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TB Notes 3, 2007
Director's Letter
Highlights from State and Local Programs
  Georgia Statewide TB Training
NTCA Workshop Poster Contest
2007 EIS Conference a Success for DTBE
National Tuberculosis Indicators Project (NTIP): An Update
Evaluation Team Visits TB Isolation Village in Thailand
TB Education and Training Network Updates
  Member Highlight
  Cultural Competency Subcommittee Update
Communications, Education, and Behavioral Studies Branch Update
  A Review of DTBE’s First Year Using the CDC INFO Call Center
Surveillance, Epidemiology, and Outbreak Investigations Branch Updates
  TB/HIV Surveillance in Ethiopia
TB Epidemiologic Studies Consortium Updates
  2007 World TB Day: TBESC Sites Across the U.S. Get Involved
  “The First Global Symposium on Interferon-Gamma Assays” 2007
New CDC Publications
Personnel Notes
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TB Notes Newsletter

No. 3, 2007


Member Highlight

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.

Photo of Patty PuppetPatty 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 them.

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 The registration form is available online as well at (PDF)
You can also send a request by
fax to (404) 639-8960
or by mail to
1600 Clifton Rd., N.E., MS E10,
Atlanta, Georgia 30333.
Please visit TBETN if you would like additional information.

By Jeuneviette Bontemps-Jones, MPH, CHES
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 County, Georgia, 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 the 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
Training Specialist
Southeastern National TB Center
University of Florida

Cultural Competency Tip
“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.“

Kleinman A, Benson P. Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Med 2006; 3(10): e294.


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