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TB Notes Newsletter

No. 4, 2005

TB Education and Training Network Updates

Member Highlight

Jerry Cyr, BSN, is a TB Coordinator for the British Columbia, Canada, Center for Disease Control. He graduated with a BS degree in nursing from the University of British Columbia. Jerry’s job responsibilities consist of coordinating all activities pertaining to tuberculosis in a large marginalized population in the downtown east side of Vancouver, British Columbia. He provides DOT to all persons within the area with active TB, conducts contact tracing, and provides ongoing screening and in-services to all health care workers in the area. He also serves as a resource for all physicians and health care providers by promoting active case findings and taking referrals from various professionals. 

At the last North American IUATLD meeting in Vancouver, Jerry was introduced to TB ETN. His primary reason for joining TB ETN was the fact that it is a very resource-rich organization through which he can access current relevant information and educational material. “It also provides an avenue to collaborate with other health professionals in the area,” said Jerry.

He is continually updating and modifying his TB teaching materials, which are primarily presented in PowerPoint. He provides in-services and education to a wide variety of audiences; these include physicians, nurses, and home support staff, as well as a network of intravenous drug users. He is continually modifying his presentations to provide relevant, useful information in the particular settings in which they are given. In addition, along with other nurses in his organization, Jerry has developed a teaching program for skin testing and tuberculosis designed for public health nurses who provide care to TB patients in the field.

In his spare time he enjoys music—primarily guitar—as well as hiking, and also enjoys literature. Jerry is also involved with Amnesty International and various ecology groups that operate near him in the Northwest.

“I work with a lot of HIV-infected clients who are coinfected. I would like to travel and volunteer some time in South Africa with some of the clinics there where coinfection rates are high. I also plan to do some work in the fall on the Burmese/Thai border with Burmese refugees, doing some TB work,” Jerry explained.

If you’d like to join Jerry 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

CEBSB, Division of Tuberculosis Elimination
1600 Clifton Rd., N.E., 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


TB ETN Welcomes its 500th Member

The TB Education and Training Network (TB ETN) has been growing since it was first established in 2001. In August, TB ETN received the membership application of its 500th member, Judith E. Beison.

Judith Beison’s title is Director of TB Programs for the American Lung Association (ALA) of Metropolitan Chicago. Her primary duty in this position is serving as the Project Coordinator for the TB Epidemiologic Studies Consortium (TBESC) Chicago site. In addition, she coordinates activities for the Metropolitan Chicago TB Coalition (MCTC), which is an affiliated subsidiary of the ALA of Chicago. The TBESC and the MCTC are related in that the MCTC oversees and administers the TBESC contract for Chicago.

The mission of the MCTC is to create, coordinate, and mobilize a variety of resources to focus on the elimination of TB; its members provide education and advocacy about TB awareness and work with HIV groups. Judith is a member of the ALA Chicago planning committee for World AIDS Day and World AIDS Testing Day. She coordinates and plans Chicago’s World TB Day activities with a committee of other MCTC members. She is also responsible for informing the public about the research that MCTC is doing for TBESC. Her educational background is in the areas of urban development and human services.

Judith became familiar with TB ETN at the 2005 IUATLD conference where TB ETN members were exhibiting. She later did further research on TB ETN through the TB ETN website and found that several of her colleagues were already members. Dr. Wanda Walton, who was a speaker at Chicago’s World TB Day, also spoke about the TB ETN in her remarks. Judith liked what she heard and concluded that her joining would benefit MCTC, and that MCTC could probably be of benefit to TB ETN. “I think MCTC and TB ETN could become well established partners by working together,” said Judith.

Judith is also a member of the TB ETN Cultural Competency subcommittee. “I joined this subcommittee because I have always believed that we as a people need to understand as much as we can about all cultures we may encounter. If we can help in someway, I think we will make a difference across the board in our efforts to live and work and become a healthier world. There are too many myths about different cultures that become barriers. Hopefully, I can be a resource,” Judith explained.

Judith hopes that in the next couple of years TB ETN will multiply its membership significantly and continue to help build resources that can assist with education and awareness of TB.  “Although TB is an airborne disease, it plays second fiddle to many things,” she stated.

Judith has assisted in the development of a number of training and education products and programs:

  • The Senior Citizen Education TB/HIV Coinfection Education Program. This consists of a train-the-trainer component, a pretest and a posttest, a vignette related to educating an elderly person, a PowerPoint presentation, Qs and As, and an evaluation. The MCTC members are presenting this program to residents of senior citizen housing in higher-risk areas. The MCTC is currently seeking funds to sustain this program and to expand it to church or senior community centers.
  • Judith, along with other members of MCTC, designed a TB “Jeopardy!” palm card to be mailed and passed out at meetings and workshops. Based on the television game show, the card contains three simple facts about TB, along with questions that match the statements. The card also lists the telephone number of the ALA for those wanting more information about TB. In addition, recipients are given an incentive to keep the cards. A code is printed on the back of each card, and recipients are told that they may be eligible to win a prize if they are asked (by mail or other means) for the code printed on the back of their card and they are able to give it. The MCTC members are planning the sites and venues where winners will be announced and prizes handed out.
  • Judith, her staff, and members of MCTC have developed an educational panel discussion video. It was produced for cable and can be used as an awareness tool. It was released on cable television channel 21 prior to World TB Day 2005 as a promotional event on TB and HIV, and focuses on why the community should be involved. The title is “The Community: A Resource in TB Elimination.”

Some other training and education products and programs in which Judith has been involved are as follows:

  • In 2002 the MCTC engaged a local high school to write a play about TB as part of its health education class. The play’s title is “Love Gone Airborne,” and it was presented at Chicago’s DuSable Museum. MCTC staff educated the students about TB and asked them to write a play relating to community issues. Students, neighborhood residents, and a local physician made up the cast. Since the project was operating on a shoe-string budget, the Southside Community Planning Group stepped in to assist. It was videotaped (although for financial reasons it could not be done professionally) and is being used by some organizations that have found it useful.
  • The local Northside Community Planning Group developed a TB knowledge assessment to be used to assess the need for education among those joining community groups. The purpose is to correct any misinformation and prepare information resources.
  • The Westside Community Planning Group hosts annual education meetings for the MCTC membership and for shelter providers. The group developed a workshop on how to read Mantoux tuberculin skin test results.

In Judith’s free time she enjoys sewing, crafts, and acting. Her interests are community service and advocacy. Judith is also the grandmother of three wonderful girls: Faith, 7; Saasha, 6; and Olivia, 11 months.

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


Summary of Fifth Annual Conference

TB Education and Training Network (TB ETN) members gathered in Atlanta for the fifth annual TB ETN conference in August.  The title of this year’s conference, “Stepping Up Education and Training to Eliminate TB,” was based on a dance theme. Participants had the opportunity to build knowledge and skills while also having a bit of dancing fun! 

photo of meeting participants

Participants attended both plenary lectures and breakout sessions designed to enhance skill-building. Highlights of the conference included an engaging presentation by Rhajita Bhavaraju, Program Director of Education and Training at the Northeastern National Tuberculosis Center. Ms. Bhavaraju’s session, based on her own experiences in the field, focused on the systematic process of developing education and training materials and programs.

photo of meeting participants Another highlight was a plenary session by Helen Osborne, a passionate health literacy advocate. One participant stated after the session, “I will use what I learned from her in my writing, teaching, and patient communication. She's a wonderful, thoughtful, and inspiring speaker.” Participants of the conference received a copy of Ms. Osborne’s book, Health Literacy from A to Z. Ms. Osborne also presented a breakout session entitled “Using Visuals, Stories, and Other Methods to Enhance Health Communication.”

To showcase projects from the state and local areas, the conference featured a poster session and an educational materials display. In the months leading up to the conference, 27 abstracts were accepted. Abstracts from Georgia, Massachusetts, and New York were selected for oral presentation based on their correlation with the conference sessions. Participants from California, Florida, Georgia, Illinois, Kansas, Maine, Minnesota, New York, Virginia, and Canada shared materials developed in their programs at the educational materials display. 

photo of conference participant dancingConference participants enjoyed the opportunity to network at an evening social sponsored by Translation Plus. During the social, participants were treated to a special dance performance. The cha-cha, the merengue, the rumba, and salsa dancing were performed by young dancers 11–13 years old from a local dance school in Atlanta. After the performance, conference participants had the opportunity to “strut their stuff” during a salsa lesson instructed by the young dancers and their dance teacher.

Participants came away from the conference rejuvenated and equipped with new knowledge and creative ideas to practice and share in their work. Evaluations of the conference show that participants thought the conference was very informative and even entertaining! One participant stated, “This creative atmosphere has spilled over into other areas of my work. I've found myself having all these creative thoughts and ideas and I think it's been the conference that has done this.” 

For more information about the TB Education and Training Network, visit the website at

—Reported by Betsy Carter Marchant, MPH, CHES
Div of TB Elimination


Cultural Competency Subcommittee Update

The Cultural Competency subcommittee focuses its efforts on providing resources for members of TB ETN to promote cultural competency in TB control activities. Recent projects include an update of the Cultural Competency Resource List that was originally developed in 2001. This was made available to all participants at the TB ETN conference and was included on the TB Education and Training Resources website Each listing includes a brief description of the resource and the name and contact information of the organization for further information. Several new resources were identified by members of the subcommittee and are included in the updated version.

To identify additional needs of TB ETN members in the area of cultural competency, the subcommittee initiated a process to contact other subcommittee members by telephone to develop a dialogue and elicit suggestions for future projects. Ideas for projects were developed during these personal interviews, and this information became the basis for presenting specific suggestions to the general membership. Those attending the conference will be asked to evaluate the proposed activities to determine which ones would be most beneficial. Based on these results, the subcommittee will determine the future direction of its efforts to provide additional resources for members of TB ETN.

Members of the subcommittee participated in piloting the use of a WebBoard to facilitate communication, particularly among international members. Scott McCoy of DTBE’s Communications, Education, and Behavioral Studies Branch joined in on one of the conference calls and reviewed the online features of the system. The WebBoard includes an area for updating tasks and posting information as well as communicating with other members. Other guest speakers were invited to participate in the monthly conference calls to describe the development of new resources. John Scott, Director of the Refugee Health Information Network (RHIN) at the Center for Public Service Communications, Arlington, Virginia, described the RHIN website ( that is under development. Julie Coxdale from the Virginia Newcomer Health Program ( shared her state clearinghouse for cultural information. After her return from a temporary assignment in Southeast Asia, CDC subcommittee staff liaison Gabrielle Benenson described her cross-cultural experiences and insights. Members of this subcommittee are always looking for new resources to share with each other and with the general membership of TB ETN.

Cultural Competency Quote
“Cultural competence education and training broadly describes a vast array of educational activities aimed at enhancing the capacity of the individuals and the service delivery system to meet the needs of different racial and ethnic populations. The literature suggests that cultural competency training can include educational activities aimed at increasing sensitivity and awareness; skills building in bicultural and bilingual interviewing and patient assessment; enhancing the use of race or ethnic-specific epidemiological data in diagnosis and treatment; and increasing cultural knowledge and understanding. It is believed that the knowledge and skills gained through training will enable providers and institutions to work more effectively in cross-cultural situations by developing new approaches to communication, patient care, and services planning that are based on cultural and linguistic needs.”

From Setting the Agenda on Research on Cultural Competence in Health Care. Office of Minority Health, US Department of Health and Human Services, August 2004.

—Submitted by Margaret Rohter, MPH
Suburban Cook County TB Sanitarium District
Co-chair, TB ETN Cultural Competency Subcommittee


TB Education and Training Resources Submission Form
Now Available Online

Filing out the TB Education and Training Resources Online submission form

Follow three easy steps to share your TB education and training resources:

  1. Visit
  2. Fill out the online submission form
  3. Upload your materials electronically

Photo: Filling out the TB Education and Training Resources online submission form


Tuberculosis Education and Training Network: Celebrating 5 years of Bringing Together TB Education and Training Professionals

This year marks the fifth anniversary of the Tuberculosis Education and Training Network (TB ETN). TB ETN has come a long way since it was started, and I’d like to provide you with a summary of the activities and accomplishments of TB ETN. For those of you who are not yet members, I hope that this overview serves as an incentive to become an active member so that you can take advantage of all TB ETN has to offer.

Background. In 1998, a strategic planning process for TB-related training and education was undertaken by the three National TB Model Centers, CDC, and numerous state and local partners, and resulted in the Strategic Plan for Tuberculosis Training and Education, which was published in 1999. To meet the plan’s recommendation of establishing a network of persons involved in TB education and training, the TB ETN was established in early 2001. The Plan has since been updated (2004–2008). The updated plan continues to endorse TB ETN, and can be found online at

In addition to TB ETN, other outcomes of the first strategic plan were

Goals. TB ETN strives to build capacity by ensuring that members become familiar with and use the systematic health education process when developing education and training products and courses. The goals of TB ETN include furthering TB education and training by

  • Building, strengthening, and maintaining collaboration
  • Providing a mechanism for sharing resources to avoid duplication
  • Developing, improving, and maintaining access to resources
  • Providing updated information about TB courses and training initiatives
  • Assisting members in skill building

Primarily through capacity building, TB ETN has facilitated the development of a cadre of TB educators and trainers with improved skills and abilities, knowledge of available resources, and the ability to serve as a resource for high-priority needs such as outbreaks and implementation of new guidelines.

“The ability to network and share successes is invaluable. Membership also allows me to keep up to date with new guidelines, materials, and what's happening in the battle to eliminate TB.”

Teri Lee Dyke
Michigan Dept of Community Health

Membership. As of September 2005, there were 504 members in TB ETN (369 Active and 135 Information Only members). When TB ETN was first established, members consisted of primary and secondary members from state, big city, and territorial TB programs (about 70 members). At the first TB ETN conference in 2001, participants suggested that membership be open to all interested in TB education and training issues. To make it easier to join, the TB ETN steering committee set up two categories of membership, Active and Information Only. Persons interested in joining TB ETN can choose which type of membership they prefer.

Active members

Information only members

  • Have lead role for TB education and training
  • Participate in TB ETN-related activities
  • Receive priority registration for TB ETN activities
  • Have voting privileges
  • May serve on subcommittees
  • Do not have a lead role in TB education and training in their agencies or do not wish to actively participate in TB ETN activities
  • Receive information about TB ETN meetings, activities, etc., via e-mail postings to the membership
  • Do not have voting privileges
  • Cannot serve on subcommittees

TB ETN has a diverse membership, providing members with great networking opportunities. Members include representatives from

  • U.S. state, local, and territory TB programs
  • Centers of Excellence (COE)
  • Local American Lung Association affiliates
  • International agencies
  • Correctional institutions
  • Managed care organizations
  • Universities

Each of the 50 states and over 30 countries are represented in the Network. International members make up about 20% of the membership. TB ETN is truly an international organization.

Steering Committee and Subcommittees. The guiding forces behind TB ETN are the steering committee and three subcommittees. Each of these helps guide TB ETN activities. The steering committee is chosen by TB ETN members and reflects the make-up of the membership. Steering committee members serve 2-year terms, with the exception of the Center of Excellence (COE) representative, who serves a 1-year term.

Steering Committee, 2004–2005

  • Suzy Peters – FL
  • Edith Sampson – Cochise County, AZ
  • Joanne Maniscalco – Nassau County, NY
  • Nfornuh Alenwi – Cameroon, Africa
  • Rajita Bhavaraju – COE Representative
  • D.J. McCabe – COE Representative
  • Bill Bower – COE Representative
  • Maria Fraire, Betsy Carter Marchant, Gabrielle Benenson – CDC

Past Steering Committee

  • Judy Bulmer – NY
  • Kathy Hursen – MA
  • Debbie McIntosh – CA
  • Bill Bower – Model Center Representative
  • David Berger – Model Center Representative

2001 Conference Planning Committee

  • Genevieve Greeley – UT
  • Kathleen Hursen – MA
  • Kathleen Perez-Hureaux – NY
  • Barbara Seaworth – TX
  • Candice Zimmerman – CA
  • Debra Kantor – Model Center Representative

Subcommittee Co-chairs and Activities

  • Communications and Membership
    Current co-chairs: Teri Lee Dyke – MI, Linette McElroy – Canada
    Past co-chairs: Vipra Ghimire – VA, Suzy Peters - FL
    Goal: To recruit members for TB ETN by promoting benefits of membership and encourage communication and sharing of information and activities among network members
    • Conducted a membership database analysis
    • Wrote TB Notes articles
    • Developed TB ETN lapel pin for members
    • Developed TB ETN brochure and poster
    • Displayed TB ETN poster at local, state, national, and international TB-related events
    • Provided suggestions for TB ETN website
  • Cultural Competency
    Current co-chairs: Margaret Rohter – IL, Savitri Tsering – WI
    Past co-chairs: Genevieve Greeley – UT, Serge Chicoye - NY
    Goal: Promote cultural competency among members of TB ETN
    • Wrote TB Notes articles
    • Developed a cultural competency resource list
    • Conducted a needs assessment and follow-up
    • Solicited case scenarios for the Northeastern National TB Center’s Cultural Competency Newsletter
    • Provided suggestions for cultural competency sessions at the annual conference
    • Invited guest speakers on conference calls
  • Conference Planning
    Current chair: Gail Denkins – MI
    Past co-chairs: Jean Montgomery – TX, Kathleen Hursen – MA, Karen Farrell – FL, Ann Tyree – TX, D.J. McCabe – Model Center Representative
    Goal: To plan the annual conference
    Activities: Planned each of the five annual conferences
“I have seen tremendous growth and excitement among TB educators over the last 4 years. The annual meetings are a great avenue for networking and I have made many new professional contacts all over the U.S. and Canada.”

Suzy Peters
Health Education Consultant, Florida

Annual Conferences. TB ETN’s most important event is the annual conference. These conferences focus on the systematic health education process: planning; development, including formative evaluation; implementation; and evaluation. Persons who have attended these conferences in the past can attest to the benefits of participating in the conferences and implementing what they have learned. Participant evaluations of these conferences are used to help guide TB ETN activities and future conferences.

Highlights from past conferences include plenary sessions with distinguished speakers, breakout sessions with skill-building activities, educational materials displays, learning games, networking activities, poster sessions, and presentations from TB programs about education and training projects. Following are the titles of past conferences:

2001 – Culture, Language, and Literacy in TB Education and Training
2002 – Reaching Key Audiences Through Innovative TB Education and Training Methods
2003 – Oh, the Places TB Education Can Go . . .
2004 – TB Education and Training Survivor:  Improving skills, building alliances, meeting challenges
2005 – Stepping Up Education and Training to Eliminate TB

Bylaws. Another accomplishment was the development of bylaws to formalize procedures, such as voting procedures. The Steering Committee drafted the bylaws, which were then approved by the membership. The bylaws are accessible on the TB ETN website.

Marketing materials. TB ETN uses various materials for marketing. Posters and pamphlets are distributed by the Steering Committee at conferences and training sessions. In addition, TB ETN shares news, education-related articles, and cultural competency tips with subscribers in each issue of TB Notes newsletter.

TB ETN has also developed a website that provides information about the network and how to join. A “Members Only” section was recently added to provide additional information to the membership. This section includes Steering Committee and subcommittee minutes, a membership directory, bylaws, and detailed information about each of the subcommittees (e.g., goal, objectives, and activities).

To assist with marketing efforts, a link to the TB ETN website is now located on the Find TB Resources website.

Awards. TB ETN was awarded the Horizon Health Education Program Award by CDC's Public Health Education and Promotion Network. As part of the 2004 Excellence in Health Education Awards, the Horizon Award is given to a program that was developed by CDC or in collaboration with CDC partners, has been in existence for 2–4 years, and exhibits significant potential to substantially and positively affect the practice of health education. The award was presented at Health Education Day on October 22, 2004.

2005 U.S. Cooperative Agreements. TB ETN has raised awareness about the importance of education and training as an essential part of a TB program. As a result, TB ETN has influenced the creation of new funding for education and training. In the 2005 cooperative agreements, DTBE included provisions for funds for human resource development (i.e., education and training) as a core component of TB control programs. As part of this component, each TB program must have at least one designated training focal point who is also a member of TB ETN.

Summary. In the 5 years since the network’s inception, TB ETN has grown significantly and has become progressively more active.

How far we’ve come in 5 years:

Then we had . . .

Now we have . . .

  • 90 members
  • 1 representative from each state/big city/territory
  • 65 registered conference participants
  • No specific funding for TB education and training
  • 504 members
  • Multiple representatives, including international members
  • 160 registered conference participants
  • An education and training component in the TB COAG

“Thank you, TB ETN, for this valuable resource. Being new to the world of tuberculosis, it is a great relief to know I am never too far away from someone who says ‘Been there, done that; now how can I help you?’”

Gail Denkins, RN, BS
Regional TB Nurse Consultant, Michigan

There are now 504 members in the network representing all 50 states within the United States and growing international representation. TB ETN has developed a cadre of TB educators and trainers across the United States and internationally with improved skills and abilities, knowledge of available resources, and the ability to serve as a resource for high-priority needs. Collaborative efforts between TB programs and other organizations conducting TB education and training have increased the visibility, momentum, and impact of TB education and training efforts. TB ETN has raised awareness about the importance of education and training as an essential part of a TB program and as a result, has influenced the creation of new funding for education and training. TB ETN is maximizing the effectiveness and efficiency of the various groups and individuals interested in TB education and training, and will continue to do so for years to come.

TB ETN: Bringing Together TB Education and Training Professionals

TB ETN: Bringing Together TB Education and Training Professionals

—Reported by Maria Fraire, MPH, CHES
Div of TB Elimination


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
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