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U.S. Department of Health and Human Services


TB Notes Newsletter

No. 3, 2005

TB Education and Training Network Updates

Member Highlight

Paul Britton, RN, is the State TB controller, TB Control Program Manager, and Nurse Consultant for the Indiana State Department of Health. He has a BS degree in nursing and an MS degree in political science.

Paul is responsible for oversight of case management, technical assistance to local health departments, and oversight of all TB surveillance activities. He oversees educational program development for regional conferences that are sponsored by the TB control program. Paul worked previously in HIV/AIDS surveillance and in health regulatory affairs with the Indiana State Department of Health before taking over the TB control program in November 1999.

Paul first learned of TB ETN from DTBE and has been a member since its inception; you might say that he is an “original.” He joined TB ETN to remain on the forefront concerning new TB educational tools, resources, and developments. He is also a member of the Membership and Communications subcommittee. He joined this subcommittee to help spread the word about TB ETN and what it can do for his colleagues. In the next couple of years, Paul hopes that TB ETN will increase its membership. He also hopes that TB ETN will increase the amount of educational reference materials that are available through the TB ETN website, a reflection of Paul’s enthusiasm for computers. In his spare time Paul also enjoys reading and playing the guitar.

Recently, Paul was responsible for developing folding pocket reference cards for LTBI and TB disease and a TB Control and Prevention Manual for his state program. He also works with the American Lung Association of Indiana to put on a TB Symposium for health providers and local health department staff every other year.  “We will soon be planning one for October of this year,” Paul informed us.

If you’d like to join Paul 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 at (404) 639-8960 or by mail at

1600 Clifton Rd., NE, MS E10
Atlanta, Georgia 30333

If you would like additional information about the TB Education and Training Network, visit the website at

—Reported by Regina Bess
Div of TB Elimination

Cultural Competency Update

The TB ETN Cultural Competency Subcommittee has been busy developing and conducting a new needs assessment. After some consideration, it was decided that a small, informal needs assessment would be conducted through telephone calls to the Cultural Competency subcommittee membership. This needs assessment will help determine

  • The extent to which TB ETN members are aware of the cultural competency subcommittee and its activities
  • The level to which cultural competency subcommittee activities and projects have met the needs of TB ETN members
  • Specific needs or ideas for new Cultural Competency subcommittee activities and projects

Additionally, the subcommittee would like to increase the level of participation in monthly conference calls. To that end, members were asked about barriers to participation and were asked for ideas to encourage each of them to be a more active participant. The needs assessment was completed in May 2005 and the findings were reported at the TB ETN annual conference in August 2005.

Other Cultural Competency subcommittee activities have included the following:

  • Planning for the 2005 TB ETN conference, which continues to have a cultural competency component.
  • Reviewing ethnographic profiles developed by a CDC research team. Feedback is currently being incorporated into the draft profiles.
  • Continuing to review cultural competency tools and add these tools to the cultural competency resource list, which will be distributed at the TB ETN conference.
  • Continuing to assist in identifying TB cases that involve cultural challenges for the New Jersey Medical School National Tuberculosis Center’s (NJMS NTBC) Cultural Competency Newsletter. The subcommittee is interested in highlighting the wonderful work being accomplished in TB control, so if you or someone in your program has a case (past or present) involving cultural challenges, we would be interested in hearing about it.  Please contact Lauren Moschetta at (973) 972-1261 or for more information.

Cultural Competency Tip:

Identify the positive values behind behaviors we perceive as "different." This "reframing" of cultural differences will help when negotiating workable solutions between individuals or systems where cultural issues present a challenge.

From CRASH Course in Cultural Competency Skills, National Center for Primary Care at Morehouse School of Medicine with support from Pfizer.

—Submitted by Lauren Moschetta, MA
 Training & Consultation Specialist
 New Jersey Medical School Northeastern National Tuberculosis Center


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