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TB Notes 2, 2004
UPDATES FROM THE COMMUNICATIONS, EDUCATION, AND
BEHAVIORAL STUDIES BRANCH
World TB Day 2004
World TB Day is recognized each year on March 24. On this date
in 1882, Dr. Robert Koch announced his discovery of the tuberculosis
(TB) bacillus. Observance of this day is intended to raise awareness
about the devastating health and economic consequences of TB, its
impact on developing countries, and its continued overwhelming impact
on global health.
To assist TB controllers and other partners throughout the United
States in their TB elimination efforts, a variety of updated World
TB Day materials for use in local efforts were produced and distributed.
These updated materials included the following:
“TB Elimination: Now Is the Time” brochure. This
brochure contains key messages about TB not being a disease of the
past, the consequences of neglecting TB control programs, and what
must be done to finish the job of eliminating TB in the United States.
“A Global Perspective on Tuberculosis” fact sheet. This
fact sheet contains historical information on World TB Day, the
impact of TB worldwide, and global TB data.
“TB's Burden in Minorities” fact sheet. This fact sheet
discusses the disproportionate burden of TB in minorities and factors
likely to contribute to this burden.
Additional copies of the posters and fact sheets are still available
in limited quantities by calling the CDC National Prevention Information
Network (NPIN) at 1-800-458-5231 or by visiting their Web site at
The American Lung Association (ALA) and the National Coalition
for the Elimination of Tuberculosis (NCET) collaborated to promote
World TB Day. ALA and NCET released an update of the report, “Tuberculosis
Elimination: The Federal Funding Gap.” The report was presented
at a Congressional briefing in conjunction with World TB Day 2004.
You may obtain a copy of the report at the following Web site: www.lungusa.org/press/association/asn_031904.html
DTBE joined the Tuberculosis Control Section of the Georgia Division
of Public Health in a March 24th World TB Day observance
in Atlanta. Dr. David Satcher, former CDC Director and former Surgeon
General of the United States, was the keynote speaker. Dr.
Satcher’s topic was “TB Health Disparities in Fulton County.” Representing
DTBE on the program was Dr. Zachary Taylor, Chief, Field Services
and Evaluation Branch. The theme of the event was “TB Elimination:
Now Is the Time!”
The Stop TB Partnership Secretariat hosted the second Stop TB
Partners Forum, which was held March 24-26, 2004, in New Delhi,
India. The Forum convened ministerial delegations of the 22
highest TB burden countries, as well as high-level political invitees
from the G-8 countries and all Stop TB partners. The meeting
highlighted progress at the country level and the importance of
private and civil sector involvement. For more information, visit
the Stop TB Partners Forum Web site at
—Reported by Scott McCoy, MEd
Div of TB Elimination
DTBE Convenes TB Behavioral and
Social Science Research Forum
On December 10-11, 2003, the Tuberculosis Behavioral and Social
Science Research Forum, sponsored by CDC and DTBE, was held in Atlanta,
Georgia. The goals of the Forum were to
- Identify and prioritize TB behavioral and social science research
- Contribute to the development of a research agenda for the
U.S.-based research community to guide TB behavioral and social
science research; and
- Develop and enhance partnerships between behavioral and social
science researchers and TB control providers.
The Forum brought together over 60 individuals involved or interested
in TB behavioral and social science research. This included academicians,
researchers, contractors, TB program staff, patients, as well as
representatives from the National TB Controller’s Association, the
TB model centers, and the National Center for HIV, STD, and TB Prevention
and the Division of TB Elimination.
The Forum activities included presentations from academicians
and TB program staff highlighting the contributions that behavioral
and social science research can make to TB prevention and control.
In addition, patients and health care workers shared their experiences
with TB prevention and control activities through a panel discussion.
Another panel discussion addressed the need for and challenges of
translating research into effective practice.
A key activity of the Forum involved convening participants into
“breakout sessions” where they were charged with identifying and
prioritizing behavioral and social science research gaps in the
area of TB elimination and control. DTBE staff are working with
Abt Associates to synthesize the information from the Forum, including
the breakout sessions, to develop a proceedings document.
Another Forum follow-up activity consists of finalizing a literature
review of TB behavioral and social science literature. The data
derived from the literature review will be used in conjunction with
the proceedings of the Forum to develop a research agenda for the
U.S.-based research community to guide future TB behavioral and
social science research.
Finally, a behavioral science electronic mailing list will be established. The
electronic mailing list will provide a means for maintaining the momentum from
the Forum and facilitating ongoing dialogue and consultation among
individuals interested in behavioral and social science issues as
they relate to TB prevention and control.
If you have any questions about the Forum or wish to join the
TB behavioral and social science electronic mailing list, please contact either
Nick DeLuca at (404) 639-8988 or
firstname.lastname@example.org or Robin Shrestha-Kuwahara at (404) 639-8314 or
—Submitted by Nick DeLuca, MA, and
Jane S. Mezoff, DrPH, CHES
Div of TB Elimination
New PDA Application for the Treatment
The May 2000 Institute of Medicine (IOM) report on the status of
TB elimination in the United States highlighted numerous needs in
education and training and provided recommendations in this area
to aid in making U.S. TB elimination a reality. One highlighted
need was that public and private health care provider experience
with assessing and managing TB diagnostic or treatment issues will
decline as the number of TB cases decline. To ensure competency
among health care providers, the report recommended that a variety
of methods be used for education, training, and reference material.
In response to the IOM report and based on recent literature that
shows that health care providers frequently use personal digital
assistants (PDAs) to access medical information, the Division of
Tuberculosis Elimination (DTBE) has developed a PDA application
based on the 2003 Treatment of TB guidelines. This new tool provides
accurate, useful TB treatment information that is readily available
at the point of care. The application can be easily downloaded from
the DTBE’s Web site at www.cdc.gov/tb.
Features of the application include the following:
- An interactive module that captures patient data and evaluates
the need for treatment
- Text-based modules containing information about
- treatment regimens
- antituberculosis drugs
- managing treatment interruptions
Development of the PDA application followed a systematic health
education process that included extensive pretesting with potential
users. After DTBE, the American Thoracic Society (ATS), and the
Infectious Diseases Society of America (IDSA) collaborated to compile
accurate and useful content, a prototype of the application was
developed and pretested with nurses and physicians, i.e., potential
users. The pretest was conducted by observing these users as they
worked through sample scenarios. This process enabled DTBE to identify
ways to improve the application’s design and thereby enhance a user’s
experience. To ensure that the modifications made as a result of
the pretest were effective, additional tests were conducted with
users in both controlled and everyday environments.
Comprehensive pretesting of the PDA application was an essential
component in creating an interactive user-friendly tool for health
care providers to use at the point of care. Please visit DTBE’s
Web site at www.cdc.gov/tb
to download a copy of the application for your PDA. If you have
comments that could help us make the application a more useful tool,
please send comments to email@example.com.
—Reported by Betsy Carter, MPH, CHES
Div of TB Elimination
Your One-Stop Site for TB Education
and Training Resources
Make the TB Education and Training Resources Web Site (www.findtbresources.org)
your one-stop site for TB education and training resources.
The Web site includes a searchable database of materials from numerous
national and international organizations, such as DTBE, the National
Model TB Centers, and the World Health Organization. The ongoing
addition of new materials keeps the database up to date.
Find materials to suit your needs. Use the quick
or advanced search features to find materials. With the advanced
search, you can specify areas such as topic, format, audience, language,
and author. You can print many materials directly from the Web site,
as well as tailor them to your organizational needs.
Make your organization’s TB materials available. Share
your resources with others! A submission form is available with
this issue of TB Notes. Please use it to submit information
on any education or training materials you produce that are not
already included in the Web site. Help us continue to make this
database as comprehensive as possible.
- A link to the Stop TB Partnership Image
- Guidelines for Workplace TB Control
Activities: The Contribution of Workplace TB Control Activities
to TB Control in the Community – the International Labour
Organization and the World Health Organization
- Making the Connection: An Introduction
to Interpretation Skills for TB Control – the Francis J. Curry
National TB Center
- Manual for the Management of Binational
Tuberculosis Patients – the Migrant Clinicians Network
…and many more!
A health professional uses the Web site to search for materials
This Web site can also help you
- Find out how to order TB materials
- Locate funding opportunities
- Get information about TB organizations
- Find out about upcoming events
- Sign up for TB-related electronic mailing lists and digests
- Locate TB images
- Locate TB-related Web links
Be sure to bookmark the TB Education and Training Resources
Web site! If you have any questions or comments about it, please
send an e-mail to firstname.lastname@example.org.
—Submitted by Hsin-Hsin Foo, MPH
Div of TB Elimination