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TB Notes 4, 2003

Dear Colleague:

As you know by now, certain changes are being planned for the next round of cooperative agreements. The Field Services and Evaluation Branch (FSEB) and our TB control partners are formulating appropriate guidance for the recompetition of the TB cooperative agreement in FY 2005. The FY 2005 cooperative agreement will most likely de-emphasize targeted testing to ensure that persons with TB and their contacts are identified and treated. The changes will place more emphasis on TB health disparities, foreign-born populations, and other special groups. Efforts will be made to distribute funds based on disease burden and local needs.

Please mark your calendars: June 9-11, 2004, has been set for the 2004 National TB Controllers Workshop, to be held in Atlanta, Georgia. Further details will be provided to you as they become available.

Division of TB Elimination (DTBE) staff have been very busy attending as well as organizing many meetings in recent weeks and months. Rather than recount all of the events, I will highlight a few items. On September 24 and 25, CDC staff met with representatives of other federal agencies in Bethesda, Maryland, for a face-to-face meeting of the Federal TB Task Force (TBTF). The TBTF was formed in 1991 in response to the resurgent TB epidemic of the late 1980s and early 1990s. Most recently, the TBTF has focused its attention on the Institute of Medicine (IOM) report Ending Neglect: the Elimination of Tuberculosis in the United States. Just as CDC developed and published its response to the IOM report, the TBTF has collaborated in the preparation of a federal response to the IOM report. An initial printing of that publication was presented to TBTF members at the meeting, and additional copies first became available from the printer on December 10, 2003. These will be distributed to the various federal agencies and to our partners, the National TB Controllers Association (NTCA), the National Coalition for the Elimination of TB (NCET), the American Lung Association (ALA), and Results International.

On October 1 and 2, the Advisory Council for the Elimination of Tuberculosis (ACET) met in Atlanta. Many long-time members have rotated off the Council and have been replaced by new members. A roster reflecting the new membership is attached at the back of this issue. We learned from Dr. Harold Jaffe, Director of the National Center for HIV, STD, and TB Prevention (NCHSTP), that the Division of AIDS, STD, and TB Laboratory Research (DASTLR) was administratively transferrred to NCHSTP on October 1, 2003. We heard reports on the continuing challenges of TB control in jails, then devoted the rest of the day to discussions about the numerous projects and activities of CDC and our partners regarding TB in foreign-born persons. The next day Dr. Zach Taylor gave updates on targeted testing projects, announcing that because of deficiencies in the TB budget, most of the funding for the cooperative agreement targeted testing and treatment projects will be redirected to other priority activities. We also heard status reports on the revised infection control guidelines (to be published in 2004) and the Strategic Plan for TB Education and Training, whose continuation is also threatened by inadequate funding. For more information on the ACET meeting, please see the summary in this issue.

A number of DTBE staff also attended the 34th World Conference on Lung Health, sponsored by the International Union Against TB and Lung Disease, from October 29 to November 2, 2003, in Paris, France. Almost 16,000 participants from 120 countries attended the event. We heard international experts speak on the recent epidemic of severe acute respiratory syndrome (SARS), the increasing burden of human immunodeficiency virus (HIV) infection on TB control, the value of nutrition in lung health, and the importance of continued and increased funding to sustain TB control. We all came away with a renewed sense of commitment and dedication to the global fight against tuberculosis.

As this calendar year comes to an end, I extend my best wishes for a healthy and productive 2004. I am grateful for your ongoing commitment.

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 -

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