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TB Notes 3, 2003
The National TB Controllers Association (NTCA) and the Division
of TB Elimination (DTBE) planned and carried out a very successful
TB Controllers Workshop this summer in Washington, DC. Over 300
people attended the meeting, which was held June 10 to 11, 2003,
at the Capital Hilton. This year’s conference theme was "Maintaining
Momentum." Rather than describe every talk that was given,
I will summarize several highlights.
On June 9, in addition to the usual annual meetings, there were
a number of presentations on the collaborative work that is being
done to support and maintain the Tuberculosis Information Management
System (TIMS) pending the deployment of the standardized National
Electronic Database for Disease Surveillance, or NEDDS. On the morning
of June 10 we heard a thought-provoking presentation entitled "TB
and Public Health: Politics, Funding, and the Race to Stop a Killer"
from the keynote speaker, The Honorable Sherrod Brown of the U.S.
House of Representatives.
Dr. Randall Reves, President of the NTCA, gave the NTCA welcome
and update, and announced the upcoming retirement of Walter Page,
who has been the Executive Director of the NTCA for the past 6 years.
Walt is working with the NTCA in the search for a new Executive
Director. Dr. Zachary Taylor of DTBE provided information on current
and future cooperative agreement funding policies. Reminding us
that the purpose of cooperative agreement funding is to complement
state and local TB control efforts, and that CDC is operating with
level funding (amounting to a reduction in purchasing power owing
to the effects of inflation), he explained that in fiscal year (FY)
2005, TB control programs will receive 80% of current-level funding;
the remaining 20% will go into a "variable pool." The
variable-pool funds will be distributed based on various caseload
and epidemiologic factors. In subsequent years, the 80/20 ratio
will gradually shift to a smaller percentage of financial assistance
and a greater percentage of distributed variable-pool funds. Future
funding will be based on progress toward performance goals.
In a session on case management and treatment, we heard presentations
on the new TB treatment statement, which was published this year,
and on the revised infection control guidelines, which will be published
in 2004. In another session, we heard about the NTCA/CDC recommendations
for contact investigations, which will be available in 2004, and
about the theory and application of laboratory techniques such as
DNA fingerprinting and the QuantiFERON test. We also heard about
new training and research initiatives from some of our branches
and from the Model Centers. If you attended the workshop, you have
been sent a CD-ROM that contains the schedule of events and speakers,
slide sets from speakers’ presentations, a list of the participants,
and abstracts that were presented. This replaces the print version
of the workshop proceedings previously prepared each year.
Those programs that are recipients of cooperative agreement funding
from CDC should by now have received guidance on preparing and submitting
FY 2004 cooperative agreement applications. These applications should
be received by DTBE in mid September. If you have any questions,
please contact your TB Program Consultant.
DTBE has undergone a reorganization to more acurately reflect our
functional components. This reorganization has resulted in the following
changes: the International Activities office, initially a one-person
unit in the Office of the Director, is now officially a branch.
Other branches have been renamed. The Communications and Education
Branch is the Communications, Education, and Behavioral Studies
Branch; the Computer and Statistics Branch is now the Information
Technology and Statistics Branch; the Field Services Branch has
become the Field Services and Evaluation Branch; the International
Activities office is now the International Research and Programs
Branch; the Research and Evaluation Branch is the Clinical and Health
Systems Research Branch; and the Surveillance and Epidemiology Branch
becomes the Surveillance, Epidemiology, and Outbreak Investigations
Branch. While the functions and the staffing remain unchanged, these
revisions are now official and will be used in all references to
the branches. Please note these new names, and also see the revised
organization chart included here:
The two research consortia that were established by DTBE researchers,
the TB Trials Consortium (TBTC) and the TB Epidemiologic Studies
Consortium (TBESC), are both enrolling patients for important studies.
The TBTC trial Study 27 has just begun enrolling patients in North
America. The TBESC trial "Enhanced Surveillance to Identify
Missed Opportunites for TB Prevention in the Foreign-born"
will begin in the fall. Please see the articles describing these
studies in this issue.
Please take note of the following meetings and publications: The
third annual meeting of the TB Education and Training Network is
being convened August 13-15. The Program Managers Course for 2003
is scheduled for October 20-24, and the TB Behavioral and Social
Science Research Forum will be held December 10 and 11. All three
meetings will be held in Atlanta. The Morbidity and Mortality
Weekly Report (MMWR) that contains a reprint of the Treatment
of Tuberculosis statement (MMWR 2003;52[No. RR-11]) is available
for ordering; continuing education credits can be earned for this
publication. And the revised recommendations on using rifampin and
pyrazinamide for treating latent TB infection were published in
the MMWR on August 8; see MMWR 2003;52(31):735-739.
Kenneth G. Castro, MD
Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
Please send comments/suggestions/requests
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333