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TB Notes 3, 2000

Personnel Notes

Gus Aquino and Chris Caudill were recognized for their efforts in Russia by the U.S. Agency for International Development (USAID). A letter from Carol Peasley, Director of the Russia Mission, to Dr. Ken Castro, Director of DTBE, said in part, "I would like to express my appreciation to the U.S. Centers for Disease Control and Prevention (CDC), Division of TB Elimination (DTBE), for selecting and assigning Christopher Caudill and Gustavo Aquino to field assignments on our joint TB Prevention and Control pilot projects in Ivanovo and Oriel oblasts. Both individuals made a significant contribution to advancing project activities in their respective oblasts. Testimony to their effectiveness is the trust they gained from our Russian counterparts in the field. In addition, Mr. Caudillís and Mr. Aquinoís interactions with the World Health Organization office in Moscow served to further strengthen our relationship with this key partner."

Diana Bartlett, MPH, began a fellowship through the Association of Schools of Public Health (ASPH) in the Research and Evaluation Branch, Prevention Effectiveness Section, on July 3, 2000. Diana was an ASPH Fellow and Intern with the National Immunization Program from June 1998-June 2000. She completed her MPH in 1999 at Emory Universityís Rollins School of Public Health with an emphasis in behavioral science research and program evaluation. She received her BA degree from the University of Chicago in 1995.

Bernard Benecke transferred from the TB program in Michigan to CDCís National Center for Chronic Disease Prevention and Health Promotion in July 2000. He had worked in the Michigan TB control program since 1997. Prior to that, from 1993 to 1997, Bernard was assigned to the Maine TB program. From 1992 to 1993 he was assigned to the New Jersey TB program. Before that, he worked for 3 years in CDCís STD/HIV prevention program in Tampa.

Gaby Benenson, MPH, has been selected for and has accepted a position as a Health Education Specialist with the Communications and Education Branch (CEB). Gaby initially came to CEB in September 1999 as an ASPH fellow, bringing to the division a great deal of experience in health education, behavior change interventions, and instructional design. She has an MPH in Health Behavior and Health Education from the University of Michigan School of Public Health.

Nancy J. Binkin, MD, MPH, has retired from CDC after 20 yearsí service with the agency as a Commissioned Officer, having served with distinction as the Associate Director for International Activities, DTBE, since November 1993. Nancy joined CDC in 1980 as an Epidemic Intelligence Service (EIS) Officer. From 1980 to 1984 she completed a 2-year EIS assignment with the CDC Family Planning Evaluation Center, then served as a Medical Epidemiologist in the Division of Reproductive Health. From 1985 to 1988 Nancy was the Chief of the Nutrition Epidemiology Branch, then from 1988 to 1990 she worked with the CDC Epidemiology Program Office conducting EIS training. From 1984 to 1990, she also served as an Assistant Director of the Preventive Medicine Residency program. Subsequently, from 1990 through 1993, Nancy worked as a technical advisor for epidemiology to the Istituto Superiore di SanitŠ, in Rome, Italy, through a detail to the World Health Organization. In 1993 Dr. Castro recruited Nancy to come to DTBE and establish an International Activities unit in the division. In her position as Associate Director for International Activities, Nancy made notable and numerous contributions to international TB control. They included the establishment of a TB operations research field site in Botswana in conjunction with the Botswana Ministry of Health. Her staff provided technical support to Russia and the Baltic nations on the control of TB and multidrug-resistant TB. She directed extensive activities related to improving the screening of immigrants and refugees coming to the United States, such as reviewing the effectiveness of the current screening and treatment policy, chairing a working group on methods to improve overseas identification and treatment of TB among immigrants, and supervising research studies on the yield of current overseas screening programs and techniques. She and her staff provided technical support to state and local health departments concerning follow-up of immigrants after U.S. arrival. She also supervised activities to improve the diagnosis and treatment of TB along the U.S.-Mexican border, and to provide technical assistance to countries from which large numbers of U.S. immigrants and refugees originate. Although retired from CDC, Nancy is not leaving the public health field. She has returned to Italy to resume her work there in the training of epidemiologists and in helping conduct an Italian field epidemiology training program that she developed. We are reluctant to lose Nancy, not only because of her stellar accomplishments but also because of her wit and humor and her ability to put everyone at ease. She retired from CDC in December 2000 and began her new job in Rome in January 2001.

Chris Braden, MD, has left DTBEís Surveillance and Epidemiology Branch (SEB) for a position as an epidemiologist in the National Center for Infectious Diseases, Division of Bacterial and Mycotic Diseases. Chris joined DTBE in 1993 as an EIS Officer assigned to SEB, shortly after completion of an infectious disease fellowship at the New England Medical Center Hospitals in Boston, where he was also an intern and a resident. While in SEB, Chris participated in epidemiologic investigations of several outbreaks. He also took on a leadership position in the usefulness of DNA fingerprint analysis in the investigation of TB outbreaks, and was the DTBE lead for the Genotyping project.

Betsy Carter, MPH, CHES, has recently joined the Communications and Education Branch as an Association of Schools of Public Health (ASPH) Fellow. After obtaining a bachelors degree in Public Health Sciences from Clemson University, Betsy pursued a masters degree in Health Promotion and Education at the University of South Carolina, graduating in August 2000. Throughout her formal training, Betsy has worked in a variety of settings, including the Prevention Research Center at the University of South Carolina, to enhance her skills in health education and promotion.

Jeanne Christensen, MPH, has accepted a 2-year fellowship sponsored by the Association of Teachers of Preventive Medicine (ATPM) with the Communications and Education Branch (CEB). Jeanne received her MPH in Health Behavior and Health Education from the University of Michigan in May 2000. During her tenure at Michigan, she concentrated on health communications and taught a course titled "Media Impact on Knowledge, Attitudes, and Behavior." In 1997, she graduated from Lafayette College with a bachelor of science degree in biology and a minor in health care and society. Jeanne, although new to the CEB team, is not new to CDC. She has previously worked in the Division of Laboratory Systems in PHPPO as a CDC undergraduate intern and then in the Office of Communications as an ATPM graduate student intern. In addition to these internships, Jeanne has worked for Astra Merck Pharmaceuticals. She began her fellowship on July 3 and will be working on a number of health communication and health education projects.

Amy Curtis, PhD, MPH, left the division on December 1 for a position with the NCHSTP Division of HIV/AIDS Prevention, Surveillance Branch. Amy joined DTBE in July 1997 as an Epidemic Intelligence Service (EIS) Officer assigned to the Surveillance and Epidemiology Branch (SEB) after having recently received her PhD degree from the University of Michigan. After completing EIS, Amy joined DTBE in the SEB Surveillance Section, working on issues and studies related to health care workers and infection control, such as the StaffTRAK project, in conjunction with staff of the Hospital Infection Program (HIP) of the National Center for Infectious Diseases (NCID). Amy was beginning a prospective study of the sources of infection in HCWs with TB, and was also consulting with staff of the Research and Evaluation Branch (REB) on a focus-group study of reasons for nonadherence to tuberculin skin testing and treatment for latent TB infection among HCWs. She chaired the working group that is revising the 1994 infection control guidelines and was on another HCW-TB working group that is concerned with developing cross-center projects between the National Institute for Occupational Safety and Health (NIOSH), HIP, and DTBE. Other responsibilities included participating on the outbreak response working group and working with staff of the Sexually Transmitted Disease Prevention (STDP) program on two surveillance projects, one in jails and one in clinics who serve men who have sex with men. In her new job, Amy will be analyzing data from the branch's various surveillance databases and working on national policy issues.

Ken Dansbury has retired after 34 years with the federal government. Ken joined the Division on September 10, 1990, as a computer systems programmer and analyst. Prior to that, from 1983 to 1990, he had worked as a programmer in the CDC Division of Nutrition. Ken brought to the Division over 24 years of programming experience. Upon his arrival, he assumed responsibility for a wide range of programming activities. One of these activities was the revision of the expanded RVCT (Report of Verified Case of Tuberculosis) surveillance system. Through his 10-year tenure with DTBE, Ken developed an invaluable institutional memory regarding the divisionís various data management and surveillance collection systems as they evolved and became increasingly revised, updated, and electronic. Ken also had a major hand in the design and development of the data entry forms that are used for the Divisionís Tuberculosis Trials Consortium (TBTC), and worked closely with staff of DTBEís Research and Evaluation Branch throughout this development process. Moreover, he was not only familiar with the various iterations of our data management systems, he was also very versatile in his ability to develop systems for mainframe computers as well as for personal computers and to be able to work with half a dozen different programming languages. Over the years, many DTBE staff have relied on Kenís expertise and knowledge to help support their studies and analyses, and he has always come through with work that is well thought out, professional, and on time ó and with a few jokes thrown in to lighten things up. To our benefit, Ken returned to DTBE in January as a contractor to complete some projects.

Kim Do transferred from the Los Angeles STD program to the Los Angeles TB control program as a new DTBE employee in November 1999. Kim joined the CDC/STD field staff in August 1989 with an assignment to the STD/HIVP training center in West Palm Beach, FL. Following his training, he received an assignment to the Washington, DC, STD program, where he worked until taking a job in April 1992 with the Los Angeles, CA, STD program. Kim has worked as a front-line supervisor and has also completed a detail to the Socialist Republic of Vietnam. His duties there included conducting interviews with the Vietnamese TB patients, creating an accurate questionnaire for a TB survey about accessibility of TB drugs in the Hanoi area, and sending locally used TB drugs to the CDC for effectiveness testing. At the time he was hired by DTBE, Kim was already working with the Los Angeles TB program coordinating a major STD/TB outreach program at one of the housing projects in Los Angeles County.

Renae Donaldson has joined the staff of the Field Services Branch as the Office Automation Assistant. Her first day with DTBE was August 14, 2000. She comes to DTBE from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Renae came to work for CDC in August 1999 in the Program Services Branch, Office of the Director, NCCDPHP. From 1991 until she transferred to CDC, she worked in the Office of Hearings and Appeals, Social Security Administration. She joins FSB's very capable support staff and will be performing a variety of duties for and with our Atlanta staff and field staff.

Paula Fujiwara, MD, MPH, was selected for the CDC Medical Officer position that is seconded to the International Union Against TB and Lung Diseases (IUATLD) in Paris. This position is funded by the U.S. Agency for International Development (USAID) to promote the development and implementation of a consortium of international TB experts who will be trained to provide technical consultation on TB prevention and control to various countries. Paula was assigned by CDC to the IUATLD effective January 1, 2001. Since November 1996, Paula has been the Assistant Commissioner of Health and Director, TB Control Program, for the New York City Department of Health (NYCDOH). From March 1994 until November 1996 she was Director of Epidemiology, Bureau of TB Control, NYCDOH. Over the last 5 years, Paula has served as a technical advisor in TB for the Pan American Health Organization (PAHO), the World Health Organization (WHO), and IUATLD. Her experience and expertise in TB control are recognized both nationally and internationally. Paula completed a residency in internal medicine at the University of California, San Francisco (UCSF), and a Pew fellowship in Health Policy at the Institute for Health Studies, UCSF. She obtained her MPH from the University of California, Berkeley.

Susan Good, formerly a public health advisor assigned to the Arizona TB control program, has resigned her position. She had joined DTBE and been assigned to Arizona on February 1, 1998. Susan started her career with CDC in 1989 as an epidemiologist in the National Center for Infectious Diseases, Division of Viral and Rickettsial Disease, where she was the national influenza surveillance program coordinator. In 1991 she joined the National Center for Environmental Health, Division of Environmental Hazards & Health Effects, where she assisted in data collection, management, and evaluation. Prior to accepting this assignment, she was with the National Immunization Program, Data Management Division, where she planned, developed, and implemented a Clinic Assessment program; helped improve vaccination coverage levels; and assisted in budget preparation and other administrative and supervisory activities. Susan began her public health career in Oregon where, from 1976 to 1989, she gained programmatic knowledge at the county and state level of health care delivery as a nurse epidemiologist.

Reuben Granich, MD, MPH, has accepted a position as a Field Services Branch (FSB) Medical Officer in the California TB control program. Reuben came to DTBE in 1996 as an EIS Officer with the DTBE International Activity. In 1998 he was accepted into the CDC Preventive Medicine Residency (PMR) program, and attended the University of California at Berkeley to pursue an MPH. He completed his MPH in 1999 and spent the practicum year of his residency with the California Health Department. In July 2000, after he completed his PMR, the California Health Department requested that Reuben be assigned to the California TB control program to assist with the programís epidemiologic activities. He is working on issues related to drug resistance, foreign-born persons, outbreak responses, and U.S./Mexico and California/Mexico TB control. Reuben is also a member of the binational TB control organization Ten Against TB. As part of his assignment, he completed an investigation in Los Angeles of TB among zoo animals.

Margaret Jackson was recently promoted into a position as Program Information Specialist in the Research and Evaluation Branch (REB). She has been serving as Executive Coordinator of the TB Trials Consortium (TBTC) Steering Committee and providing organizational support and oversight for the TBTC Data and Coordinating Center housed in REB. In the latter capacity, she has been especially helpful in providing for smooth and efficient IRB review of the many TBTC study protocols by both the CDC IRB and the local IRBs at the 23 TBTC sites throughout North America. She has also been highly effective in organizing and overseeing support services for REB. In addition, Margaret was recently accepted into the Executive Leadership Program for Midlevel Employees, a program designed to provide training and development of women in the U.S. government for higher-level managerial and executive positions.

Jimmy Keller, DTBE public health advisor (PHA) formerly in Detroit, accepted reassignment to the Ohio Department of Health TB control program in Columbus, effective January 14. He is assisting state TB program officials by providing consultation and technical assistance in program planning, coordination, operation, administration, and evaluation. Jimmy came to work for CDC in 1991 as a public health associate in the Division of Sexually Transmitted Disease Prevention (DSTDP) program in Miami. He transferred with DSTDP to New York City in 1992. In 1995, Jimmy was selected by DTBE for a PHA position in New York City's Bureau of Tuberculosis Control. In May 1998, Jimmy was selected for the vacant PHA position in Detroit. There he served as a special project coordinator assisting the Detroit TB control administrator in the development and management of the city TB elimination program.

Tom Kenyon, MD, MPH, who served as director of the BOTUSA Project in Botswana since the project was established in 1995, is now director of the activities of the Global AIDS Program (GAP) in Botswana. The BOTUSA project, originally a collaborative effort of the Botswana National TB Programme, the Botswana Ministry of Health, and DTBE, is now a GAP project.

Marnell Kretschmer transferred to the National Immunization Program office in Iowa from the TB control program in Kentucky in May 2000. Marnell had been assigned in 1996 to the Kentucky Department of Health Services, where she had served as the senior public health advisor and assistant to the state TB program manager. Before that she had been assigned to the TB program in Chicago, from 1993 to 1996. In Chicago she had assisted local staff with program activities, with a strong emphasis on those activities related to patient compliance and completion of therapy.

Suzanne Marks, MA, MPH, was selected for CDC's IETA (International Experience and Technical Assistance Program) and will likely be assigned a project as part of the Global AIDS Program (GAP) initiative. The IETA program was established in 1997 by NCHSTP's Prevention Support Office. It provides international training to employees of public health service agencies to enable CDC to implement prevention and prevention research programs globally and to serve as a resource for international technical assistance. So far, two groups have been trained; Suzanne is in the third group of 25 trainees. During the one-year training program, IETA trainees complete four training workshops in Atlanta and then are assigned to a 3- to 6-month international assignment. Trainees continue to work in their current jobs, with agencies continuing to pay salaries while on overseas assignments. Nine of the 25 trainees are from NCHSTP; Suzanne is the only one from DTBE. Some of the international assignments will be with the GAP, others with polio and guinea worm eradication.

Scott J. N. McNabb, PhD, has been selected to lead the epidemiologic studies section in the Surveillance and Epidemiology Branch. Scott received his PhD in microbiology and immunology in 1986 from Oklahoma University Health Science Center in Oklahoma City, Oklahoma. From 1986 to 1987 he was the Director of the Microbiology Division of the Public Health Laboratory Service of the Oklahoma State Department of Health. From 1987 to 1991 he was the Director of the General Communicable Diseases Division in Oklahoma; as such, he directed the TB program in Oklahoma. In 1991 Scott joined the Epidemic Intelligence Service (EIS) and was assigned to the Louisiana Office of Public Health in New Orleans. In 1993 he became the Chief of the Surveillance and Epidemiology Section in the Hematologic Disease Branch, NCID / DHA. In 1994 he joined the International Health Program Office and worked there for 2 years with a focus on Central and Eastern Europe. In 1996 Scott joined the Division of International Health, EPO, and worked on such projects as polio and the Integrated Diseases Surveillance project in Africa; in 1997 he became the Chief of the Capacity Development Branch in the Division of International Health, EPO. This past June, he joined the State Branch as a Regional EIS Officer Supervisor, Division of Applied Public Health Training, EPO.

Bess Miller, MD, MSc, has left DTBE to take the position of Associate Director for TB/HIV Prevention and Care in the newly formed Global AIDS Program (GAP) in NCHSTP. Bess is now responsible for providing direction and leadership for TB-related activities. She will be our Division's main point of contact associated with the LIFE initiative and will serve as the liaison between DTBE and GAP, and thus continue to interact closely with us. After completing a masterís degree in public health and her residency in internal medicine, Bess joined CDC in 1981 as an Epidemic Intelligence Service (EIS) Officer, where she led the investigations on the Generalized Lymphadenopathy Syndrome, later found to be part of the clinical spectrum of AIDS. In 1985 she joined the Division of TB Control (the precursor of DTBE) as a medical officer assigned to Program Services Branch (the precursor of Field Services Branch), and became its Deputy Chief in April 1989. In 1992 she helped create the Prevention Effectiveness Section (PES) in the newly reorganized Research and Evaluation Branch and served as PES chief until 1996. She was involved in many of the initial economic analyses of TB prevention and control efforts. In March 1996, she was selected to the position of Associate Director for Science (ADS), in which position she has served with excellence. She provided leadership in addressing the impact of managed care on TB control in the United States and of health sector reform on TB control in developing countries. Bess was an integral member of DTBE's senior staff, always contributing with insight and vision and helping develop and implement our research priorities. She has represented CDC in the development and implementation of the WHO-hosted Stop-TB Initiative. In addition, she is President-Elect of the International Union Against Tuberculosis and Lung Disease (IUATLD), North American Region. Bessís last day with DTBE was December 1.

Marisa Moore, MD, MPH, has been selected to lead the surveillance section of the Surveillance and Epidemiology Branch (SEB). Marisa received her MD from the University of California, San Diego, in 1989 and completed her residency training in internal medicine at the Mayo Graduate School of Medicine in Rochester, Minnesota. She received an MPH degree from the University of Minnesota in 1994. She was an Epidemic Intelligence Service (EIS) Officer in DTBE from 1995 to 1997 and joined the staff of SEB upon completing that assignment. Marisaís major responsibility has been supervising the national TB surveillance data management team. She has had several articles on TB published in peer-reviewed journals, including work on foreign-born persons in the United States, TB in patients coinfected with HIV, TB transmission in children, multidrug-resistant (MDR) TB, and TB transmission (and the lack thereof) on trains and planes.

Tom Navin, MD, joined DTBE on September 11, 2000, as the new Chief of the Surveillance and Epidemiology Branch (SEB). Tom earned his BA from Stanford University in 1972 and his MD from the University of Arizona in 1979. He completed his internship and residency in internal medicine at Columbia-Presbyterian hospital in New York City. He is board certified in internal medicine and infectious diseases. He began his career at CDC in 1982 as an Epidemic Intelligence Service (EIS) Officer in the Division of Parasitic Diseases (DPD), NCID. He joined the staff of DPD as a medical epidemiologist in 1984 and in 1986 he moved to DPDís field station in Guatemala, where he conducted clinical trials of new treatments for cutaneous leishmaniasis. The impact of Tomís work in Guatemala was honored recently when the Universidad del Valle, the leading private university in Guatemala, announced the endowment of the Dr. Thomas R. Navin Chair in Tropical Diseases Research. One of Tomís students in Guatemala, Dr. Byron Arana, was named the first professor to hold that chair. In 1991 he returned to Atlanta and in 1992 became Chief of the Epidemiology Branch in DPD. During his infectious diseases fellowship at Emory University, he diagnosed and treated patients with TB and studied the spectrum of HIV-associated pulmonary infections. Tom has published 41 scientific articles and contributed extensively to the development of CDC recommendations, including the IDSA/USPHS guidelines for the prevention of HIV-associated opportunistic infections. Additionally, Tom represented his previous Center (NCID) in 1999 and 2000 on the EIS Scientific Program Committee, the group that selects the presentations for the EIS Conference. He was also the chair of the Mackel Award selection committee for this past yearís conference. In the short time that Tom has been with DTBE, he has already shown thoughtful leadership in deciding how SEB should be organized and staffed to meet three principal goals: 1) to accurately monitor progress toward TB elimination; 2) to conduct epidemiologic research that will lead to better interventions to eliminate TB; and 3) to provide expertise and technical assistance to support field programs. Tom notes that each of these goals will require SEB to work in close collaboration with the other branches of DTBE, especially the Field Services Branch (FSB). Tom and Dr. Zachary Taylor (the new FSB chief), with their respective staffs, have already begun to work closely together on two outbreak investigations and on the development of the Divisionís draft Outbreak Response Plan.

Rose Pray, MPH, was selected as a public health advisor for the NCHSTP Global AIDS Program, to serve as the CDC/NCHSTP chief liaison for international TB prevention and control activities to the U.S. Agency for International Development (USAID). As the TB advisor to USAID, she will serve within the USAID HIV/AIDS Division as a member of the Infectious Disease Team, Office of Health and Nutrition, Center for Population, Health and Nutrition, Bureau for Global Programs, Field Support and Research. In her new capacity, she will provide coordination, leadership, and direction on activities that deal with international TB prevention programs, technical assistance, training, program evaluation, and program planning.

Michael L. Qualls, MPH, has been selected as the Deputy Associate Director for International Activities. Michael had been the chief of the Country Support Team in the Global AIDS Program (GAP) in NCHSTP. His responsibilities there included administration and management, program planning and monitoring, formulation and implementation of policies and programs, management of resources, property, contracts, memoranda of agreement, and procurement activities that support international HIV/AIDS prevention programs in the 15 GAP countries. From 1994 to 1999 Michael worked with the International Emergency and Refugee Health Branch (IERHB) in the National Center for Environmental Health (NCEH). There his responsibilities included providing direct technical assistance during international public health and complex humanitarian emergencies to affected and vulnerable populations, conducting rapid health assessments, and participating in the development of country-specific programs and activities. From 1992 to 1994, Michael was responsible for providing technical and administrative support for CDC staff assigned in eight different countries in Africa, Latin America, and the Middle East involved in HIV/AIDS and child survival activities under bilateral and PASA agreements with CDCís International Health Program Office (IHPO) and USAID. From 1989 to 1991, he served as a Technical Advisor in AIDS and Child Survival (TAACS) seconded to USAID missions in Mali and Burundi. Michael has a master of public health (MPH) degree in Health Education from the University of North Carolina at Chapel Hill.

Sameer Rajbhandary, PhD, joined the division as a Prevention Effectiveness fellow in the Research and Evaluation Branch (REB) in August 2000. She received her PhD in economics from the University of Colorado at Boulder. Her fields of specialization are econometrics and demography. During her graduate study, she worked as a research assistant at the Population Program, Institute of behavioral science, University of Colorado, Boulder. Sameer has experience in working with large databases such as the National Health Interview Survey, the Demographic and Health Survey, various statistical software such as STATA, SAS, SPSS, and different methodologies including hazard modeling. She is from Nepal and received her undergraduate degree in Kathmandu, Nepal. She came to the United States as a Fulbright student in 1991 to pursue a masters degree in economics at the University of Colorado, Boulder. She is currently working on the project to determine the cost of implementing and maintaining tuberculin skin testing programs and StaffTRAK-TB in selected health departments and hospitals with Lauren Lambert.

Wyndham Reed, MPA, public health advisor (PHA) with the TB control program in Washington, DC, transferred to DTBE in Atlanta on November 5 as a Program Analyst to work on special projects in the Field Services Branch (FSB). Wyndham obtained a bachelor of science degree in biology from Morgan State University in Baltimore, MD, a certificate for secondary education from Union College in New Jersey, and a masters degree in public administration from California State University in Los Angeles, CA. Wyndham began working for CDC in 1964 in the STD program in Newark, New Jersey, and subsequently had a number of STD assignments in New Jersey and in New York City. In 1972 he was hired into DTBE and assigned to the TB program in New York City. He transferred in 1975 to Maine, where he served as the director of the TB program, and in 1976 he transferred to Washington, DC, where he served as the chief of the TB program until 1980. From 1980 to 1981 he was assigned as a PHA to Pittsburgh, followed by brief assignments from 1981 through 1982 to the Pittsburgh immunization program and the Los Angeles STD program. He then returned to DTBE in Los Angeles County, where he served as the manager, South Area TB Project, from 1982 to 1987, as the area-wide coordinator from 1987 to 1993, and as a PHA with the Los Angeles TB Control Program from 1983 to 1995. In 1995 he returned to the District of Columbia TB Control Program, remaining with that program until November 4, 2000. At that time he joined the DTBE/FSB in Atlanta.

Renťe Ridzon, MD, has been selected to head the TB investigations section of the Surveillance and Epidemiology Branch (SEB). Renee received her MD from St. Louis University Medical Center in St. Louis, Missouri, in 1986. She completed her residency in internal medicine at St. Louis University Medical Center and her infectious diseases fellowship at Brown University Program in Medicine in Providence, Rhode Island. In 1992 Renee joined the Epidemic Intelligence Service (EIS), working first at the Massachusetts Department of Public Health, then in the Clinical Research Branch (precursor of the Research and Evaluation Branch), DTBE. She joined the staff of DTBE in SEB in 1994. Renee has published several articles on TB therapy, multidrug-resistant (MDR) TB, nosocomial transmission of TB, and rifampin-monoresistant TB.

Bill Rodenberger, DTBE senior public health advisor (PHA), retired on January 3, 2001, after 33 years of government service. Bill started his CDC career in July 1967 in the STD (then VD) program in Baltimore, MD, and worked in various state and city STD field assignments until 1984, when he joined the Division of TB Elimination. Bill continued with two more field assignments before coming to CDC headquarters in 1992 as a TB program consultant/project officer. After 3 years at headquarters, Bill was lured back to the field with an assignment to the Hawaii TB program. In 1998 he returned to the mainland to Tennessee where he was recently assigned as the senior TB PHA. Bill's outstanding qualifications, experience, and skill have been assets to the Division of TB Elimination and have made him a very capable representative. We will miss his contributions to our TB control efforts, at headquarters and, just as importantly, in the field. We are very fortunate to have worked with Bill as a colleague and to have known him as a friend.

Carl Schieffelbein retired at the end of 2000 after a 36-year career with CDC. Carlís career with CDC started on November 23, 1964, with assignments in the Venereal Disease Program. From 1964 to 1965, Carl was assigned to Detroit, MI, as a public health advisor (PHA) with the Syphilis Eradication Program (Venereal Disease Program), then from 1965 to 1966 he served as a PHA with the Venereal Disease Program in Wayne County, Michigan. In 1967 he was hired as the Administrator, Lake County Tuberculosis Clinics, Crown Point, Indiana, then moved on in 1968 to serve as the Administrator, Tuberculosis Control Program, Indiana State Board of Health, Indianapolis, IN, until 1972. Following that, from 1973 to 1978 he was employed as the Administrator of the Georgia State Tuberculosis Program, Battey State Hospital, Rome, GA. From 1978 to 1983 he served his last field assignment as the Director, Tuberculosis Program, Wisconsin Division of Health, Madison, WI. In 1983 he was hired by DTBE as a Program Consultant, and moved to Atlanta. From 1987 to 1995 Carl served as the Program Management Officer, DTBE, then was promoted in 1995 to the position of Deputy Director, DTBE. In the year 2000 he was appointed the Deputy Director for Special Projects, DTBE. In the time he spent in TB, Carl was involved in several major developments, including the closing of the TB sanatoria and the moving of patients to outpatient care; the development of the Strategic Plan for the Elimination of Tuberculosis in the United States and the subsequent National Action Plan to Combat Multidrug-Resistant Tuberculosis. He served as the DTBE project officer for the IOM report, Ending Neglect: The Elimination of Tuberculosis in the United States, and was also the DTBE/CDC representative to the international "Stop TB" Initiative. Carl has been an invaluable member of the DTBE team, providing wisdom, dignity, kindness, and gentle humor to our endeavors and providing stability and steadfastness in times of change and uncertainty. Those who have been here the longest know what a loss his departure represents.

Howard Smith has accepted a promotion to become the new Information Resource Manager of the National Center for Injury Prevention and Control. His last day with DTBE was November 17. Howard had been a DTBE computer specialist since June 1993. Prior to coming to CDC, Howard had been a local area network administrator for the Internal Revenue Service in Atlanta. He has been instrumental in keeping DTBE on the leading edge rather than the "bleeding edge" of computer technology, ensuring that we have up-to-date but stable systems and hardware. We will sorely miss him, not only for his technical expertise but also for the "people skills" that he always brought to bear in providing computer support and making technical decisions for DTBE.

Harry Stern was selected for the DTBE public health advisor position in Miami, Florida. Harry transferred to DTBE in 1987 from the Division of Sexually Transmitted Disease Prevention. His first TB assignment was in Baltimore, Maryland, where he was the program manager. He was instrumental in initiating TB and HIV prevention activities in drug treatment centers, jails, and health care centers. In November 1988, Harry transferred to DTBE headquarters in Atlanta where he served as the Associate Director for TB/HIV Activities until 1994. In his TB/HIV assignment he was the principal advisor to DTBE on program operations related to TB and AIDS, and developed program plans, objectives, guidelines, policies, and procedures for integrating TB and AIDS activities in projects at the local, state, and national levels. From 1994 to September 2000, he was the Deputy Associate Director for International Activities. In this last position, he provided management and programmatic oversight for DTBE's international activities including coordination with the CDC Office of Global Health, the International Union Against Tuberculosis and Lung Disease, the World Health Organization, and the U.S. Agency for International Development. He played a principal role in establishing the field site in Botswana, Africa. Prior to joining the TB program, Harry had field assignments with CDC in New York City, Miami, San Francisco, Philadelphia, and Ft. Lauderdale. He transferred from Atlanta and began his new duties in Miami on September 10, 2000.

Elizabeth Talbot, MD, an epidemiologist with the DTBE International Activity, has left Atlanta to take a position with the Global AIDS Program in Botswana after completing an Epidemic Intelligence Service (EIS) assignment here. During her EIS assignment with DTBE, she worked on a variety of projects related to the DTBE field site in Botswana and on other international projects in the division. In her new assignment, Elizabeth will be working as staff epidemiologist with Tom Kenyon, MD, MPH, to continue TB and HIV operations research activities, including a feasibility trial of preventive therapy delivery to women participating in the country's perinatal AZT program and persons found to be HIV positive through voluntary counseling and testing.

Zachary Taylor, MD, MS, has been selected as Chief, Field Services Branch (FSB), DTBE. For the previous 5 years, Zach had served as the Chief, Prevention Effectiveness Section, Research and Evaluation Branch (REB). He began his new position on September 5, 2000. Zach earned his BA degree from LaGrange College, Georgia, in 1979 and his MD from the Medical College of Georgia in 1982. He completed his internship in internal medicine at the University of Kentucky in Lexington and his residency in preventive medicine at the University of Maryland in Baltimore, where he earned an MS degree. He is board certified in preventive medicine. He began his career with the Public Health Service as a medical officer in the Indian Health Service, serving on reservations in North Dakota and New Mexico. He has also worked for the Agency for Health Care Policy and Research as well as for the Agency for Toxic Substances and Disease Registry. In 1993, he joined the staff of DTBE as a medical epidemiologist in the Clinical Research Branch (now REB), Prevention Effectiveness Unit. In 1995 he was selected Chief of the Prevention Effectiveness Section, REB. Zach has been involved in and has published results of studies of the impact of managed care on TB control, the hospitalization of TB patients, contact investigations, and cost-effectiveness analyses of screening various risk groups. All of these projects were conducted in close collaboration with staff from the FSB and from multiple state and local health departments, giving Zach an excellent appreciation of the issues confronted by TB control programs. Additionally, Zach was involved in the development and dissemination of the new guidelines for the treatment of latent TB infection. He has presented talks on costs and cost-effectiveness analyses of TB control strategies at national and international meetings. He also served on the planning meeting for the National TB Controllers Meeting that was held in August 2000. Zach is committed to working with state and local TB control programs to continue our progress towards TB elimination. He acknowledges that the most valuable resources that we have at the federal, state, and local levels are the talented people who have chosen TB control as a career and he is committed to maintaining a strong workforce. His goal is to increase the importance and use of program evaluation at all levels to improve TB control. Zach recognizes that this will require working with state and local programs to build their capacity for evaluation. He looks forward to the challenge of this new position.

Paul Tribble has returned to the TB program as the new program consultant in the Field Services Branch (FSB). He is assigned to Field Operations Section 2. In 1985, Paul started his public health career as a state employee with the Oklahoma refugee program, where his immediate supervisor was Scott McNabb, who recently joined the DTBE as the new lead for the epidemiology section in the Surveillance and Epidemiology Branch (SEB). Paul came to work for CDC in 1988 as a public health advisor assigned to the Hawaii TB Control Program. In Hawaii Paul served as the senior public health advisor and assisted in the management of the state-wide program. In 1994, DTBE selected Paul for a position assigned to the Arizona Department of Health Services. There he served as the state TB manager and provided advice, assistance, and management for the state-wide program. Paul was very involved with all program activities but with special emphasis on border health issues, Native American health care, the Arizona Lung Association, and correctional facilities. In 1996, Paul accepted an assignment in Atlanta with CDCís Division of Quarantine (DQ). His primary focus was providing assistance and advice to state and local health departments involved in the initial assessment and follow-up treatment for newly-arrived immigrants and refugees to the United States. He was the key liaison between DQ and DTBE on numerous working groups and committees, and assisted on the development of articles, recommendations, and statements on TB in the foreign-born population. Because of Paul's varied experience, program knowledge, and exceptional interpersonal skill, we feel he will be a most capable addition to our staff of consultants. Paul's report date was December 18, 2000.

Charles D. Wells, MD, has been selected as Chief, International Activity, DTBE, to replace Dr. Nancy Binkin, who has retired. Charles obtained his medical degree from the University of North Carolina, Chapel Hill, and is board-certified in internal medicine and infectious diseases (having completed his postgraduate training at Emory University School of Medicine). Charles had previously worked in DTBE's International Activity from 1995 until 1997 as an Epidemic Intelligence Service (EIS) Officer, where he helped define the epidemiology of foreign-born TB and identify risk factors associated with active TB in recent immigrants and refugees. From 1998 until 1999 he was the Associate Director, Medical Affairs, Pathogenesis Corporation in Seattle, where he led clinical research activities, specifically being responsible for the design and medical monitoring of phase 2 and 3 novel anti-TB drugs. In November 1999 he was recruited to join DTBE's International Activity again, this time as a Medical Epidemiologist. Since his arrival, Charles has been the project officer in the development and implementation of a model center for multidrug-resistant TB (MDR TB) treatment in Latvia, and has been instrumental in the implementation of operations research activities in Russia and, most recently, in Peru.


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

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