TB Notes Newsletter
No. 3, 2007
TB EDUCATION AND TRAINING NETWORK
Patty Puppet is a First Nations and Inuit Health (FNIH) TB Educator
for the Manitoba region of
Canada. She became a TB educator
after being diagnosed with active TB disease. Patty is very knowledgeable
about TB and educational methodology and was well-trained by the
staff at FNIH.
comes from Winnipeg,
Manitoba, and was made by Patient Puppets,
Inc. to help teach people about TB. Miss Puppet has been so successful
at her job that more TB puppets are going to be made and given to
various nursing stations in the region. Some interesting facts about
Patty: she has TB disease although she was vaccinated; if you look
on her left shoulder you can still see her BCG scar; and she has
a big red bump on her arm showing her positive TB skin test reaction.
Patty was diagnosed with active TB disease after having a chest
x-ray and a gastric wash. When she opens her chest flap, you can
see swollen lymph nodes and a cavity in her lungs. If you examine
her really closely, you will see a small amount of pleural fluid
in the lower region of her right lung. Currently Patty only has
to take her TB medication 2 days a week. Children enjoy watching
her take her medicine because there is a small pocket at the back
of her mouth that enables the pills to disappear when she swallows
If you’d like to join Patty 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 email@example.com.
The registration form is available online as well at
You can also send a request by
or by mail to
TB ETN, CEBSB, DTBE, CDC,
1600 Clifton Rd., N.E., MS E10,
Atlanta, Georgia 30333.
Please visit TBETN if
you would like additional information.
By Jeuneviette Bontemps-Jones,
Div of TB Elimination
Cultural Competency Subcommittee Update
The Cultural Competency Workgroup held its second special topics
discussion on “TB in the African American Community”
during its February 2007 monthly workgroup call. Ken Johnson, a
TB Program Coordinator from Fulton
and Pamela Lamptey, a High-Risk Project Leader from the TB Prevention
and Control Program of the Chicago Department of Public Health,
were invited to facilitate the discussion and share their experiences
from the field. The goal was to learn about and discuss TB
control and prevention efforts in the African-American community
and share resources.
Workgroup member Valerie Gunn, from the NJ Medical School (NJMS)
Global TB Institute, opened the discussion by describing an interview
she had conducted with Dr. Reynard McDonald, medical director of
the NJMS Global TB Institute. Valerie shared with the group Dr.
McDonald’s opinions on TB in African Americans as a doctor
in a predominantly black community and as a black physician.
Ken then discussed some of the statistics of
Fulton County, and shared what the County
has done to reduce the burden of TB in blacks. In particular, Ken
discussed the role of stigma in the diagnosis and treatment of TB
and ways that the TB program in Fulton
County has worked around this. Ken’s
take-home message was that it all goes back to educating the patient
and family, and in the process reducing stigma, identifying contacts,
and ensuring treatment completion. Ken reinforced the idea that,
as with all communities, compassion and respect are crucial components
in developing trust within the African-American community.
Pamela also shared her experience working with the African-American
community in Chicago.
She began by saying that her focus is on increasing education and
community awareness about TB. Pamela talked about her work
with nontraditional partners such as owners or staff of business
storefronts, daycare centers, coffee shops, and public libraries,
to get the word out about TB.
More than 30 workgroup members participated in the discussion,
and a lively dialogue ensued about ways TB control staff can better
serve the African-American community. Dr. Cornelia White of DTBE
encouraged all TB ETN members to visit
TB in African Americans website, to join the Stop TB
in the African-American Community electronic mailing list, view the TB Challenge:
Partnering to Eliminate TB in African Americans newsletter,
and access additional resources.
—Submitted by Kristina
L. Ottenwess, MPH
Southeastern National TB Center
University of Florida
Cultural Competency Tip
Kleinman A, Benson P. Anthropology in the clinic: the problem of cultural
competency and how to fix it. PLoS Med 2006; 3(10): e294.
“If we were to reduce the six steps of culturally informed
care to one activity that even the busiest clinician should be able
to find time to do, it would be to routinely ask patients (and where
appropriate family members) what matters most to them in the experience
of illness and treatment.“