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TB Notes 2, 2004


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:

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 gaps;
  • 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 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 of Tuberculosis

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 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 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

—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 ( 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.

What’s New

  • A link to the Stop TB Partnership Image Library
  • 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!

Image of a health professional using Web site to search for materials on BCG

A health professional uses the Web site to search for materials on BCG

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

—Submitted by Hsin-Hsin Foo, MPH
Div of 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