Regionalization: A New Strategy for TB Control & Elimination The New England Experience Mark Lobato, M.D. Division of Tuberculosis Elimination Centers for Disease Control and Prevention Advisory Committee for the Elimination of TB Atlanta, GA March 3-4, 2009
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Regionalization : A New Strategy for TB Control & Elimination The New England Experience
Regionalization : A New Strategy for TB Control & Elimination The New England Experience Mark Lobato, M.D. Division of Tuberculosis Elimination Centers for Disease Control and Prevention. Advisory Committee for the Elimination of TB Atlanta, GA March 3-4, 2009. Connecticut - PowerPoint PPT Presentation
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Regionalization:A New Strategy for
TB Control & EliminationThe New England Experience
Mark Lobato, M.D.Division of Tuberculosis Elimination
Centers for Disease Control and Prevention
Advisory Committee for the Elimination of TB
Atlanta, GA March 3-4, 2009
New England TB ConsortiumConnecticutLynn Sosa, Heidi Jenkins,Tom Condren, MaureenWilliams, Gary Budnick,James Hadler, CACET
• Presented by master clinicians• Designed to reach private providers• Created basis for distance learning
– web-based– continuing education credit
• Need for ongoing marketing“People love the case presentations.Since we are very rural, and we can’t goout of state for training, this is a greatopportunity.” - Consortium stakeholder
TB Talk – New England A case discussion by and for nurses, outreach
educators, and case management staff
January 13, 2009 12:00 – 1:00 pm John Bernardo, M.D., Boston University
“Ask the Expert”Lloyd Friedman, M.D. (Pulmonary), Milford Hospital, Yale
Joseph Gadbaw, Jr., M.D. (ID), Lawrence & Memorial HospitalRobert Husson, M.D. (Pediatrics), Childrens Hospital Boston
Phone: 866-774-8920 Passcode: 8612841#
New Engl andTB ConsortiumConnecticut M aine M assachusetts New Hampshire Rhode I sl and Vermont
NewEnglandTB.org
• Built a website– To increase cohesiveness and visibility– To promote regional and state education– To exchange tools and materials
• Partnered with HHS Region I (wiki)
Genotyping Work Group
• Defined data management capacity• Identified instances of interstate
transmission in 2 clusters• Highlighted missed opportunities• Measured strain dispersion across
states “The genotyping calls are an opportunity to exchange information and to feel we are not in a vacuum… It is hard when you are in a void.”- Consortium stakeholder
Consultation
• Early detection of an outbreak and need for a CDC investigative team
• Facilitated technical support for 3 large contact investigations
• Performed on average 7 consultations for CIs and 20 for complex cases per year
New England Public Health Law Project
• Call to Action sent to NTCA• Addresses gap in Model TB Act• Formed a broad partnership• Defining options for involuntary
isolation of patients from another state• Applied for CDC award “Innovations in
Public Health Policy”
TB Heroes Award
• To recognize exceptional contributions to TB control and the well-being of patients and the community
• First annual award presented at the 2008 northeast TB meeting
• Article in current TB Notes
Call for nominations
New
TBEngland
Heroes
New England TB Heroes Award
In recognition of an exceptional contribution to TB control and the well-being of patients and the community
Please send nominations to your TB program by April 1st
Presented by the New England TB Consortium
PCSI• The best programs are the best
collaborators• Beginning collaboration between TB
and STD• TB Notes (2008)
Lab Collaboration
• 5 states using uniform lab survey• Questions regarding lab capacity and