State-Specific Consultation Processes

State	City	Process
Arizona		TB control activities in Arizona are directed and administered by the State TB Control Officer. Each county nominates a physician(s) to serve as the County TB Control Officer, and these physicians are authorized to serve as Deputy State TB Control Officers. The Arizona Department of Health Services (ADHS) TB Control Section provides assistance to private practitioners, Deputy TB Control Officers, county health departments, etc., regarding care of TB patients. The State TB Control Officer will normally respond to requests for medical consultation within one day. The ADHS TB Control Section can be contacted at 150 North 18th Avenue, Suite 140, Phoenix, AZ 85007, (602) 364-4750. Additional medical consultation is also available through the Heartland National TB Center at 1-800-839-5864.
Illinois	Chicago	The Chicago Department of Public Health Tuberculosis Control Program is the local TB authority for the City of Chicago and should be contacted directly. For medical consultation, please call Dr. Susan Gerber at (312) 746-5992.
Illinois	Outside Chicago	Illinois clinicians outside of Chicago seeking expert medical consultation for the treatment of TB patients should contact the Tuberculosis Control Section of the Illinois Department of Public Health at (217) 785-5371. Requests for consultation received from Chicago should be referred to Dr. Gerber at (312) 746-5992. Requests for consultation in regards to confirmed pediatric TB cases should be referred to Dr. McAuley at (312) 942-6396. All consultations provided by HNTC should be copied to Mike Arbise at michael.arbise@illinois.gov and Dr. Craig Conover at craig.conover@illinois.gov.
Iowa		The Iowa Department of Public Health TB Control Program recommends that healthcare professonals in Iowa contact either the Nurse Consultant Marion Brown (515-281-8636 / mbrown@idph.state.ia.us) or the Program Manager Allan Lynch (515-281-7504 / alynch@idph.state.ia.us) for standard recommendations on the clinical management of latent TB infection, suspected, and confirmed cases of pulmonary or extrapulmonary TB disease. Specialized physician expertise is accessible by contacting the same phone numbers and email addresses as listed above.
Kansas		Clinical consultation in the medical management of TB patients is available through the Kansas Department of Health and Environment TB Control and Prevention Program. The State TB Nurse Consultant will triage all requests for clinical consultation and coordinate a rapid response to clinicians treating Kansas TB patients. The State TB Nurse Consultant will gather all pertinent information required for the consultation and facilitate coordination with in-house expert resources, contracted state clinician experts and/or the Heartland National TB Center, as appropriate, for each request. The State TB Nurse Consultant may be reached at (785) 296-0739 or gdowell@kdheks.gov.
Minnesota		Clinicians treating residents of Minnesota are encouraged to contact expert nurses at the Minnesota Department of Health TB Prevention and Control Program at (651) 201-5414 or 1-877-676-5414 regarding standard recommendations for the diagnosis and treatment of latent and active tuberculosis. Please contact the MDH TB Program for information on how to reach the Program's medical consultants regarding situations not covered under standard guidelines.
Missouri		Clinicians and local public health nurses treating residents of Missouri are encouraged to contact the Missouri Department of Health and Senior Services TB Control Program at (573) 751-6122 and ask to speak to a TB Program person for standard recommendations for the diagnosis and treatment of latent and active tuberculosis. For medical consultation regarding more complicated TB cases, such as MDR-TB, XDR-TB, or complicated HIV TB, please contact the Heartland National TB Center.
Nebraska		Nebraska clinicians seeking expert medical consultation for tuberculosis should contact the Nebraska TB Program Manager (402-471-6441 / pat.infield@nebraska.gov) for referral to a Nebraska TB Physician Consultant.
New Mexico		Consultation for the medical management of tuberculosis patients is available through the New Mexico Department of Health Tuberculosis Program. Please contact the State Tuberculosis Nurse Consultants at (505) 827-2471 or (505) 827-2473.
North Dakota		Please contact the North Dakota Department of Health (NDDoH) TB Program at 1-800-472-2180 or (701) 328-2376 for all medical consultation requests. The TB Program staff will triage requests and facilitate medical consultation after determining the appropriate clinician expert for the specific situation. Based upon their assessment, the request may be referred to the NDDoH TB Program staff, a ND State Medical Officer, an infectious disease physician in private practice, or the Heartland National TB Center.
Oklahoma		For tuberculosis consultation anytime Monday through Friday, 8:00 AM - 5:00 PM, call (405) 271-4060. Calls after hours will be answered by the epidemiologist on call.
South Dakota		The South Dakota Department of Health TB Control Program recommends that South Dakota clinicians who have questions regarding the treatment and medical management of patients with tuberculosis disease or latent tuberculosis infection contact the Heartland National TB Center. This will ensure that you receive the fastest response to your request for expert consultation. Any questions concerning TB Program services in South Dakota should be directed to the TB Control Program at 1-800-592-1861.
Texas	Houston	Please contact the City of Houston Department of Health and Human Services, TB Control at (713) 794-9078 for information regarding medication consultations and ask to speak with the TB Nurse Consultant.
Texas	Outside Houston	Assistance with the nursing case management of TB patients may be requested from the Texas Department of Health Services TB Nurse Consultant at (512) 458-7447. Medical consultation is strongly recommended if the patient's isolate is resistant to INH and/or rifampin, if the patient remains symptomatic or continues to be AFB smear and/or culture positive after 2 months of treatment, or if the patient is HIV positive or under the age of 15.
Wisconsin		Wisconsin clinicians seeking expert medical consultation for the treatment of TB patients should contact the Wisconsin Tuberculosis Program at (608) 266-9452.

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State-Specific Consultation Processes