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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


“Update: Tuberculosis Nursing” Workshop

The Public Health Nursing Branch of the State of Hawaii Department of Health convened a workshop entitled “Update: Tuberculosis Nursing” on November 8, 2005, at the Pagoda Hotel and Restaurant. Partners in convening this workshop were Cathy Wasam, R.N., U.S. Public Health Service, and Jessie Wing, M.D., Chief, Tuberculosis Branch of the State of Hawaii Department of Health.

Dr. Linda Rosen, Deputy Director of the Health Resources Administration, welcomed the 91 public health nurses from throughout the state of Hawaii to a full day of enriching presentations on the prevention and control of TB. This included a lively interactive group dialogue and problem solving on a case study focusing on clinic management, case management, and investigation.

The keynote speaker, Judy Gibson, R.N., M.S.N, Nurse Consultant, Field Services and Evaluation Branch, DTBE, succinctly presented the national prioritized strategies for TB prevention and control and public health function of TB treatment including the clinical, care, and support aspects. The participants were much interested in the introduction of the case management model based on CDC’s framework of evaluation to structure the role of the Public Health Nurse in the management and coordination of medical and social-behavioral activities integrated with standardized nursing interventions. Ms. Gibson emphasized the importance of focusing on behavioral and other concerns of patients and determining appropriate nursing interventions leading to short- and long-term outcomes. Provider competencies and systems responses are critical in addressing patient issues and concerns and in the control of tuberculosis. Finally, self-evaluation to determine program effectiveness and best practice nursing interventions must be tied in to the role of the Public Health Nurse in the care and supportive aspects of case management.

Lastly, Ms. Gibson applied the information presented to testing and treatment of persons with latent TB Infection (LTBI) in other high-risk populations. She reiterated the prioritized strategies pertaining to testing and screening including risk identification and health screening steps. The PHN best practice model for case management and the professional standard Goals Matrix tool (draft) for measuring uniform clinical performance were discussed.

Dr. Jessie Wing, Chief of the Tuberculosis Branch, Hawaii State Department of Health, spoke informatively about the treatment regimens in the control of TB. She included transmission, probability of transmission, pathogenesis, conditions that increase risk, disease sites, and the classification system of TB. Dr. Wing spent time sharing data related to TB testing and screening, cases, and completion of therapy. She shared information on state-of-the-art LTBI testing methods such as the whole-blood interferon gamma release assay (IGRA), which may help ensure accurate identification of individuals with TB infection.

In summary, the conference achieved its objectives of providing current information as well as best practices in nursing in the prevention and control of TB.

—Ruth K. Ota, RN, MPH
Chief Public Health Nursing Branch
Hawaii State Department of Health


Released October 2008
Centers for Disease Control and Prevention
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