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TB Notes 4, 2006
Director's Letter
Highlights from State and Local Programs
  Los Angeles Presents "The Opera and Perspectives on TB"
  Arizona's and Sonora's Meet and Greet Program for Deportees with TB
  The Flex Power of Memoranda of Agreements (MOAs)
  HIV Status Not Routinely Determined for TB Cases: an Evaluation of Four California Local TB Programs
CDC/ATSDR Group Award for Minority Health Mentor/Champion of Excellence
Laboratory Update
  New Technologies Unveiled at the 2006 National TB Controllers' Workshop
Nursing Updates
  The Red Snappers of National Tuberculosis Nurses Coalition (NTNC)
  Pacific Island TB Controllers Association (PITCA) -  Workshop for Nurses
TB Education and Training Network Updates
  Member Highlight
  Sixth Annual Conference Highlights
  Cultural Competency Subcommittee Update
Communication, Education, and Behavioral Studies Branch Update
  New Communication Efforts to Stop TB in the African-American Community
Clinical and Health Systems Research Branch Update
  Using a Private Claims Database for TB Health Services Research, Evaluation, and Analysis
Surveillance, Epidemiology, and Outbreak Investigations Branch Updates
  9th Semiannual Meeting of the Tuberculosis Epidemiologic Studies Consortium
  TBESC Task Order #10: Monitoring Performance and Measuring Cost of TB Public Health Practice at County and State Health Departments: Are We Making a Health Impact?
New CDC Publications
Personnel Notes
Calendar of Events
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TB Notes Newsletter

No. 4, 2006

TB Education and Training Network Updates

Member Highlight

Ann Poole, RN, is a Nurse Consultant with the Georgia Department of Human Resources, Division of Public Health. “Way back in the 1970s, I went to nursing school at a 2-year community college while working full-time and adapting to marriage. That was an education in itself! Since then I have attended a multitude of continuing education courses covering nursing, TB, computers, accounting, and numerous other subjects,” Ann relates.

Ann’s job responsibilities include educating health care providers and others regarding program policies, procedures, and services to promote coordination of TB program services; planning, coordinating, and implementing TB educational and training programs for public and private health care sectors; and monitoring district programs and private and public sector entities for compliance with state and/or federal TB guidelines through data collection and on-site quality assurance visits.

Ann learned about TB ETN very soon after starting with the state program in 2001, when the first TB ETN conference was held. “I think each state could only send a couple of people, but since it was held in Atlanta, we rotated our staff so we each could attend a portion of it. I have attended every TB ETN conference since then because I have learned so much valuable information about educating the public and providers about TB!” Ann commented.

Ann joined TB ETN to share ideas, strategies, and resources with others in the United States and internationally who are doing the same types of things that she is doing in her state. She is also a member of one of the TB ETN subcommittees. She has been on the Communications and Membership subcommittee during 2005–2006, and will serve as co-chair with David Oeser from Missouri for 2006–2007. Ann joined this committee to promote the organization to others in the health education and medical fields.

In the next couple of years, Ann would like to see the membership expand in regard to staff of correctional settings. She would also like to see more of the current members become actively involved on one of the subcommittees, and added that “this organization is a reflection of the wealth of knowledge and diversity of its members.”

Ann’s most recent training/education accomplishment was “Put the Cuffs on TB,” a conference held in Georgia. The goal of this conference was to open a dialogue between persons working in public health, in correctional systems (state, county, and city) and in private practice in order to increase collaboration and continuity of care for their shared TB clients. “We would have been pleased if 25–30 had shown up. Instead, we had 100 excited participants attend,” she related. “Due to the tremendous feedback on this conference, we are planning another one for later in the fall.” She added that another correctional training session would be held in January 2007.

She and her coworkers also have an ongoing “TB Update and Skin Test Certification Workshop” that is standardizing the knowledge and technique of TST administration, reading, and interpretation in Georgia. They have also provided statewide annual TB/HIV conferences and “Saturday Clinicians Update” conferences to keep their providers knowledgeable about current TB treatment.

Ann is also a grandmother of three active grandsons, and showing them the excitement and joy in life takes up most of her free time. When time allows, Ann also enjoys painting, using the computer, and learning new things.

If you’d like to join Ann as a TB ETN member and take advantage of all TB ETN has to offer, please send an e-mail to requesting a TB ETN registration form.

You can also send a request by fax to (404) 639-8960 or by mail to:
Division of Tuberculosis Elimination,
CDC, 1600 Clifton Rd., N.E., MS E10,
Atlanta, Georgia 30333. Please visit

TB Education and Training Network.

—Reported by Regina Bess
Div of TB Elimination

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Sixth Annual Conference Highlights

TB Education and Training Network (TB ETN) members gathered August 15–17 in Atlanta for their sixth annual conference. The conference focused on the four elements of the systematic health education process: planning, developing, implementing, and evaluating TB educational materials and training programs. The meeting also emphasized skill-building sessions and networking activities. The title of this year’s conference was “TB Training and Education Magic: Tricks of the Trade.” The theme of magic was woven into the titles and content of the presentations, and reflected in the wardrobes of several of the presenters.

Photos of Sue Etkind Director of the Division of Tuberculosis Prevention and Control at the Massachuettes Dept. of Public HealthThe 182 participants attended both plenary sessions and breakout workshops designed to enhance skill building. Sue Etkind, Director of the Division of Tuberculosis Prevention and Control at the Massachusetts Department of Public Health, dressed in a wizard’s gown and hat, delivered a rousing key note address. Titled “Hogwarts School of Witchcraft and Wizardry: Do you have the vision?” the presentation focused on ensuring that education and training are essential parts of a TB control program. To that end, she posed four questions that educators and trainers must answer:

  1. Where does education and training fit into your TB program’s organization?
  2. How do you make education and training part of your organization’s mind set?
  3. What does education and training contribute to TB program evaluation efforts? and
  4. How can education and training contribute to the TB program’s strategic plan?

Workshops during the conference included using social marketing principles to plan training and education activities, focusing health promotion materials on specific target audiences, using innovative approaches to train trainers, and using evaluation to plan and improve TB training.

Photo of attendees at the Sixth Annual TBETN ConferenceTo showcase projects from local areas, the conference featured poster sessions and an educational materials display; 34 poster abstracts were accepted for poster presentations. Chosen for oral poster presentations were “Staff Training Sessions for the Implementation of Revised TB Prevention and Control Guidelines for Canadian Federal Correctional Facilities,” presented by Linette McElroy; “Developing a Targeted Educational Message on a Shoestring Budget: The Making of a Local TB Video Using Patients, Staff, and Community Partners,” presented by Alisa Haushalter; and “Raising Awareness of TB in African-American Communities on Chicago’s South Side,” presented by Pamela Lamptey.

Photo of a particpant at the TBETN ConferenceParticipants from Canada, Florida, Illinois, Michigan, Minnesota, and New York shared materials developed in their programs at the educational materials display. Also displaying materials were staff of DTBE, the National TB Controllers Association, the Francis J. Curry National Tuberculosis Center, the Heartland National Tuberculosis Center, the Northeastern Regional Training and Medical Consultation Consortium, the Southeastern National Tuberculosis Center, the National Prevention Information Network, VersaPharm, and Cellistis.

Conference participants enjoyed the opportunity to network at an evening social get-together sponsored by Translation Plus, VersaPharm, Celestis, and Quest Medical Staffing. During the social, participants were treated to a special performance by Atlanta magician Tommy Johns.

An initial look at the overall conference evaluations and comments from participants were very positive, with more than 90% of the evaluations reporting that participants agreed or strongly agreed that the conference goal and objectives met their needs as educators and trainers.

TB Education and Training Network.

—Submitted by Scott McCoy, M.Ed.
Div of TB Elimination

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Cultural Competency Subcommittee

The membership of the Cultural Competency Subcommittee has increased to over 80 individuals who are active members of the TB Education and Training Network (TB ETN). The main goal of the subcommittee is to promote cultural competency among members of TB ETN. Providing resources for members and sharing information during conference calls is one of the ways that the subcommittee supports its members.

As a result of the needs assessment that was conducted at the 2005 TB ETN conference in Atlanta, the subcommittee decided to focus on marketing the Cultural Competency Resource List (PDF), originally developed in 2001. An ad hoc workgroup of subcommittee members came together to create a cover for the resource document. They submitted several colorful designs for the cover, and the selected design was used on the resource document that was included in the TB ETN conference binder. This list is updated annually by the subcommittee, with additional resources being identified and included. There are over 100 organizations included on the updated list, ranging from associations, government agencies, and research centers to cross-cultural service providers. Almost all organizations have Internet websites, thus the information referenced is readily available. The subcommittee members have reviewed each listing and written a brief description, and have updated the contact information for each resource. However, inclusion on the list does not imply endorsement by the subcommittee. An ongoing subcommittee workgroup is attempting to make the list more user-friendly for its intended audiences.

Another current priority project is a review of the CDC Ethnographic Guides for TB programs. Bill Bower, co-chair of the subcommittee, coordinated the review teams for each guide as it was released for comments prior to final publication by CDC. Eight subcommittee members reviewed the Mexican guide and provided comments and feedback on evaluation forms developed by CDC. At a later date, five members provided review and comments on the Vietnamese guide. Most recently, members reviewed the Somali guide and were able to recruit Somalians to provide their unique perspectives as well. Additional members have volunteered to provide feedback on the upcoming Hmong and Chinese guides.

The subcommittee welcomes a new co-chair, Ms. Kristina Watkins, MPH. Kristina is a Training Specialist with the Southeastern National TB Center in Gainesville, Florida. She has been an invaluable addition to the subcommittee and has a wealth of experience in providing training and education materials for the 13 jurisdictions within her region. Kristina graduated from the University of Michigan School of Public Health and studied abroad in Santiago, Chile. Both she and Bill Bower, who continues as co-chair for a second year, are fluent in Spanish.

The subcommittee solicited additional input from new members attending the 2006 TB ETN conference for its needs assessment process. This will help define projects that the subcommittee can address in the future.

—Submitted by Margaret Rohter, MPH
Suburban Cook County TB Sanitarium District
Co-chair 2004-06, TB ETN Cultural Competency Subcommittee

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Cultural Competency Quotes

“Cultural competence has thus evolved from the making of assumptions about patients on the basis of their background to the implementation of the principles of patient-centered care, including exploration, empathy, and responsiveness to patients’ needs, values, and preferences. Culturally competent providers expand this repertoire to include skills that are especially useful in cross-cultural interactions.”

“Cultural competence has emerged as an important goal for very practical reasons. As the United States becomes more diverse, clinicians will increasingly see patients with a broad range of perspectives regarding health. Patients may present their symptoms quite differently from what we learned in our textbooks, they may have different expectations or thresholds for seeking care, and their beliefs will influence whether or not they follow our recommendations.”

“Cultural competence is not a panacea that will single-handedly improve health outcomes and eliminate disparities, but a necessary set of skills for physicians who wish to deliver high-quality care to all patients. If we accept this premise, we will see cultural competence as a movement that is not marginal, but mainstream.”

—Excerpts from “Cultural Competence-Marginal or Mainstream Movement?” by Joseph R. Betancourt, M.D., M.P.H. Published in New England Journal of Medicine 351:10, September 2, 2004.



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