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U.S. Department of Health and Human Services

  

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TB Notes 2, 2002

Personnel Notes

Jacob Creswell, MPH, has joined DTBE as a CDC Foundation fellow with the Communications and Education Branch (CEB). Jacob began working in CEB on February 20, 2002, and will be working for the next 2 years on PARTNERS TB control activities in Peru. The PARTNERS activities project is a collaborative effort to strengthen the strategies for treatment of multidrug-resistant TB (MDR TB) in Peru. Jacob has a B.A. in Latin American Studies and Government from Wesleyan University and an MPH from Yale University. Most recently, Jacob worked as a Health Care Analyst for the Evaluation Research Section, Division of Adolescent and School Health at CDC. He was also a Health Communications Fellow in the Special Pathogens Branch in the National Center for Infectious Diseases. Jacob is fluent in Spanish and has worked in various settings in Latin America.

Tracina Cropper has been selected for the public health advisor position in Philadelphia, Pennsylvania. Tracina began her career in public health on September 23, 1991, when she joined CDC as a public health associate with the Division of Sexually Transmitted Diseases (STD) and was assigned to the STD Disease Intervention Specialist training center in Decatur, Georgia. In October 1992, she was assigned to the Philadelphia STD program as a public health advisor/disease intervention specialist. Tracina’s interest in TB control led her to leave CDC and join the City of Philadelphia TB control program in February 1998 where she rapidly advanced to the position of outreach team leader. Tracina began her DTBE assignment on December 17, 2001.

Alstead Forbes has been selected as a Field Services Branch (FSB) program consultant. Al began his CDC career in February 1993 as a public health associate assigned to the New York City (NYC) Department of Health Bureau of TB Control. He was promoted twice and given increased responsibilities in the high-morbidity areas of Upper Manhattan and Brooklyn. In April 1997 he was promoted and transferred to the New Jersey Department of Health and Senior Services TB Program, where he served as the assistant to the senior public health advisor. While in New Jersey he assisted TB program officials by providing consultation and technical assistance in program planning, coordination, operations, training, administration, and evaluation. In January 1999, Al was again promoted on his selection as the assistant TIMS project manager in the Computer and Statistics Branch (CSB) in DTBE. In that position he provided technical assistance and training to TIMS users nationwide. He maintained appropriate and effective communication with DTBE staff who were directly or indirectly involved with TIMS. He worked closely with the Surveillance and Epidemiology Branch (SEB) regarding the interface of TB surveillance data, and with the FSB program consultants regarding resource needs and management problems. He reported to FSB on December 4, 2001.

Thomas R. Frieden, MD, MPH, formerly a medical epidemiologist with CDC, has been appointed Commissioner of the New York City (NYC) Department of Health. Tom served as an Epidemic Intelligence Service (EIS) Officer with CDC from 1990 to 1992. In 1992, he was hired as a Medical Officer, Field Services Branch, DTBE, and assigned to the New York City Department of Health where he was appointed Director of the Bureau of TB Control and Assistant Commissioner of Health. From 1992 to 1996 he successfully directed NYC’s effort to control its multidrug‑resistant TB epidemic. In 1996, in response to a request from the Global Tuberculosis Programme of the World Health Organization (WHO), Tom was assigned on temporary duty from DTBE to the WHO’s Southeast Asia Regional Office in New Delhi to assist WHO in the implementation of improved TB control programs in the region. Tom's efforts focused on TB control in India, a country which has nearly one quarter of the world’s TB burden. Since 1996, with support from Tom, India raised more than $200 million in concessional loan and grant support from the World Bank and bilateral donors, and adapted and expanded its TB control program to cover more than 440 million people. Currently, the program places more than 1,300 TB patients on treatment every day. From 1996 to 2000, the program treated more than 500,000 TB patients, saving more than 80,000 lives. During his time in India, Tom was able to develop consensus and persuade others to move toward a unified vision of TB control. Using his epidemiological background and communication skills, he convinced local doctors to analyze their data and apply the data in making programmatic decisions. He appropriately focused on capacity-building and helped train about 40 Indian doctors using EIS-style methods. In 1996, when he arrived in India, the country had limited laboratory services and training manuals; by the year 2000, high-quality laboratory services and equipment had been ensured, nearly 1 million copies of technical documents have been distributed to health workers, and modules are in place for training TB control officers and others. Local managers have also been recruited, trained, and supervised, enabling them to further support the program and build capacity at district and state levels. In addition to the programmatic challenges, Tom and his staff frequently met physically threatening situations along dangerous roads, such as the threat of guerilla assaults. Despite these obstacles and challenges, Tom successfully assisted India in developing a world‑class TB control program that now covers over 40% of the nation.

Darryl Hardge joined the team of program consultants in the Field Services Branch of DTBE on January 13, 2002. Darryl came to work for CDC in May 1991 as a public health associate in the Division of Sexually Transmitted Diseases (STD) assigned to the Division's Disease Intervention Specialist (DIS) training center in Decatur, Georgia. In 1992 Darryl was reassigned to Milwaukee, Wisconsin, as a DIS working in high-morbidity areas. From January to February 1996, he had a temporary assignment in Baltimore, assisting the STD program with an outbreak. In 1996 Darryl became a lead worker supervising six other Disease Intervention Specialists. In October 1997, Darryl joined DTBE as the Assistant Program Manager for Louisiana's TB Program, under the supervision of Scott Jones, the senior PHA and administrator of the program. Darryl assisted in evaluating and resolving programmatic issues, and consulted with private/public organizations on the guidelines that pertain to TB infection and disease. He assisted in the development of the annual cooperative agreement. He also managed the directly observed therapy (DOT) incentive program. In November 1998, when Scott was reassigned to DTBE headquarters as a program consultant, Darryl assumed a number of Scott's duties. During that time Darryl was again promoted. In May 1999, he was assigned to the Baltimore TB program as the program manager. He was responsible for all management decisions, and for collaborative activities with community leaders, area university schools of medicine, public/private service providers, and other key persons and agencies. During this assignment, Darryl lead the program through two large and difficult outbreaks. Recently, Darryl was on a temporary assignment in Washington, D.C., helping with CDC's effort to respond to the anthrax attacks.

Susan Lippold, MD, MPH, joined the DTBE Field Services Branch on January 2, 2002, and is the new Medical Director of the Chicago TB Program. Susan will have overall responsibility for the program, with key administrative, clinical, and programmatic management officials as direct reports. Susan comes to CDC from the Health Resources and Services Administration, where she worked as a project officer in the areas of homeless services and health care access and quality issues. She is a graduate of Williams College, attended the Uniformed Services University of the Health Sciences (medical school), has an MPH in epidemiology from Yale, and trained in general internal medicine at the University of Washington. Susan worked in Santa Fe, New Mexico, for two and a half years as a general internist in the Indian Health Service and at Cook County Hospital in Chicago. For the last 2 years she volunteered in the Englewood TB Clinic in Chicago and is known to many of the staff serving Chicago’s South Side. In addition to her excellent credentials, Susan brings to the position a strong background and interest in general internal medicine. She also brings experience living and working in a variety of cultures in and out of the United States, increasingly important assets as we address an increasing proportion of TB cases in foreign-born communities and attempt to increase treatment of latent TB infection in primary care settings.

Stan Akiyoshi Morita retired from CDC on January 3, 2002. Stan joined CDC and was assigned to Alameda, California, on January 24, 1971. In November 1972, he transferred to the San Francisco Sexually Transmitted Disease (STD) program and soon transferred with promotion to the Reno, Nevada, STD program. He then joined the Division of TB Control and was promoted again upon transfer to Brooklyn, New York, in September 1975. He stayed in DTBE until retirement, with assignments to New York City, with promotion, in September 1978; to Baltimore, Maryland, in December 1979; to Honolulu, Hawaii, in October 1983; and in February 1988, to the State of California in the city of Sacramento. Many low-morbidity areas experience staff turnover; Stan shared his wealth of programmatic experience with these areas and was instrumental in training new staff during times of transition. He took great pride in his legacy of teaching. Stan helped numerous areas develop new staff with the important skills necessary to conduct TB prevention and control. In California, Stan not only taught courses that were offered at the Francis Curry National TB Center in San Francisco, but at various other locations throughout the state. With the California “Local Assistance Branch,” Stan worked on numerous TB outbreaks and helped guide a number of special projects and initiatives through to completion. He consistently showed an outstanding ability to interact and establish a strong positive working relationship with his fellow workers as well as with other staff of local health jurisdictions, private and public health care providers, and the state health department. In the fall of 1999, Stan became the State TB Branch local jurisdiction liaison for the 41 low-morbidity health jurisdictions. He demonstrated his ability to collaborate with other entities during the implementation of the first Northern California Regional Corrections Work Group. Later, while working with the California TB Controller, Stan was very involved in developing innovative approaches to accomplish goals and objectives consistent with California’s new Tuberculosis Indicators Project (TIP), within areas of low morbidity throughout the state. In this manner, the California TB Control Branch was able to unveil a plan to work with and address the needs of the whole state in a new and more efficient manner.

Dawn Tuckey was selected for a program consultant position at DTBE headquarters, reporting on January 13, 2002. Dawn started her CDC career in 1985 as a public health associate assigned to the North Carolina Sexually Transmitted Disease (STD) control program. She also held STD positions in Washington, D.C., and Philadelphia, Pennsylvania. Dawn joined DTBE in July 1990 assigned to New York City as the clinic manager for three city TB clinics. In 1993, she took a senior public health advisor position in Wisconsin, where she was the TB program director until 1997. Dawn was given the lead for developing, implementing, and evaluating initiatives and programs, and designing local health department infrastructure changes to better respond to the new programs. She also took the lead in the development of the annual cooperative agreement. In 1997, she accepted a position in Washington, D.C., with the Division of Diabetes Translation where, as program manager, she directed programmatic, fiscal, and personnel activities targeted to reduce the burden of diabetes in the District. In 1999, Dawn rejoined DTBE in Philadelphia as the senior program advisor to the TB controller. Her duties included assessing programs, assisting local management officials in preparing and managing the program budget and cooperative agreement mechanism, and providing oversight and consultation on the use of local program staff.

 


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