TB Notes Newsletter
No. 2, 2005
HIGHLIGHTS FROM STATE AND LOCAL PROGRAMS
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
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
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