax at (404) 639-8960 or by mail at TB ETN, CEBSB, DTBE, CDC, 1600 Clifton Rd., N.E., MS E10, Atlanta, Georgia 30333. If you would like additional information about the TB ETN, visit the website at

—Reported by Regina Bess
Div of TB Elimination

Communications and Membership Subcommittee

One of the goals of the TB ETN Communications and Membership Subcommittee during 2005 was to develop new methods for sharing information among members. To that end, the Subcommittee decided to use a Web board hosted by CDC on a trial basis. The Web board is an electronic site for posting messages that members can read when they log in.

On the Web board, a discussion board was created for TB ETN. This discussion board has been open to members of the Communications and Membership Subcommittee on a trial basis starting in February 2005 and to the Cultural Competency subcommittee in May 2005. As part of this trial, three discussion board orientations were conducted to familiarize subcommittee members with this communication tool.

Initial feedback from members of these two subcommittees has indicated that they have found the discussion board difficult to use. Members have also indicated that they prefer to visit the TB ETN website to view subcommittee minutes and to use e-mails for correspondence.

The trial use of the discussion board will continue for several more months. At the end of the trial, a determination will be made about further use of the discussion board. If a decision is made to continue using the discussion board, access to it may be expanded to other subcommittees. If not, the Communications and Membership Subcommittee will explore other ways to improve and expand information dissemination among members.

—Reported by Linette McElroy, R.N.
Vancouver Island Health Authority TB Clinic
Victoria, British Columbia
and Scott McCoy, M.Ed.
Div of TB Elimination

Cultural Competency Subcommittee

The Cultural Competency Subcommittee welcomes Ms. Margaret Rohter, MPH, from the Suburban Cook County TB Sanitarium District to the helm as committee chair, and Mr. Bill Bower from the Charles Felton TB Center in New York as co-chair. In addition to this transition in leadership, the subcommittee is considering changing the day and time of monthly conference calls in an effort to enable more members to actively participate.

During the 2005 Annual TB ETN Meeting in Atlanta, the subcommittee conducted a needs assessment among the meeting attendees. We would like to thank the 47 individuals who took the time to respond. The results were analyzed by Beth Kingdon and presented in a written report. The subcommittee will use the findings from this report as part of their continuing effort to meet the cultural competency needs of the TB ETN membership.

Finally, if you or your colleagues have had a culturally challenging experience that provided professional growth or insight and that you would like to share, the subcommittee encourages you to contact Lauren Moschetta at the New Jersey Medical School National TB Center (NJMS NTBC), by telephone at (973) 972-1261 or by e-mail at Your experience could be presented as a case study in the NJMS NTBC’s Cultural Competency Newsletter.

—Submitted by Joan Mangan, PhD, MST
University of Alabama at Birmingham
Lung Health Center
 Div of Pulmonary, Allergy, and
Critical Care Medicine

Cultural Competency Tip
Accessing, using, and understanding the U.S. health care system is difficult for almost everyone. However, for immigrants new to this country, it can sometimes seem impossible. For some suggestions you can use to make health care in the United States more accessible, usable, and understandable for people new to this country, read “In Other Words…. Communicating about Health with New Immigrants,” an article by Helen Osborne, MEd, OTR/L, President, Health Literacy Consulting, at


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