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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
Laboratory Updates
TB Education and Training Network Updates
Communications, Education, and Behavioral Studies Branch Updates
Information Technology and Statistics Branch Update
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TB Notes Newsletter

No. 2, 2006


TB ETN Member Highlight

Beth Kingdon, BS, is the TB Education Coordinator for the Minnesota Department of Health’s TB Prevention and Control Program. She received a bachelor of science degree from the University of Minnesota in 1990, and she is currently a student in the MPH program at the University of Minnesota’s School of Health, anticipating completion in August 2006. Her job responsibilities include overseeing and implementing Minnesota’s TB-related education and training activities. She is also Minnesota’s focal point for training and education.

Beth first heard about TB ETN from the state’s TB Program Manager, Deb Sodt. Beth decided to join because she thought it would be a great opportunity to learn about TB-related education and training resources and meet people who have similar job responsibilities. Beth is also a member of the Cultural Competency Subcommittee. “I wanted to learn from others in the TB world about cultural competency issues,” she said. Beth hopes that she can increase her involvement in TB ETN in the next 2 years by encouraging those who are not members to join and encouraging those who are members to become more actively involved in TB ETN.

Beth and other members of her team recently completed a statewide TB training needs assessment in 2005. “Although it was a time-consuming project, our TB program learned a lot about the strengths and areas of need among our local public health nurses and other health care providers,” Beth explained. The Minnesota TB program is also very proud of its website ( Each member of the TB Program was involved with the site development in one way or another, making it a group effort.

In her leisure time, Beth enjoys reading, traveling, home remodeling, and spending time with family and friends.

If you’d like to join Beth as a TB ETN member and take advantage of all TB ETN has to offer, please send an e-mail requesting a TB ETN registration form to You can also send a request by fax to (404) 639-8960 or by mail to TB ETN, CEBSB, Division of TB Elimination, CDC, 1600 Clifton Rd., N.E., MS E10, Atlanta, Georgia 30333.

If you would like additional information about the TB ETN, visit the website at

—Submitted by Regina Bess
Div of TB Elimination

The sixth annual TB ETN Conference, "TB Training and Education Magic: Tricks of the Trade," will be held August 15-17, 2006 in Atlanta, Georgia. See you there!


Cultural Competency Subcommittee

In the past months, members of the Cultural Competency Subcommittee have reviewed the results of the needs assessment survey conducted during the 2005 annual TB ETN meeting in Atlanta. A summary report compiled by Beth Kingdon and Gabrielle Benenson indicate numerous requests among the general TB ETN membership for sharing of information and resources. According to survey respondents, the greatest needs are patient education materials that explain basic TB concepts at a low reading level, tools related to cultural competency training, and TB-specific examples of cross-cultural communication of health issues.

The recently released patient education material series produced by DTBE and the Northeastern National Tuberculosis Center helps to address the need for materials for low-literacy groups. The series consists of five booklets and one fact sheet that provide information on the following topics: TB disease, TB medicine, contact investigations, TB infection, the TB skin test, and TB and HIV. To download a copy of these materials, visit:

Currently, subcommittee members are reviewing ethnographic guides for TB programs serving Mexican and Vietnamese communities, developed by the Health Systems Research Team at DTBE. These guides are intended for health care providers, community-based workers, program planners, and health educators, and aim to increased knowledge and understanding about TB program clients born in Mexico and Vietnam. The materials address the U.S. immigration history of each group; socio-cultural issues; health status, including TB epidemiology; and common perceptions, attitudes, and beliefs about TB derived from the DTBE ethnographic study and other TB-related behavioral research. The subcommittee will also provide feedback on forthcoming guides focusing on Hmong, Somali, and Chinese persons. Other TB control staff interested in reviewing one of more of the guides can contact Heather Joseph at

The Lung Health Center at the University of Alabama and the Alabama Department of Public Health Division of TB Control, in conjunction with the Southeastern National Tuberculosis Center, are working to create a quick-reference cultural competency guidebook, containing country-specific summaries for those birth countries most commonly reported by foreign-born patients treated in the southeastern United States.  Each summary contains data on TB epidemiology (estimated burden of TB, HIV, TB-HIV coinfection, multidrug-resistant TB, and BCG vaccine use); common misperceptions, attitudes, beliefs, and stigmatizing practices related to TB; and general cultural courtesies to observe. In the future, summaries for all high-burden countries will be incorporated into the guidebook. The team also plans to develop and evaluate a complementary training curriculum related to the guidebook. Members of the Cultural Competency Subcommittee have directed members of this group to resources as they work to create the country-specific templates. Suggestions related to these activities are welcome. Please contact Dr. Joan Mangan at or Kristina Watkins at

The information contained in these forthcoming materials may be incorporated into cultural competency training and provide information related to cross-cultural communication. If you or your colleagues have other materials to share or are aware of other resources related to cultural competency training and TB-specific cross cultural communication, please contact the Subcommittee Chairs: Margaret Rohter at or Bill Bower at

Cultural Competency Quote
A Primer for Cultural Proficiency: Towards Quality Health Services for Hispanics
by the National Alliance for Hispanic Health

Progress along the cultural competency continuum requires continually assessing the ability to address diversity, celebrating successes, learning from mistakes, and identifying opportunities for rediscovery. Actions taken at one time might not be sufficient to address diversity issues at another point in time.  

—Submitted by Joan Mangan, PhD, MST
University of Alabama at Birmingham
Lung Health Center / Division of Pulmonary, Allergy and Critical Care Medicine

2006–2007 Steering Committee

TB ETN is proud to announce the 2006–2007 steering committee members:

Jo-Ann Arnold, RN, MS
RN Consultant
Florida Department of Health
Bureau of TB and Refugee Health
Tallahassee, FL

Kim Field, RN, MSN
TB Control Manager
Washington State Department of Health
Olympia, WA

Beth Kingdon, BS
TB Education Coordinator
Minnesota Department of Health
TB Prevention and Control Program
St. Paul, MN

B. Sue Lane, RN, CCHP
Director of Correctional Healthcare Services
Cobb Douglas Public Health
Woodstock, GA

Anil Kalia, MBBS, MBA
Child Survival India
Delhi, India

Subcommittee Co-Chairs
Communications and Membership
Linette McElroy
Vancouver Island Health Authority

David Oeser
Missouri Department of Health & Senior Services
Cultural Competency

Margaret Rohter, MPH
Suburban Cook County TB District

Bill Bower
Charles P. Felton National TB Center
Conference Planning

Ashley Ewing, BS
North Carolina TB Control Program

Sheanne Davis, BS, CHES
Washington State Department of Health

U.S. Regional Training and Medical Consultation Centers Representative:
Rajita Bhavaraju, MPH, CHES
Northeastern National Tuberculosis Center

CDC Representatives:
Maria Fraire, MPH, CHES
Amera Khan, MPH
Scott McCoy, MEd

—Reported by Maria Fraire, MPH, CHES
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