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TB Notes 2, 2006
Highlights from State and Local Programs
  An Outbreak Response in a Rural, Southwest Missouri County Jail
  No Reported TB Cases in Wyoming in 2005
  Suffolk County (New York) Targeted TB Testing and Treatment Program Among the Foreign-born, 2000–2004
  The Changing Epidemiology of TB in Connecticut, 2000-2004
  Molecular Genotyping of Mycobacterium tuberculosis in Connecticut
  Third Annual Conference on TB in the U.S. Pacific Islands: Meeting Highlights, Challenges, and Solutions for Addressing the Disparities
  "Update: Tuberculosis Nursing" Workshop in Hawaii
  Lessons Learned in the Process of Evaluation – Illinois
  TB Education and Targeted Testing of Garfield County, Colorado, WIC Clients
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TB Notes Newsletter

No. 2, 2006


APHL TB Steering Committee Meets to Discuss Implementation of TB Task Force Report

The Association of Public Health Laboratories (APHL) TB Steering Committee, chaired by Dr. Nancy Warren of Pennsylvania, met on November 21Ė22, 2005, at APHL headquarters in Washington, DC. The main thrust of the meeting was to discuss the best methods for implementing the recommendations of the TB Task Force report entitled The Future of TB Laboratory Services. This was the first formal meeting of the Committee.

The Committee members felt that updating the 1995 manual Mycobacterium tuberculosis: Assessing Your Laboratory and providing an online repository of existing assessment tools for public health laboratories were the best ways to address the Task Force reportís first benchmark of assessing a TB laboratoryís capabilities. In addition, these steps would address issues such as capacity of services and identifying unmet needs, obstacles to obtaining laboratory services, and opportunities for improvement.† The revised assessment manual would emphasize a systems approach consisting of active communication between laboratories to improve coordination of specimen and culture referral mechanisms, to reduce delays in testing and reporting. A working group led by Dr. David Warshauer of Wisconsin and Kenneth Jost of Texas and consisting of subject matter experts and partners in TB elimination will be formed. The working group will be tasked with updating the manual, with special attention to describing new technologies and developing guidance and tools for assessment of the laboratoryís role in the system of TB control. APHL members, with assistance from the Steering Committee, will create on its website a repository of existing assessment tools that can be used by public health laboratories.

The Steering Committee enlisted the assistance of the former chair of the APHL TB Task Force, Dr. Eric Blank of Missouri, to formulate the best plan of action for addressing the reportís second benchmark of performing an assessment of the true costs of providing TB laboratory services. Once created, this cost assessment tool will not only help identify costs of TB testing, but also provide laboratories with a means to justify their expenses to policymakers and those who approve funding.

Other topics discussed by the Committee during the meeting included the need for continued advocacy efforts for increased TB funding of both programs and laboratories; the need to continue building on the relationship between APHL, the state TB laboratories, and the National TB Controllers Association, and to support meetings of interest including the Northeastern TB Controllers meeting and other regional controllersí meetings; and interest in a potential TB laboratory conference to be held jointly with NTCA.

óReported by Anthony Tran, MPH, MT(ASCP)
Association of Public Health Laboratories
On behalf of the APHL TB Steering Committee

APHL TB Steering Committee Introduces New Member

The APHL TB Task Force report entitled The Future of TB Laboratory Services emphasizes a systems approach to TB laboratory services and stresses a paradigm shift, placing the role of the laboratory as the centerpiece between clinician, patient, and TB control program. Anne Weber, director of the Montana public health laboratory, recently joined the APHL TB Steering Committee. As a state public health laboratory director with experience and expertise in budgeting and grant writing and an overall understanding of how the public health laboratory functions as an extension of the health department, Weberís leadership and knowledge will be a great asset to the Steering Committee as it begins to think about this paradigm shift and a systems approach.

óReported by Anthony Tran, MPH, MT(ASCP)
Association of Public Health Laboratories
On behalf of the APHL TB Steering Committee







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