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U.S. Department of Health and Human Services


TB Notes Newsletter

No. 2, 2005


Ten Against TB Initiative

After discussions at the US-Mexico Border Health Association meeting in 1995, the state health officers from the ten US-Mexico border states decided that it was necessary to change the way border states work to manage their public health issues. The lack of a strong communication infrastructure throughout the entire region often caused fragmentation in efforts to coordinate public health activities. The health officers agreed to begin the process of developing a system whereby states would communicate across border jurisdictional lines and build the linkages necessary to expedite interventions when public health events occurred.

Tuberculosis was identified as a public health condition common to all ten border states that would serve as an excellent public health issue around which to begin building a framework for cross-state and cross-border communication links. The ten state health officers were joined by representatives from both US and Mexican federal governments, and nongovernmental organizations including the Pan American Health Organization (PAHO), the American Lung Association, the Texas Medical Association, Rotary International, and the Migrant Clinicians Network.

For the past 10 years, the Ten Against TB Initiative has used limited funding from the U.S. Health Resources and Services Administration to host meetings. It carried out various operational aspects of the initiative with some fiscal support from the Texas Medical Association and the Pan American Health Organization. Since the inception of the initiative in 1995, the Texas Department of State Health Services has supported the personnel costs associated with its coordination and administration.

The Ten Against TB Initiative recently produced a strategic plan for the prevention and control of TB along the US-Mexico Border. The Ten Against TB Initiative Strategic Plan describes action steps to (1) enhance TB epidemiology, surveillance, and case finding; (2) strengthen laboratory infrastructure to enhance identification and confirmation of TB; (3) increase health promotion, training, and communication for TB awareness; and (4) improve TB case management.

The US-Mexico Border Health Commission recently selected the Ten Against TB Initiative as its official advisor on binational and border TB issues.

For additional information on the Ten Against TB Initiative, please contact the coordinator, Jose A. Gomes Moreira, at (512) 458-7447.

Reported by Jose A Gomes-Moreira, MA, Coordinator
Ten Against TB Initiative
Phyllis Cruise, CDC Senior PHA, and
Charles E. Wallace, PhD, MPH, Manager
Infectious Disease Intervention and Control Branch
Texas Department of State Health Services


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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