NOTICE: This is an OSHA Archive Document, and may no longer represent OSHA Policy. It is presented here as historical content, for research and review purposes only.
OSHA requirements are set by statute, standards and regulations. Our interpretation letters explain these requirements and how they apply to particular circumstances, but they cannot create additional employer obligations. This letter constitutes OSHA's interpretation of the requirements discussed. Note that our enforcement guidance may be affected by changes to OSHA rules. Also, from time to time we update our guidance in response to new information. To keep apprised of such developments, you can consult OSHA's website at https://www.osha.gov.
September 1, 1995
MEMORANDUM FOR: NATIONAL OFFICE DIRECTORS
REGIONAL TB COORDINATORS
FROM: STEPHEN MALLINGER
Acting Director
Directorate of Technical Support
SUBJECT: OSHA Tuberculosis Control Training and Resource Guide
Attached for your use is an OSHA document entitled "OSHA Tuberculosis Control Training and Resource Guide". The document was developed by a Nurse Intern at the request of the Directorate of Health Standards.
The document is designed to assist field compliance safety and health officers (CSHOs) with the distribution of pertinent educational and informational materials on tuberculosis.
The document has been reviewed by the Office of Occupational Health Nursing staff and selected field representatives.
Since the intent of the document is to assist CSHOs with inspections, our plan at this time is only to provide copies of it internally to OSHA staff (National Office and Regional TB Coordinators). Wider distribution will be considered, if the need arises.
Additionally, this document is being made available through the DOL Electronic Bulletin Board System at (202) 219-4784. Specific instructions to assist users in accessing the document are also attached.
Attachment
To access the "TB Control and Resource Guide" document through the DOL
Bulletin Board, several steps are required as outlined below:
DOL BBS - Dial into system (202-219-4784)
Complete log-on
Select M Main Library of Files
Select M Main Library of Files again
Select S Select Library
Type OSHA
Select F Find files
Select K Keyword Search
Type any key word from title of document
______________________________
OSHA
TUBERCULOSIS CONTROL
TRAINING AND RESOURCE GUIDE
- 1995 -
_______________________________________________
INTRODUCTION
This document was produced by Mary Dirksen and edited by Robert Nester,
OSHA Nurse Interns, assigned to the Office of Occupational Health Nursing,
Directorate of Technical Support during the summer of 1995. Project
assistance was provided by Carla Slaughter, Office of Occupational Health
Nursing.
The materials contained herein have been reviewed for their relevance.
Their inclusion has been based primarily upon the authority of the source
rather than an in-depth review of the reference.
OSHA does not endorse, certify, regulate, nor recommend any of these
programs or products in whole or in part. The purpose is to provide OSHA
staff with viable resources related to the control and management of
tuberculosis (TB).
The information contained in this resource guide is not to be considered a
substitute for compliance, but rather may be useful in developing an
effective TB control program.
_______________________________
OSHA
TUBERCULOSIS CONTROL
TRAINING AND RESOURCE GUIDE
______________________________________________
Table of Contents
I. Program and Management Resources
A. General Management Assistance
B. Prevention / Control
C. Engineering Controls
D. Respiratory Protection
E. Population / Site Specific Assistance
i. Health care facilities
ii. Long-term care facilities
iii. Drug treatment facilities
iv. Correctional facilities
v. Homeless shelters and homeless care facilities
vi. Other high-risk populations
Attachment A: Smoke Trail Test for Negative Pressure Isolation Rooms
II. Training Programs and Materials
III. Worker Education Materials/Resources
A. General Information
B. Screening
C. Medications/Treatment
D. Prevention/Control
E. TB/HIV
IV. Non-English Language Resources
V. Publications and Resources for Clinicians
VI. State and Territorial Health Departments - Offices of TB Control
Appendices
A. Addresses / Contact Information
B. Centers for Disease Control and Prevention, Education and Training
Materials Order Form (copy ready)
I
_________________________________________________________________________
PROGRAM AND
MANAGEMENT RESOURCES
_____________
The resources in Section I, Program and Management Resources, include
general assistance in the development, implementation and management of a
work place tuberculosis control program.
_________________________________________________________________________
____________________________________
PROGRAM and MANAGEMENT RESOURCES
____________________________________
A. GENERAL MANAGEMENT ASSISTANCE
A Tool for Program Review Procedures in TB Control
1989
A formal outline procedure to evaluate a program's effectiveness.
Review process promotes quality assurance and allows for feedback
and formal recommendations to flow in both directions.
Mississippi State Department of Health.
__________________
Centers for Disease Control and Prevention (CDC) Tuberculosis
Guidelines (Condensed) Virginia Epidemiology Bulletin
1994
Synopsis of the CDC 1994 Tuberculosis Guidelines; 3-pages. Designed
to assist employers to be in compliance with the CDC guidelines.
Virginia Department of Health, Office of Epidemiology.
__________________
Enablers and Incentives
1989
36-page booklet appropriate for health care workers working with
high-risk populations. Includes an article which describes the use
of incentives and enablers, and a transcription of a recorded
roundtable discussion by tuberculosis nurses in South Carolina who
have first-hand experience in the use of incentives and enablers.
American Lung Association of South Carolina.
__________________
Guide for Tuberculosis Programming in the 1990s
1991
Organized outline of suggested program indicators used to gather
information for use in evaluation of tuberculosis (TB) control
programs. 17-page booklet aimed at TB control workers.
American Lung Association, local chapter.
__________________
OSHA Enforcement Policy on Tuberculosis - Fact Sheet
1993
Addendum to October, 1993 OSHA TB Compliance Directive.
__________________
OSHA Enforcement Policy and Procedures for Occupational Exposure to
Tuberculosis: A Checklist
American Federation of State, County and Municipal Employees,
AFL-CIO.
__________________
Tuberculosis - Protection For Healthcare Workers
1995
A comprehensive packet designed to assist the Infection Control
Practitioner in implementing current CDC recommendations for the
control of tuberculosis in health care facilities. Complements a
health care worker educational video [see Worker Education Materials
and Resources - Association for Practitioners in Infection Control
(APIC) for detail description of video]. Distributed by Lincoln
Medical Education Foundation, Attn: Tuberculosis Video, 4600 Valley
Road, Lincoln, Nebraska 68510; (402) 483-4581; FAX (402) 483-4184.
Packet + video: $225.00 APIC members, $250.00 non-members; $35.00
preview/rental applied toward purchase.
Association for Practitioners in Infection Control and Epidemiology,
Inc..
__________________
Tuberculosis Skin Testing Facility Record Card
Card to record employee skin testing information. For facilities
with employee skin testing programs.
Washington (State of) Department of Health, TB Control Program.
__________________
B. PREVENTION / CONTROL
Infection Control Video
Association for Practitioners in Infection Control and Epidemiology,
Inc..
__________________
Controlling Occupational Exposure to Tuberculosis
1993
Joint Commission on Accreditation of Healthcare Organizations.
Monograph. $40.00.
__________________
Industrial Hygiene Considerations in the Prevention of Tuberculosis
Transmission
1994
A compilation of regulatory, research, and technical materials
related to the environmental, occupational health, and industrial
hygiene issues of workplace tuberculosis control.
Hunter College School of Health Sciences, Center for Occupational &
Environmental Health, (Daniel Kass, Director). Permission to
photo-copy granted by Hunter College.
__________________
Tuberculosis: A Teacher's Resource Handbook
For teachers and school workers involved in tuberculosis prevention
and education programs.
American Lung Association of Los Angeles County.
__________________
Tuberculosis (TB) Blueprint: Goals and Objectives
1993
Outlines the plan by the New York City Department of Health to
control the spread of TB. States three major goals: 1) increase
treatment completion rate, 2) prevent the spread of TB in congregate
settings, and 3) preventing future cases of active TB through
screening and preventive treatment. Includes objectives and
implementation steps for each goal.
New York City, Department of Health.
__________________
The following materials are available at no charge from the Centers
for Disease Control and Prevention (CDC), Information Services
(address in Appendix A). A CDC Materials Order Form, suitable for
copying, is enclosed in Appendix B.
Centers for Disease Control and Prevention. (1994). Guidelines
for preventing the transmission of Mycobacterium tuberculosis
in health-care facilities. Morbidity and Mortality Weekly
Report, 43(RR-13), October 28.
Control of tuberculosis (TB) in correctional facilities. (1993).
A 16-page booklet providing an overview of TB in correctional
facilities and outlining a program of surveillance, containment, and
prevention. Includes screening guidelines for staff of correctional
facilities. Aimed at health care workers in corrections.
Centers for Disease Control and Prevention. (1993). Tuberculosis
control laws - United States, 1993: Recommendations of the
Advisory Council for the Elimination of Tuberculosis (ACET).
Morbidity and Mortality Weekly Report, 42(No. RR-15).
Centers for Disease Control and Prevention. (1992). Prevention
and control of tuberculosis among homeless persons and prevention
and control of tuberculosis in U.S. communities with at-risk
minority populations. Morbidity and Mortality Weekly Report,
41(No. RR-5), April 17.
Centers for Disease Control and Prevention. (1992). Prevention
and control of tuberculosis in migrant farm workers. Morbidity
and Mortality Weekly Report, 41(No.RR-10), June 5.
TB in correctional facilities. (1992). A set of 67 slides on
TB prevention and control; a 67-page booklet of slide facsimiles;
and an 18-page narrative text designed to accompany the slide set.
May be ordered separately.
American Thoracic Society (ATS). (1992). Control of tuberculosis
in the United States. American Review of Respiratory Disease,
146(6), 1623-1633.
Centers for Disease Control and Prevention. (1990). Prevention
and control of tuberculosis in facilities providing long-term
care for the elderly. Morbidity and Mortality Weekly Report,
July 13, 1990.
Centers for Disease Control and Prevention. (1990). Prevention
and control of tuberculosis among foreign-born persons entering
the United States. Morbidity and Mortality Weekly Report,
39(No. RR-18), December 28.
What drug treatment centers can do to prevent tuberculosis.
4-page guidelines with recommendations from the CDC.
Centers for Disease Control and Prevention. (1995).
USPHS/IDSA guidelines for the prevention of opportunistic
infections in persons infected with Human Immunodeficiency
Virus: A summary. Morbidity and Mortality Weekly Report:
Recommendations and Reports, 44(No. RR-8), July 14, 1995.
C. ENGINEERING CONTROLS
Controlling Occupational Exposure to Tuberculosis
1993
Joint Commission on Accreditation of Healthcare Organizations.
Monograph. $40.00.
__________________
Engineering Controls
1995
A 20-minute video from the OSHA Office of Training and Education
(OTI), Des Plaines, Illinois. Includes a demonstration of smoke
trail testing.
__________________
Centers for Disease Control and Prevention. (1994). Guidelines for
preventing the transmission of Mycobacterium tuberculosis in
health-care facilities. Morbidity and Mortality Weekly Report, 43(No.
RR-13), October 28.
Includes an engineering control section and other sections when
considering the special needs of such diverse health care settings
as dental clinics, long-term care facilities, and others.
MMWR reprint available at no charge from the CDC, Information
Services.
__________________
Reducing the Spread of Tuberculosis in Your Workplace
1995
15-page guidebook designed to assist small organizations, agencies,
and businesses which serve people at risk for tuberculosis to
evaluate and maximize their indoor air quality. Emphasis is on
low-tech, low-cost administrative controls and the enhancement of
natural ventilation systems.
Contact Daniel Kass, Director, Hunter College School of Health
Sciences, Center for Occupational & Environmental Health; $4.00/copy
for less than 5, decreasing to $2.00/copy for 51 or more. Permission
to photo-copy granted by Hunter College.
__________________
Smoke-Trail Test for Negative Pressure Isolation Rooms
Procedural guideline drafted by OSHA in January, 1994. Copy
enclosed at the end of Section I - Attachment A.
__________________
Using Ultraviolet Radiation and Ventilation to Control Tuberculosis (TB).
1990
Booklet discusses the use, effectiveness, and technical
installation details about UV radiation in the control of TB.
Discusses technical details about both local exhaust and dilution
ventilation.
California Indoor Air Quality Program, California Department of
Health Services. Permission is granted to reproduce booklet,
provided credit is given to the source.
__________________
D. RESPIRATORY PROTECTION
Centers for Disease Control and Prevention. (1994). Guidelines for
preventing the transmission of Mycobacterium tuberculosis in
health-care facilities, Notice. Morbidity and Mortality Weekly Report,
43(No. RR-13), October 28.
MMWR reprints available at no charge from the CDC, Information
Services.
__________________
Exposure Control Manual
1995
A manual of materials offering providers of long-term care facilities
the necessary tools for implementing a tuberculosis (TB) control
program. Includes a sample risk assessment guide for use at the
facility level, protocols for each of five categories of risk,
NIOSH's technical guide to respiratory protection, and worksheets,
checklists, and forms to help implement a facility-based TB infection
control plan. Includes engineering and administrative guidelines.
Also includes copies of the OSHA TB guidelines, and the Guidelines
for control of TB in long-term care facilities.
American Health Care Association. $15.00 for members; $25.00 for
non-members.
__________________
Respiratory Protection Devices
1995
National Institute for Occupational Safety and Health (NIOSH).
Federal Register, June 8, 1995, 42 CFR Part 84, 60(110), 30336-30404.
__________________
Tuberculosis Control in Hospitals
1994
A Tuberculosis (TB) resource packet providing materials to assist
in tuberculosis control in hospital settings. Includes the CDC
guidelines (1994), OSHA's enforcement policy and procedures (issued
10/93), OSHA's TB inspection survey checklist, guidelines on the
elements of a respiratory protection program, and a resource list for
training and education materials.
American Hospital Association. To order, call (800) AHA-2626,
request order # 094692; $15.00 for members, $55.00 for non-members.
__________________
E. POPULATION / SITE SPECIFIC ASSISTANCE
i. Health Care Facilities
Centers for Disease Control and Prevention. (1994). Guidelines for
preventing the transmission of Mycobacterium tuberculosis in health
care facilities. Morbidity and Mortality Weekly Reports, 43(No. RR-13),
October 28.
MMWR reprints available at no charge from the CDC, Information
Services.
__________________
Protection for Healthcare Workers
1995
20-minute video addressing the following content areas: increased
incidence of tuberculosis, transmission, prevention, skin testing,
environmental controls, treatment, personal protection, medical
monitoring, and others.
Association for Practitioners in Infection Control and Epidemiology,
Inc.; order video from Lincoln Medical Education Foundation.
_________________
Tuberculosis Control in Hospitals
1994
A Tuberculosis (TB) resource packet providing materials to assist in
tuberculosis control in hospital settings. Includes the CDC
guidelines (1994), OSHA's enforcement policy and procedures (issued
10/93), OSHA's TB inspection survey checklist, guidelines on the
elements of a respiratory protection program, and a resource list for
training and education materials.
American Hospital Association. To order, call (800) AHA-2626,
request order # 094692; $15.00 for members, $55.00 for non-members.
__________________
ii. Long-Term Care Facilities
Exposure Control Manual
1995
A manual of materials offering providers of long-term care
facilities the necessary tools for implementing a tuberculosis (TB)
control program. Includes a sample risk assessment guide for use
at the facility level, protocols for each of five categories of
risk, NIOSH's technical guide to respiratory protection, and
worksheets, checklists, and forms to help implement a facility-based
TB infection control plan. Includes engineering and administrative
guidelines. Also includes copies of the OSHA TB guidelines, and the
Guidelines for control of TB in long-term care facilities.
American Health Care Association. $15.00 for members; $25.00 for
non-members.
__________________
Guidelines for Prevention of TB Transmission in Nursing Homes
1986
Texas Department of Health.
__________________
Centers for Disease Control and Prevention. (1990). Prevention and
Control of Tuberculosis in Facilities Providing Long-Term Care for the
Elderly. Morbidity and Mortality Weekly Report, 39(No. RR-10), July 13.
Reprint available at no charge from the CDC, Information Services.
__________________
TB Control Screening Guidelines for Convalescent Homes
1988
American Lung Association of Connecticut.
__________________
iii. Drug Treatment Facilities
What Drug Treatment Centers Can Do To Prevent Tuberculosis
1991
Discusses tuberculosis transmission and infection rates, high risk
persons, infection versus disease, symptoms, screening, and
preventive therapy.
Available at no charge from the CDC, Information Services.
__________________
iv. Correctional Facilities
Clark, J.H. (1993). Strategies for guerrilla warfare. American
Jails, January/February.
Discusses controlling the spread of tuberculosis in correctional
facilities. Dr. Clark is the Chief Medical Officer at the Los
Angeles County Sheriffs' Office. (213) 974-0149.
__________________
Infectious Diseases: A Management Issue
Jail Managers Bulletin # III-2. Teaches managers how to recognize
infectious diseases and how to prevent the spread of infectious
diseases in correctional facilities.
American Jail Association.
__________________
Control of Tuberculosis in Correctional Facilities: A Guide for
Health Care Workers
1993
A 16-page booklet providing an overview of tuberculosis (TB) in
correctional facilities and outlining a program of surveillance,
containment, and prevention. Includes information on HIV and TB.
Also includes screening guidelines for staff of correctional
facilities. Aimed at health care workers in corrections.
Available from the U.S. Government Printing Office, Publication
No. 1993-533-001 (80540).
__________________
Communicable Diseases
1995
6-page Jail Operations Bulletin (# VI-4) which covers tuberculosis.
Contains a self test for learner evaluation.
American Jail Association.
__________________
Guidelines for Prevention of TB Transmission in City and County Jails
1987
Texas Department of Health.
__________________
TB in Correctional Facilities
1992
A set of 67 slides on tuberculosis prevention and control in
correctional settings; a 67-page booklet of slide facsimiles; and
an 18-page narrative text designed to accompany the slide set. May
be ordered separately.
Available at no charge from the CDC, Information Services.
__________________
v. Homeless Shelters and Homeless Care Facilities
Health Care for the Homeless: Annotated Bibliographies
1995
Annotated Bibliography # 6: Tuberculosis and homeless persons.
9-pages of references for the period January 1987 - April 1995.
Annotated Bibliography # 12: Tuberculosis and HIV/AIDS. 45-pages
of references for the period January 1987 - April 1995.
Health Care for the Homeless Information Resource Center (HCHIRC).
Questions to Yvonne Wallace, Librarian, HCHIRC. Order from John
Snow, Inc..
__________________
Centers for Disease Control and Prevention. (1992). Prevention and
control of tuberculosis among homeless persons and prevention and
control of tuberculosis in U.S. communities with at-risk minority
populations. Morbidity and Mortality Weekly Report, 41(No. RR-5),
April 17.
Reprint available at no charge from the CDC, Information Services.
__________________
TB Training for Shelter Workers
Slide presentation for training homeless shelter workers to identify
symptoms of tuberculosis. Includes a skin testing protocol and a
policy for tuberculin skin testing in homeless populations.
Alma Illery Medical Center (Pittsburgh, Pennsylvania); contact Nurse
Coordinator of Primary Health Care Services.
__________________
Wasatch Homeless Health Care Program
This community based program has developed guidelines for PPD
testing and follow-up of the staff at the homeless shelter.
Contact: Allan Ainsworth, Ph.D., Director, Fourth Street Clinic,
404 South 400 West, Salt Lake City, Utah 84101; (801) 364-0058;
FAX (801) 364-0161.
__________________
vi. Other High Risk Populations
Centers for Disease Control and Prevention. (1990). Prevention and
control of tuberculosis among foreign-born persons entering the United
States. Morbidity and Mortality Weekly Report, 39(No. RR-18).
December 28.
__________________
Centers for Disease Control and Prevention. (1992). Prevention and
control of tuberculosis among homeless persons and prevention and
control of tuberculosis in U.S. communities with at-risk minority
populations. Morbidity and Mortality Weekly Report, 41(No. RR-5),
April 17.
Reprint available at no charge from the CDC, Information Services.
__________________
Enablers and Incentives
1989
36-page booklet appropriate for health care workers working with
high risk populations. Includes an article which describes the use
of incentives and enablers, and a transcription of a recorded
roundtable discussion by tuberculosis nurses in South Carolina who
have first hand experience in the use of incentives and enablers.
American Lung Association of South Carolina.
__________________
Guidelines for Prevention and Control of TB Among Individuals with HIV
Infection
1989
Texas Department of Health, Tuberculosis Control Division
__________________
Centers for Disease Control and Prevention. (1992). National
action plan to combat multidrug-resistant tuberculosis: Management
of persons exposed to multidrug-resistant tuberculosis. Morbidity
and Mortality Weekly Report, 41(No. RR-11), June 19.
Available at no charge from the CDC, Information Services.
__________________
Centers for Disease Control and Prevention. (1992). Prevention and
control of tuberculosis in migrant farm workers. Morbidity and
Mortality Weekly Report, 41(No. RR-10), June 5, 1992.
Reprint available at no charge from the CDC, Information Services.
__________________
Managing Tuberculosis and HIV Infection in Today's General Workplace
1992
National Leadership Coalition on AIDS; $5.00 for members, $10.00 for
non-members.
__________________
Migrant Clinicians Network
Publishes a newsletter with occasional information on tuberculosis
issues among migrant workers.
Migrant Clinicians Network, Michael Koroscik, Director of Education.
__________________
Office of Minority Health Resource Center (OMH-RC)
Resource and referral service on minority health issues, including
tuberculosis. Offers database searches, information exchange,
publications, mailing lists, technical assistance, data and
statistics, and referrals. Resource Person Network (volunteers)
available to provide technical assistance, conduct professional and
non-professional education training and workshops, and serve as
reference specialists. Brochures, articles, journals, and other
literature accessible through the database search service. English
and Spanish speaking information specialists are available. All
resource center services are free of charge.
__________________
Tuberculosis and HIV/AIDS
1995
Annotated bibliography # 12, 45-pages of references for the period
January 1987 to April 1995.
Health Care for the Homeless Information Resource Center (HCHIRC);
Questions to Yvonne Wallace, Librarian, HCHIRC. Order from John
Snow, Inc..
__________________
Tuberculosis: A Resource Kit
This resource kit provides current materials on tuberculosis (TB)
to clinicians and other staff caring for high risk populations.
Document is divided into 11-sections: using the kit, surveillance
and epidemiology, diagnosis, patient management, infection control,
screening and preventive therapy, treatment of susceptible TB,
multidrug-resistant TB, HIV/AIDS and TB, health education materials
and organizations. Each section includes an annotated bibliography
detailing current literature. Additional materials include Fact
Sheets summarizing key information from the literature and selected
articles and publications.
John Snow, Inc. (JSI) under contract to Health Resources & Services
Administration (HRSA's) Bureau of Primary Health Care. Order from
JSI, note account # 1569 on check; $25.00. Send to the attention
of Yvonne Wallace - Library, JSI/HCHIRC.
_________________
ATTACHMENT A:
Smoke Trail Test for Negative Pressure Isolation Rooms.
January 14, 1994
MEMORANDUM FOR: Regional Administrators
ATTENTION: ARA/Technical Support
THROUGH: Leo Carey
Director
Office of Field Programs
FROM: Patricia K. Clark
Director
Directorate of Technical Support
SUBJECT: Smoke-trail Test for Negative Pressure Isolation Rooms
The attached smoke-trail test procedure for negative pressure isolation
rooms was drafted to answer questions raised by the Tarrytown AO during a
recent inspection at a health-care facility. This procedure may be useful
to other OSHA Compliance Officers performing inspections related to
occupational exposure to Tuberculosis.
This procedure will be discussed during the next teleconference on
January 27, 1993.
SMOKE-TRAIL TESTING METHOD FOR NEGATIVE PRESSURE ISOLATION ROOM
The OSHA TB Memorandum of October 8, 1993 provides clarification for
OSHA-wide enforcement policy and procedures for inspections concerning
occupational exposure to TB. The OSHA TB Memorandum outlines OSHA's
expectations that employers follow the principles of TB control published
in the CDC document "Guidelines for Preventing the Transmission of
Tuberculosis in Health-care Settings, with Special Focus on HIV-Related
Issues (December 1990 MMWR)".
The CDC Guidelines recommend that the TB isolation room be under negative
pressure compared to surrounding spaces such that it induces airflow into
the room to prevent TB contaminant from escaping the room. The CDC
publication also recommends employing smoke or flutter strips to prove
direction of airflow. The CDC is recommending the use of qualitative
methods for demonstrating the performance of negative pressure isolation
rooms rather than quantitative methods such as measuring supply/exhaust
volumetric flow differentials, measuring space pressurization
differentials or measuring velocity of airflow at openings into the
isolation room. The employer may choose to perform quantitative tests
in order to characterize and track the dynamic performance of these
negative pressure isolation rooms. OSHA's expectations of conformance
to the CDC Guidelines can be adequately demonstrated by qualitative
testing such as smoke-trails without expending the employer's and OSHA's
resources on more complex quantitative testing. The message here is to
"keep it simple".
TEST METHOD DESCRIPTION:
One of the purposes of a negative pressure TB isolation room is to prevent
TB contaminant from escaping the isolation room and entering the corridor
or other surrounding uncontaminated spaces. To check for room negative
pressure, use smoke-trails to demonstrate that the pressure differential
is inducing airflow from the corridor, through the crack at the bottom of
the door (undercut) and into the isolation room. When performing a
smoke-trail test follow these recommendations where applicable:
1. Test only with the isolation room door shut. If not equipped with
an anteroom, it is assumed that there will be a loss of space
pressure control when the isolation room door is opened and closed.
It is not necessary to demonstrate direction of airflow when the
door is open.
2. If there is an anteroom, release smoke at the inner door undercut,
with both anteroom doors shut.
3. In addition to a pedestrian entry, some isolation rooms are also
accessed through a wider wheeled-bed stretcher door. Release smoke
at all door entrances to isolation rooms.
4. So that the smoke is not blown into the isolation room, hold the
smoke bottle/tube parallel to the door so the smoke is released
perpendicular to the direction of airflow through the door undercut.
5. Position the smoke bottle/tube tight to the floor, centered in
the middle of the door jamb and approximately two inches out in
front of the door.
6. Release a puff of smoke and observe the resulting direction of
airflow. Repeat the test at least once or until consistent results
are obtained.
7. Minimize momentum imparted to the smoke by squeezing the bulb or
bottle slowly. This will also help minimize the volume of smoke
released.
8. Depending on the velocity of the air through the door undercut, the
smoke plume will either stay disorganized or it will form a distinct
streamline. In either case, the smoke will directionally behave
in one of three ways. It will: (1) go through the door undercut
into the isolation room, (2) remain motionless or (3) be blown back
into the corridor. Obviously, compliance with the intent of the CDC
Guidelines for negative pressure requires that the smoke be drawn
into the isolation room through the door undercut.
Supply air diffusers in the ceiling or upper sidewall of the
corridor may throw air directly at the isolation room door and
disrupt the test. If the room is unoccupied, proceed to step nine
and release smoke on the inside of the door.
9. Release smoke from the corridor side of the door only for occupied
TB isolation rooms. CSHOs should not enter occupied isolation
rooms per the OSHA TB Memorandum of October 8, 1993. If the room
is unoccupied, also release smoke inside the isolation room (same
position as step 5) to verify that released smoke remains contained
in the isolation room (i.e. smoke as surrogate for TB contaminant).
10. If photography or videotaping is performed, it is recommended that
a dark surface be placed on the floor to maximize contrast. Be
aware that most autofocusing cameras cannot focus on smoke.
TESTING "AS-USED" CONDITIONS:
Testing of negative pressure isolation rooms requires that the test
reflect "as-used" conditions. Consider the following use variables which
may affect space pressurization and the performance of the negative
pressure isolation room:
1. Patient toilet rooms (TR) are mechanically exhausted to control
odors. The position of the toilet room door may affect the
pressure differential between the isolation room and the corridor.
Smoke-trail tests should be performed with the TR door open and the
TR door closed. This will not be necessary if the TR door is
normally closed and controlled to that position by a mechanical door
closer.
2. An open window will adversely affect the performance of a negative
pressure isolation room. If the isolation room is equipped with
operable windows, perform smoke-trail tests with the window open and
the window closed.
3. There may be corridor doors that isolate the respiratory ward or
wing from the rest of the facility. These corridor doors are
provided in the initial design to facilitate space pressurization
schemes and/or building life-safety codes. Direct communication
with the rest of the facility may cause pressure transients in the
corridor (e.g., proximity to elevator lobby) and affect the
performance of the isolation room. Perform isolation room
smoke-trail testing with these corridor doors in their "as-used"
position which is either normally open or normally closed.
4. Isolation rooms may be equipped with auxiliary, fan-powered,
recirculating, stand-alone HEPA filtration of UV units. These units
must be running when the smoke-trail test is performed.
5. Do not restrict corridor foot traffic while performing smoke-trail
tests.
6. Negative pressure is accomplished by exhausting more air than is
supplied to the isolation room. Some HVAC systems employ variable
air volume (VAV) supply air and sometimes VAV exhaust air. By
varying the supply air delivered to the space to satisfy thermal
requirements, these VAV systems can adversely impact the performance
of a negative pressure isolation room. If the isolation room or the
corridor is served by a VAV system you should perform the smoke test
twice. Perform the smoke test with the zone thermostat thermally
satisfied and again with the zone thermostat thermally unsatisfied
thus stimulating the full volumetric flowrate range of the VAV
system serving the area being tested.
SMOKE:
Most smoke tubes, bottles and sticks use titanium chloride (TiCl(4)) to
produce visible fume. There is no OSHA PEL or ACGIH TLV for this chemical
although it is a recognized inhalation irritant. Health-care
professionals are concerned about releasing TiCl(4) around pulmonary
patients. The smoke released at the door undercut makes only one pass
through the isolation room and is exhausted directly outside. Isolation
room air is typically not recirculated.
As an alternative to TiCl(4), the literature suggests the use of "dry-ice"
in water. Any product that is employed should be tested to insure
sufficient opacity for videotaping and photography.
Be prepared to present to the employer the Material Safety Data Sheet
(MSDS) for the smoke that you intend to release.
CSHO PROTECTION:
1. The CSHO should be familiar with the MSDS for the smoke. If TiCl(4)
is used, the CSHO should avoid direct inhalation of the smoke or
skin contact with the liquid.
2. The CSHO should follow the recommendations in the OSHA TB Memorandum
of October 8, 1993.
3. If an isolation room is occupied by a patient infectious or suspect
with TB, then the CSHO performing the smoke-trail test shall use a
respirator. You should assume that the isolation room is not
under negative pressure. Recent surveys (Infect Control Hosp
Epidemiol 1993; 14:623-628) indicate that almost half of the
isolation rooms tested were not under negative pressure.
II
___________________________________________________________________________
TRAINING PROGRAMS
AND MATERIALS
________________
Training Programs and Materials consist of those resources which can
assist in the successful development and implementation of a tuberculosis
(TB) control and prevention program. Included are self-directed studies,
videos, slides, and lecture-format courses of varying duration. These
resources are generally aimed at personnel who are responsible for the
health and safety program or the TB control program of an organization.
However, many are appropriate for workers who are, themselves, at risk.
___________________________________________________________________________
_____________________________________________________________________________
TRAINING PROGRAMS and MATERIALS
_________________________________
Core Curriculum on Tuberculosis, 3rd Edition
1994
For providers of health care services providers. A 95-page training
guide on clinical and public health aspects of tuberculosis control.
A set of 82 slides are available to accompany the training guide,
or may be ordered separately.
Available at no charge from the CDC, Information Services.
__________________
HHS-PHS-Federal Occupational Health - Tuberculosis Training Programs
1995
A 2-volume tuberculosis (TB) education/training program marketed
to federal agencies; available on an interagency agreement basis
with Federal Occupational Health (FOH). Program utilizes the CDC
Core Curriculum and can be customized for the agency receiving the
training. Cost is negotiated on an interagency contract basis.
Tuberculosis Orientation: A Self-Study Guide for FOH
Professionals
> Updates the latest information from the CDC
> Reviews importance of patient history
> Reviews rationale and procedure for 2-step testing
FOH Presents Tuberculosis in the Workplace
> Orients participants to signs/symptoms of TB
> Reviews screening process
> Reviews importance of diagnostic follow-up
> Reviews CDC treatment guidelines
Contact: Peggy Coleman, RN, MS, Occupational Health Nurse Consultant
to FOH, 4350 East-West Highway, Bethesda, Maryland; (301)594-0260.
__________________
Mantoux Tuberculin Skin Testing
Video tape, wall chart. Visual aids for training in the
administration and interpretation of the Mantoux PPD Tuberculin Skin
Test.
Available at no charge from the CDC, Information Services.
__________________
Mantoux Skin Test Pretest/Posttest
1990
12-questions relating to the Mantoux skin test. Answer key and
explanations on a separate sheet. Designed to be used with the
Mantoux Skin Test Instructional Video developed by the CDC; however,
may be used without the video.
New Hampshire Division of Public Health Services.
__________________
National Tuberculosis Model Centers
3 national model center sites (San Francisco, New York City, and
Newark, NJ) are funded by the Division of Tuberculosis (TB)
Elimination, Centers for Disease Control and Prevention. These
centers provide training courses, offer clinical consultation for
difficult cases, provide epidemiologic consultation, and have access
to an extensive library of both written and video materials
pertaining to TB, including translated materials.
Training courses include:
> Preventing Tuberculosis in the Workplace - 8-hour
course covering environmental and behavioral changes
necessary to minimize potential for transmission of M.
tuberculosis in clinical, institutional and workplace
settings, including the implementation of OSHA
regulations.
> Tuberculosis Update - 4 to 8-hour class. Content
may include epidemiology, diagnosis, management and
treatment, multiple drug resistance, managing difficult
cases, reporting, infection control, community control,
TB and HIV.
> Tuberculosis 101 - 1 to 3-day course for non-medical
health workers. Content includes epidemiology,
transmission, pathogenesis, screening, prevention,
diagnosis, treatment, infection control. Appropriate
for health outreach workers, social service agency
staff, drug treatment facility workers, HIV counseling
center staff.
> Tuberculosis and the Law - 1 & 1/2-day course.
Content includes transmission and pathogenesis, legal
aspects of TB control, and infection control.
> Tuberculosis Program Manager's Course - 4-day
intensive course for administrative and health care
personnel involved in TB program administration.
See address for the "National TB Model Centers", Appendix A.
__________________
Postgraduate Courses on Clinical Management and Control of Tuberculosis
Intensive, 5-day courses aimed at health care professionals. The
purpose of these courses is to present current scientific knowledge
about tuberculosis (TB), its prevention and control to health care
professionals who are responsible for the management and control
of TB. Course content relevant to occupational management of TB
includes factors influencing infectiousness of TB, advances in
tuberculin testing, immunization, and planning TB control programs.
National Jewish Center for Immunology and Respiratory Medicine.
__________________
Self-Study Modules on Tuberculosis
1995
A set of 5 self-guided learning modules for health care staff and
health and safety workers who are relatively new to tuberculosis
(TB) control and with entry level knowledge of TB control issues.
Aimed at staff/workers in high-risk facilities.
Modules include: 1. Transmission and Pathogenesis
2. Epidemiology
3. Diagnosis of TB Infection and Disease
4. Treatment of TB Infection and Disease
5. Infectiousness and Infection Control
Centers for Disease Control and Prevention, Tuberculosis Division.
__________________
Tuberculosis: Identification, Prevention and Control
1994
Computer assisted instruction program aimed at licensed health
care professionals. Thoroughly covers CDC and OSHA guidelines.
Includes learning objectives and a post-test. Appropriate for
facility awarded continuing education. Program can be modified to
include site-specific information.
Developed and written by APIC. Available from Healthsoft, Inc.,
PO Box 3069, Orlando, Florida 32802-9773; (800) 235-0882. Preview
disk available at no charge.
__________________
Tuberculosis in the Workplace: A Workbook for Working People
1994
A self-guided workbook, 103-pages, $3.00. A 24-minute video,
entitled "Droplets of Death" ($15.00), is available to accompany
the workbook.
The Labor Institute.
__________________
III
_____________________________________________________________________________
WORKER EDUCATION MATERIALS
AND RESOURCES
____________
The following agencies and organizations produce educational and
informational materials for distribution to workers in a variety of
occupational settings. While all states provide tuberculosis educational
materials, those listed here may not be widely known or distributed, and
may be of additional value to a particular workplace or program. The list
is not exhaustive.
A basic reading ability is required for the worker educational materials.
Materials focused toward health care professionals are more technically
challenging for the reader. All materials are in English unless otherwise
noted.
Appendix A provides the contact information for the cited resources.
The reader will note in the cited resources that several sources do not
have documents listed. The available documents were too extensive to be
listed in-total in this publication. It is recommended the user of this
guide contact the source for a complete listing of the available
documents.
___________________________________________________________________________
_______________________________________
WORKER EDUCATION MATERIALS / RESOURCES
_______________________________________
A. GENERAL INFORMATION
[Includes materials aimed at worker populations identified as high risk
for tuberculosis (TB) exposure.]
American Federation of State, County and Municipal Employees (AFSCME)
* Tuberculosis. Fact sheet.
* TB in Correctional Institutions. Fact sheet.
* Tuberculosis Questions and Answers. Fact sheet.
* Multidrug-Resistant TB (MDR TB). Fact sheet.
* OSHA Enforcement Policy & Procedures for
Occupational Exposure to Tuberculosis. Checklist.
American Federation of Teachers (AFT)
* Tuberculosis - The "New" Epidemic. Fact sheet.
American Jail Association
* Jail Operations Training Bulletin on Tuberculosis.
American Lung Association (ALA)
* Tuberculosis Education Resource Guide. (1993).
An extensive listing of patient/public educational
materials, many of which are appropriate for worker
education and training, both written and audio-visual.
Each citation notes the intended audience, the
languages the materials are available in, and the cost.
Contact local chapters by calling (800) LUNG-USA
(800-586-4872).
American Nurses Association (ANA)
* Tuberculosis: A Deadly Disease Makes a Comeback.
(1993). Pamphlet.
Association for Practitioners in Infection Control and Epidemiology,
Inc. (APIC)
* Tuberculosis: Identification, Prevention and
Control. (1994). Computer assisted instruction
(CAI) program aimed at licensed health care
professionals. Thoroughly covers CDC and OSHA
guidelines. Includes learning objectives and a
post-test. Appropriate for facility awarded
continuing education. Program can be modified to
include site-specific information. Available from
Healthsoft, Inc., PO Box 3069, Orlando, Florida,
32802-9773; (800) 235-0882. Preview disk available
at no charge.
* TB: What You Need To Know. (1994). Computer
assisted instruction (CAI) program for non-clinical
workers. Program can be modified to include
site-specific information. Available at a basic
reading level in English and Spanish. 30-minutes or
less to complete the post test. Available from
Healthsoft, Inc., PO Box 3069, Orlando, Florida,
32802-9773; (800) 235-0992. Preview disk available
at no charge.
* Tuberculosis: Protection For Healthcare
Workers. (1995). Videotape. Approximately
20-minutes. Addresses the following: increased
incidence of tuberculosis, current crisis, disease
process, transmission, prevention, skin testing,
laboratory identification, environmental controls,
treatment, personal protection, medical monitoring.
Accompanied by a comprehensive packet designed to
assist in the implementation of current CDC
recommendations.
Distributed by Lincoln Medical Education Foundation,
Attn: Tuberculosis Video, 4600 Valley Road, Lincoln,
Nebraska, 68510; (402) 483-4581; FAX (402) 483-4184.
$225.00 APIC members, $250.00 non-members; $35.00
preview/rental applied toward purchase.
Centers for Disease Control and Prevention (CDC); Information Services
* TB Facts for Health Care Workers. (1993).
7-page booklet.
* Think TB! (1992). Poster listing symptoms of
tuberculosis (TB); also available in Spanish.
* Exposure to TB. (1991). Pad of tear-off
sheets designed for correctional facility inmates;
also available in Spanish.
* Tuberculosis - Get the Facts. (1990). 1-page
pamphlet on basic facts about transmission, infection,
and testing; also available in Spanish.
* Stop TB! (1994). Poster describing transmission
& TB pathogenesis.
* Stop TB! (1994). Pad of tear-off sheets
duplicating the Stop TB! poster.
* Questions and Answers About TB. (1994). 16-page
booklet about transmission, skin test, and treatment.
Indiana State Board of Health
The Labor Institute
* Tuberculosis in the Workplace: A Workbook for
Working People (1994). A worker-oriented
training workbook (103-pages). $3.00 each;
discounted prices for large orders of workbooks
- contact distributor, The Apex Press, at
(914) 271-6500.
* Droplets of Death: TB in the Workplace.
Videotape, 24-minutes; $15.00.
Mississippi State Department of Health, Tuberculosis Control Branch
* Homeless Person Poster. (1992). Poster,
$2.00 each for 1-100.
Missouri Department of Health, Bureau of Tuberculosis Control
* Facts About TB as it Occurs Among Inmates in
Correctional Facilities. Videotape, 2 parts, 14
minutes and 31 minutes.
* Facts About TB. Videotape, 14 minutes.
* Guidelines for Education of Staff/Clients of
Homeless Shelters.
National Institutes of Health, National Institute of Allergy
and Infectious Diseases (NIH, NIAID)
* Tuberculosis. (1995). Fact sheet, 8-pages.
* Tuberculosis: What Health Care Workers Should
Know. (1993). Pamphlet; includes graphic
flow-chart to determine high-risk persons.
New York Academy of Medicine
* Tuberculosis, poster, several languages available.
New York State, Department of Health
* Pamphlets for health care workers, criminal justice
workers.
* Fact sheets in English and Spanish.
* Question & answer sheets about tuberculosis.
* Tuberculosis, poster.
* When a Co-Worker Has TB: What You Need to Know
About Tuberculosis in the Workplace. (1994).
Video.
Service Employees International Union (SEIU)
* TB: The Real Deal. (1995). Fact sheet.
* No One is Immune to TB: Important Facts For All
Workers. (1995). Fact sheet.
* Your Right to Workers' Compensation. (1995).
Fact sheet.
University of California, San Diego, Preventive Pulmonary Medicine
* The Many Faces of TB. (1992). 15-minute
video; $100.00.
The U.S. Public Health Service has a tuberculosis (TB) control
office in every state and can provide general information on TB. The
contact information for each state's TB control office is located in
Section VI - State and Territorial Health Departments, Offices of TB
Control.
B. SCREENING / TESTING
American Federation of State, County and Municipal Employees
(AFSCME)
* Screening and Skin Testing. Fact sheet.
American Federation of Teachers (AFT)
* Tuberculosis and the Health Care Worker
- Surveillance and Preventive Therapy. Fact sheet.
American Lung Association of Hawaii
* Fact sheet (basic).
Centers for Disease Control and Prevention (CDC), Information Services
* Mantoux Tuberculin Skin Testing. (1991).
Videotape training aid on the administration and
interpretation of the Mantoux skin test.
* Mantoux Tuberculin Skin Testing. (1990).
Wall chart visual aid for interpreting the results
of the skin test.
* The TB Skin Test. (1991). Pad of tear-off
sheets designed for correctional facility inmates;
also available in Spanish.
Florida Department of Health and Rehabilitation Services
Kentucky Department for Health Services, Tuberculosis Control Program
Massachusetts Department of Health, Tuberculosis Control Program
Maryland Department of Health and Mental Hygiene, Tuberculosis Control
New York State Department of Health, Tuberculosis Control Program
* Fact About the TB Skin Test. (1992). In
English and Spanish.
* Skin Testing and Classification of Tuberculosis.
Fact sheet.
Oakland County Health Division (Michigan)
Service Employees International Union (SEIU)
* TB Skin Test: What You Need to Know About Your
Health. (1995). Fact sheet.
Texas Department of Health
Washington (State of) Department of Health, TB Control Program
C. MEDICATIONS / TREATMENT
American Federation of Teachers (AFT)
* Multiple-Drug Resistant TB. Fact sheet.
Centers for Disease Control and Prevention (CDC), Information Services
* TB Can Be Cured. (1991). Pad of tear-off
sheets designed for correctional facility inmates;
also available in Spanish.
County of Sonoma Public Health Department (California)
Florida Department of Health and Rehabilitative Services,
Tuberculosis Control Program
Hawaii Department of Health, Tuberculosis Branch
* Individual medication instruction sheets.
Massachusetts Department of Public Health, Tuberculosis
Control Program
* Pamphlets on isoniazid, ethambutol, pyrazinamide,
rifampin, streptomycin.
Montgomery County Health Department (Maryland)
New York State Department of Health, Tuberculosis Control Program
North Carolina Department of Environment, Health, and Natural Resources
Oakland County Health Division (Michigan)
* Pamphlet on positive reactors who may or may not
need INH.
Pennsylvania Department of Health, Tuberculosis Control Program
* Pamphlets on streptomycin, rifampin, pyrazinamide,
isoniazid, and ethambutol.
South Dakota Lung Association
Spokane County Health District (Washington state)
Washington (State of), Department of Health
* Pills Prevent TB. (1994). Pamphlet; available
in several languages.
Whatcom County Health Department (Washington state)
Wisconsin Department of Health and Human Services, Tuberculosis
Control Program
* Pamphlets and drug information sheets on rifampin,
pyrazinamide, isoniazid, and ethambutol.
D. PREVENTION / CONTROL
American Federation of State, County and Municipal Employees
(AFSCME)
* Controlling Transmission in High Risk Settings.
Fact sheet.
* Respiratory Protection. Fact sheet.
American Federation of Teachers (AFT)
* TB: Steps for Protecting Staff and Students.
Fact sheet.
* Tuberculosis and the Health Care Worker
- Surveillance and Preventive Therapy. Fact sheet.
* Tuberculosis and the Health Care Worker
- Control Measures Against Exposure. Fact sheet.
* TB: Steps for Protecting Workers from Workplace
Exposure. Fact sheet.
American Journal of Nursing (AJN)
* TB or Not TB: New Guidelines for Prevention and
Treatment. (1995). 19-minute video aimed at
health care workers; $285.00 to purchase; $70.00
rental. Approved for CE credit.
Centers for Disease Control and Prevention (CDC), Information Services
* TB in Correctional Facilities. (1992). Set
of 67 slides on prevention and control of
tuberculosis in correctional settings; 67-page
booklet of slide facsimiles based on slide set;
18-page narrative text designed to accompany slide set.
* You Can Prevent TB. (1991). Pad of tear-off
sheets designed for correctional facility inmates;
also available in Spanish.
New York State Department of Health, Tuberculosis Control Program
* Preventive Therapy for Tuberculosis. Fact Sheet.
Service Employees International Union (SEIU)
* A Workplace TB Plan: Putting the Pieces
Together. (1995). Fact sheet.
* Union Tools that Work. (1995). Fact sheet.
E. TB / HIV
American Federation of State, County and Municipal Employees
(AFSCME)
* The TB/HIV Connection. Fact sheet.
American Lung Association (ALA)
Centers for Disease Control and Prevention (CDC); Information Services
* TB and HIV (The AIDS Virus). (1991). Pad of
tear-off sheets designed for correctional facility
inmates; also available in Spanish.
* TB/HIV Double Trouble. (1992). Poster.
* TB/HIV - The Connection: What Health Care
Workers Should Know. (1993). 16-page booklet.
* Tuberculosis - The Connection Between TB and HIV
(the AIDS Virus). (1990). 1-page pamphlet on
the risk of HIV-related TB, testing, and therapy;
also available in Spanish.
CDC National AIDS Clearinghouse
Hawaii (State of), Department of Health, AIDS/STD Project
Maryland Department of Health and Mental Hygiene
National Institutes of Health, National Institute of Allergy
and Infectious Diseases (NIH, NIAID)
* HIV-Related TB: How to Help Yourself.
(1993). 8-page booklet.
National Leadership Coalition on AIDS
New York State Department of Health, Tuberculosis Control Program
North Carolina Department of Environment, Health and Natural
Resources
IV
_________________________________________________________________________
NON-ENGLISH LANGUAGE
RESOURCES
_________
Tuberculosis (TB) educational and informational materials are available
for workers whose primary language is not English. These materials
include general information on TB, its prevention, and treatment
medications. The addresses or other contact information for the
organizations cited are located in Appendix A.
____________________________________________________________________________
______________________________
NON-ENGLISH LANGUAGE RESOURCES
______________________________
OFFICE OF MINORITY HEALTH RESOURCE CENTER (OMH-RC)
Assists in locating educational and other literature and
publications in languages other than English through
computerized database searches. A group of publications is
also available from OMH-RC which lists organizations and
programs that provide minority health materials. OMH-RC
services are free.
AMHERIC
Fairfax County (Virginia) Health Department
ARABIC
Francis J. Curry, National Tuberculosis Model Center
ASIAN LANGUAGE LIST OF RECOMMENDED TUBERCULOSIS HEALTH EDUCATION
MATERIALS
Association of Asian Pacific Community Health Organization (AAPCHO)
provides a list of tuberculosis educational materials and their
sources which have been evaluated and approved for linguistic accuracy,
cultural appropriateness, and clinical accuracy in Chinese, Korean,
Tagalog, and Vietnamese. The 3-page list is in English and is
continually being updated. No charge.
CAMBODIAN
American Lung Association of Maryland
American Lung Association of San Diego and Imperial Counties
(California)
American Lung Association of Virginia
Fairfax County (Virginia) Health Department
Francis J. Curry, National Tuberculosis Model Center
Hawaii State Department of Health
Maryland Department of Health and Mental Hygiene, Tuberculosis Control
Massachusetts Department of Public Health, TB Control Program
Massachusetts Refugee Health Program
Seattle-King County Department of Public Health (Washington state)
Sonoma County TB Control Chest Clinic (California)
State of Hawaii, AIDS/STD Project
Washington (state) Department of Health, Tuberculosis Control
CAPE VERDEAN
Massachusetts Department of Public Health, Tuberculosis Control Program
CHINESE
American Lung Association of Alameda County (California)
American Lung Association of Hawaii
American Lung Association of Los Angeles County (California)
American Lung Association of Maryland
American Lung Association of San Francisco
American Lung Association of Virginia
Asian Health Services
Association of Asian Pacific Community Health Organizations
California Department of Health Services
Francis J. Curry, National Tuberculosis Model Center
Massachusetts Department of Public Health, Tuberculosis Control Program
North East Medical Services (NEMS)
San Francisco Department of Public Health, Division of TB Control
Seattle-King County Department of Public Health, Tuberculosis Division
(Washington state)
Sonoma County TB Control Chest Clinic (California)
State of Hawaii, AIDS/STD Project
The New York Academy of Medicine
CANTONESE CHINESE
American Lung Association of San Francisco
San Francisco Department of Public Health, Division of TB Control
CREOLE (HAITIAN)
American Lung Association of Virginia
Dade County Public Health Unit, Tuberculosis Control Program (Florida)
Massachusetts Department of Public Health, Tuberculosis Control Program
The New York Academy of Medicine
DARI
American Lung Association of Virginia
ETHIOPIAN (Tigrinia)
American Lung Association of Virginia
Fairfax County Health Department (Virginia)
Francis J. Curry, National Tuberculosis Model Center
Sonoma County TB Control Chest Clinic (California)
FARSI
American Lung Association of Virginia
Fairfax County Health Department (Virginia)
FILIPINO (TAGALOG)
American Lung Association of Hawaii
American Lung Association of Virginia
Asian Health Services
Association of Asian Pacific Community Health Organizations
California Department of Health Services
Francis J. Curry, National Tuberculosis Model Center
State of Hawaii, AIDS/STD Project
FRENCH
American Public Health Association
Massachusetts Department of Public Health, Tuberculosis Control Program
New York City Health Department, Bureau of Tuberculosis
GREEK
Massachusetts Department of Public Health, Tuberculosis Control Program
HMONG
American Lung Association of Hawaii
ILOCANO
American Lung Association of Hawaii
Association of Asian Pacific Community Health Organizations
Hawaii State Department of Health
State of Hawaii, AIDS/STD Project
ITALIAN
American Public Health Association
Massachusetts Department of Public Health, Tuberculosis Control Program
JAPANESE
American Lung Association of Hawaii
Spokane County Health District (Washington state)
State of Hawaii, AIDS/STD Project
Washington (state) Department of Health, Tuberculosis Control Program
KOREAN
American Lung Association of Hawaii
American Lung Association of Los Angeles County
American Lung Association of Virginia
Asian Health Services
Association of Asian Pacific Community Health Organizations
California Department of Health Services
Fairfax County Health Department (Virginia)
Francis J. Curry, National Tuberculosis Model Center
Hawaii State Department of Health
Los Angeles County Health Department
Louisville and Jefferson County Board of Health (Kentucky)
Madigan Army Hospital Medical Center (Washington state)
Seattle-King County Department of Public Health, Tuberculosis
Division (Washington state)
State of Hawaii, AIDS/STD Project
Washington (state) Department of Health, Tuberculosis Control Program
LAOTIAN
American Lung Association of Hawaii
American Lung Association of Los Angeles
American Lung Association of Maryland
American Lung Association of San Diego and Imperial Counties (California)
American Lung Association of Virginia
Fairfax County Health District (Virginia)
Francis J. Curry, National Tuberculosis Model Center
Hawaii State Department of Health
Louisville and Jefferson County Board of Health (Kentucky)
Maryland Department of Health and Mental Hygiene, Tuberculosis Control
Massachusetts Department of Public Health, TB Control Program
Massachusetts Refugee Health Program
Seattle-King County Department of Public Health, Tuberculosis
Division (Washington state)
Sonoma County TB Control Chest Clinic (California)
Spokane County Health District (Washington state)
State of Hawaii, AIDS/STD Project
Washington (state) Department of Health, Tuberculosis Control Program
POLISH
Washington (state) Department of Health, Tuberculosis Control Program
PORTUGUESE
Massachusetts Department of Public Health, Tuberculosis Control Program
ROMANIAN
Sonoma County TB Control Chest Clinic (California)
RUSSIAN
American Lung Association
American Lung Association of Massachusetts
Dupage County Health Department, Tuberculosis Clinic (Illinois)
Francis J. Curry, National Tuberculosis Model Center
Massachusetts Department of Public Health
Washington (state) Department of Health, Tuberculosis Control Program
SAMOAN
American Lung Association of Hawaii
Hawaii State Department of Health
State of Hawaii, AIDS/STD Project
SAUDI
Spokane County Health District (Washington state)
SPANISH
American Academy of Pediatrics-Committee on Infectious Diseases
American Lung Association
American Lung Association of Brooklyn (New York)
American Lung Association of Los Angeles County
American Lung Association of Massachusetts
American Lung Association of San Francisco
American Public Health Association
Centers for Disease Control and Prevention, Division of Tuberculosis
Elimination
Chelan-Douglas Health District (Washington state)
County of Los Angeles Department of Health Services, Tuberculosis
Control (California)
County of Los Angeles, Health Education Unit (California)
Dade County Public Health Unit, Tuberculosis Control Program (Florida)
Fairfax County Health Department (Virginia)
Florida Department of Health and Rehabilitative Services, Tuberculosis
Control Program
Francis J. Curry, National Tuberculosis Model Center
Louisville and Jefferson County Board of Health (Kentucky)
Madigan Army Hospital Medical Center (Washington state)
Malheur County Health Department (Oregon)
Massachusetts Department of Public Health, Tuberculosis Control Program
Montgomery County Health Department (Maryland)
New Hampshire Division of Public Health Services
New Mexico, Health and Environment Department, TB Control Program
New York City Health Department, Bureau of Tuberculosis
Orange County Health Care Agency (California)
Prince George's County TB Control Division (Maryland)
San Francisco Department of Public Health, Division of TB Control
Seattle-King County Department of Public Health, Tuberculosis
Division (Washington state)
Skagit County Health Department (Washington state)
Sonoma County TB Control Chest Clinic (California)
Spokane County Health District (Washington state)
Texas Department of Health, Tuberculosis Control Division
The New York Academy of Medicine
US-Mexico Border Health Association (JUNTOS Project)
Wake County Department of Health (North Carolina)
Washington (state) Department of Health, Tuberculosis Control Program
THAI
State of Hawaii, AIDS/STD Project
TONGAN
Hawaii State Department of Health, Tuberculosis Branch
State of Hawaii, AIDS/STD Project
VIETNAMESE
American Lung Association of Hawaii
American Lung Association of San Diego and Imperial Counties
(California)
American Lung Association of Virginia
Asian Health Services
Association of Asian Pacific Community Health Organizations
California Department of Health Services
Fairfax County Health Department (Virginia)
Francis J. Curry, National Tuberculosis Model Center
Louisville and Jefferson County Board of Health (Kentucky)
Maryland Department of Health and Mental Hygiene, Tuberculosis Control
Massachusetts Department of Public Health, TB Control Program
Massachusetts Refugee Health Program
Montgomery County Health Department (Maryland)
Orange County Health Care Agency (California)
Prince George's County TB Control Division (Maryland)
Seattle-King County Department of Public Health, Tuberculosis
Division (Washington state)
Sonoma County TB Control Chest Clinic (California)
Spokane County Health District (Washington state)
State of Hawaii, AIDS/STD Project
Washington (state) Department of Health, Tuberculosis Control Program
VISAYAN
State of Hawaii, AIDS/STD Project
V
__________________________________________________________________________
PUBLICATIONS AND RESOURCES
FOR CLINICIANS
_____________
This section, Publications and Resources for Clinicians, contains
resources for health care providers who are delivering care to persons
with tuberculosis. The materials are highly technical and
clinically-oriented. The addresses and other contact information for
the organizations cited are located in Appendix A.
____________________________________________________________________________
_________________________________________
PUBLICATIONS and RESOURCES for Clinicians
_________________________________________
American Association of Occupational Health Nurses. (1994). AAOHN
advisory: Tuberculosis. AAOHN Journal, 42(10). Reprints from
AAOHN: $5.00 members; $8.00 non-members.
American Thoracic Society. (1990). Diagnostic standards and
classification of tuberculosis. American Review of
Respiratory Disease, 142, 725-735.
Association of Asian Pacific Community Health Organizations. (1994).
Clinical TB protocol. Available at no charge from AAPCHO.
Association of State & Territorial Public Health Laboratory Directors;
and, Public Health Practice Program Office, Division of Laboratory
Systems (CDC). (1995). Mycobacterium tuberculosis: Assessing
your laboratory, (ASTPHLD #U60-CCU303019). Atlanta, GA: CDC
Carmon, M. (1993). Legal challenges of tuberculosis in the workplace.
AAOHN Journal, 41(2), 96-100.
Centers for Disease Control and Prevention. (1994). Expanded
tuberculosis surveillance and tuberculosis morbidity - United
States, 1993. Morbidity and Mortality Weekly Report, 43(20),
361-366.
Centers for Disease Control and Prevention. (1993). Initial therapy
for tuberculosis in the era of multi-drug resistance:
Recommendations of the advisory council for the elimination of
tuberculosis (ACET). Morbidity and Mortality Weekly Report,
42(No. RR-7).
Centers for Disease Control and Prevention. (1991). Purified protein
derivative (PPD)-tuberculin anergy and HIV infection: Guidelines
for anergy testing and management of anergic persons at risk of
tuberculosis. Morbidity and Mortality Weekly Report, 40(No. RR-5).
Centers for Disease Control and Prevention. (1993). Technical
guidance on HIV counseling. Morbidity and Mortality Weekly
Report, 42(No. RR-2).
Colditz, G.A., Brewer, T.F., Berkey, C.S., Wilson, M.E. Burdick, E.,
Fineberg, H.V., & Mosteller, F. (1994). Efficacy of BCG vaccine
in the prevention of tuberculosis: Meta-analysis of the published
literature. JAMA, 271(9), 698-702.
Daugherty, J.S., Hutton, M.D., & Simone, P.M. (1993). Prevention and
control of tuberculosis in the 1990s. Nursing Clinics of North
America, 28(3), 599-611.
Directly observed therapy (DOT): It can help you cure TB.
Informational brochure for physicians to introduce them to the benefits
of DOT. Available from New York State Department of Health.
Huebner, R.E., Schein, M.F., & Bass, J.B., Jr. (1993). The
tuberculin skin test. Clinical Infectious Diseases, 17, 968-975.
National AIDS Clearinghouse (CDC). (1995). HIV/AIDS and tuberculosis.
A database search drawn from the CDC National Clearinghouse's
Educational Materials Database. The database is updated twice yearly.
National Institutes of Health, National Institute of Allergy and
Infectious Diseases. (1993). Tuberculosis: Resurgence of an
old problem.
Office of Minority Health Resource Center (OMH-RC)
Resource and referral service. Offers database searches, information
exchange, publications, mailing lists, technical assistance, data and
statistics, and referrals. Resource Person Network (volunteers)
available to provide technical assistance, conduct professional level
education training and workshops, and serve as reference specialists.
Database searches to locate brochures, articles, bibliographies,
journals, and other literature. All resource center services are free
of charge.
The following resources are available at no charge from the Centers
for Disease Control & Prevention (CDC), Information Services (IS). The
address for IS, National Center for Prevention Services, at the CDC is
listed in Appendix A. In addition, a reproducible order form for CDC
material is located in Appendix B.
American Thoracic Society. (1992). Control of
tuberculosis in the United States. American Review of
Respiratory Disease, 146(6), 1623-1633.
American Thoracic Society. (1994). Treatment of
tuberculosis and tuberculosis infection in adults and
children. American Journal of Respiratory and Critical
Care Medicine, 149(5), 1359-1374.
Centers for Disease Control and Prevention. (1990).
Screening for tuberculosis and tuberculosis infection in
high-risk populations and use of preventive therapy for
tuberculosis infection in the US. Morbidity and Mortality
Weekly Report, March 18.
Centers for Disease Control and Prevention. (1993).
Tuberculosis control laws - United States, 1993:
Recommendations of the advisory council for the elimination
of tuberculosis (ACET). Morbidity and Mortality Weekly
Report, 42,(No. RR-15), November 12.
Centers for Disease Control and Prevention. (1992).
Management of persons exposed to multidrug-resistant
tuberculosis. Morbidity and Mortality Weekly Report,
41(No. RR-11), June 19.
Core curriculum on tuberculosis, 3rd Edition. (1994).
For providers of health care services. A 95-page training
guide on clinical and public health aspects of tuberculosis
control. A set of 82 slides to accompany the training
booklet is also available.
Reported tuberculosis in the United States, 1993.
Statistics on tuberculosis cases and case rates reported for
1993.
TB care guide: Highlights from core curriculum on
tuberculosis. (1994). A 57-page booklet for clinicians
on care of TB patients, with a tear-off card for dosage
calculation and reference.
Treating tuberculosis: A clinical guide. (1994). A
fold-out chart with 8 panels with tables on TB treatment and
medications for clinicians' reference.
VI
__________________________________________________________________________
STATE AND TERRITORIAL
OFFICES OF TUBERCULOSIS CONTROL
__________
Each state and territory of the United States has an Office of
Tuberculosis Control. The point of contact for each office listed
is current as of May 1995. Your local telephone directory should be
consulted for any number or personnel changes.
____________________________________________________________________________
STATE AND TERRITORIAL HEALTH DEPARTMENTS
Tuberculosis Control Offices
____________________________________________________________________________
|
Frank K. Bruce | William W. Stead, MD
Director | Director
Tuberculosis Control Branch | Tuberculosis Control Division
Alabama Department of Public Health| Arkansas Department of Health
434 Monroe Street | 4815 West Markham Street
Montgomery, ALABAMA 36130-3017 | - Mailstop 45
| Little Rock, ARKANSAS 72205
|
Consultant: N/A | Consultant: Dory Moers, RN
|
Phone: (334) 613-5330 | Phone: (501) 661-2398
Fax: (334) 288-5021 | Fax: (501) 661-2759
___________________________________|________________________________________
|
Elizabeth Funk, MD | Sarah Royce, MD, MPH
Epidemiologist | Chief
Infectious Disease Group | TB Control Branch
Alaska Health Department and | California Department of
Social Services | Health Services
Section of Epidemiology | 2151 Berkeley Way, Room 715
P.O. Box 240249 | Berkeley, CALIFORNIA 94704-1101
Anchorage, ALASKA 99524 |
|
Consultant: Suzanne Banda, RN | Consultant: N/A
|
Phone: (907) 561-4406 | Phone: (510) 540-2973
Fax: (907) 562-7802 | Fax: (510) 849-5269
___________________________________|________________________________________
|
Edgar Reed, MD | Richard E. Hoffman, MD, MPH
Department of Health | Tuberculosis Control Officer
Government of American Samoa | Colorado Department of Health
LBJ Tropical Medical Center | 4300 Cherry Creek Drive South
Pago Pago, AMERICAN SAMOA 96799 | DCEED-A3
| Denver, COLORADO 80222-1530
|
Consultant: N/A | Consultant: N/A
|
Phone: 9-011-684-633-2243 | Phone: (303) 692-2676
Fax: 9-011-684-633-5379 | Fax: (303) 782-0904
___________________________________|________________________________________
|
Norman J. Petersen, FM | Joseph Marino
Acting Assistant Director | Program Director
Disease Prevention Services | TB Control Program
Arizona Department of Health | Connecticut Department of Public
Services | Health Services
3815 North Black Canyon Highway | 150 Washington Street
Phoenix, ARIZONA 85015 | Hartford, CONNECTICUT 06106
|
Consultant: Caroline Nejedlo, RN | Consultant: Patricia Kucharski, RN
|
Phone: (602) 230-5808 | Phone: (203) 566-3099
Fax: (602) 230-5959 | Fax: (203) 566-5823
___________________________________|________________________________________
|
Kathleen E. Russell, MPH | Beverly Devoe, MHS
Coordinator | Program Manager
Tuberculosis Elimination Program | Tuberculosis Control Program
Delaware Dept. of Health and | Georgia Department of
Social Services | Human Resources
Jessie Cooper Building | 1305 Redmond Circle, Building 512
P.O. Box 637 | Rome, GEORGIA 30161-1393
Dover, DELAWARE 19903 |
|
Consultant: N/A | Consultant: N/A
|
Phone: (302) 739-6620 | Phone: (706) 295-6292
Fax: (302) 739-6617 | Fax: (706) 295-6747
___________________________________|________________________________________
|
VACANT | Cecilia T. Arciaga
Chief | Tuberculosis Program Coordinator
Bureau of Tuberculosis Control | Department of Public Health
Department of Health and | and Social Services
Human Services | Government of Guam
DCGH - Building 15 | P.O. Box 2816
1905 E Street, SE | Agana, GUAM 96910
Washington, DISTRICT OF COLUMBIA |
20003 |
|
Consultant: Jean Mainer, RN | Consultant: N/A
|
Phone: (202) 724-2195 | Phone: 9-001-671-734-7145
Fax: (202) 724-2363 | Fax: 9-001-671-734-5910
___________________________________|________________________________________
|
Lerina Nena, RN | Azucena Ignacio, MD
TB Program Manager | Chief
Dept. of Health Services | Tuberculosis Branch
P.O. Box PS70, Palikir Station | Hawaii Department of Health
Palikir | 1700 Lanakila Avenue
Pohnpei, FEDERATED STATES OF | Honolulu, HAWAII 96817-2199
MICRONESIA 96941 |
|
Consultant: N/A | Consultant: N/A
|
Phone: 9-011-691-320-2619 | Phone: (808) 832-5731
Fax: 9-011-670-233-0214 | Fax: (808) 832-5846
___________________________________|________________________________________
|
James Jackson | Jesse Greenblatt, MD, MPH
Director, HIV/STD/TB Prevention | State Epidemiologist
Florida Department of Health & | Idaho Department of Health
Rehab. Services | and Welfare
1317 Winewood Blvd., Building E | 450 West State Street
4th Floor, Room 416 | Boise, IDAHO 83720
Tallahassee, FLORIDA 32399-0700 |
|
Consultant: N/A | Consultant: N/A
|
Phone: (904) 487-3684 | Phone: (208) 334-5941
Fax: (904) 487-1521 | Fax: (208) 334-6581
___________________________________|________________________________________
|
Ben Atkinson, MPH | Gene D. Simmons, MPH
Chief | Program Manager
TB Control Program | Tuberculosis Control Program
Illinois Department of | Kentucky Department for
Public Health | Health Services
525 West Jefferson Street | 275 East Main Street
- 1st Floor | Frankfort, KENTUCKY 40621-001
Springfield, ILLINOIS 62761 |
|
Consultant: N/A | Consultant: Donna Perkins,
| RN, BSN
|
Phone: (217) 785-5371 | Phone: (502) 564-4276
Fax: (217) 524-4515 | Fax: (502) 564-4553
___________________________________|________________________________________
|
VACANT | Vic Tomlinson
Director | Tuberculosis Control Section
Division of Communicable Disease | Louisiana Department of Health
Indiana State Department of Health | and Hospitals
P.O. Box 1964 | 325 Loyola, Room 617
1330 West Michigan Street | New Orleans, LOUISIANA 70112
Indianapolis, INDIANA 46206-1964 |
|
Consultant: N/A | Consultant: N/A
|
Phone: (317) 383-6458 | Phone: (504) 568-5015
Fax: (317) 383-6747 | Fax: (504) 568-5016
___________________________________|________________________________________
|
Patricia Quinlisk, MD | Kathy Gensheimer, MD
Iowa Department of Public Health | Director, TB Control and
Lucas State Office Building | Refugee Program
321 East 12th Street | Bureau of Health
Des Moines, IOWA 50319-0075 | Department of Human Services
| 157 Capitol - State House,
| Station #11
| Augusta, MAINE 04333
|
Consultant: N/A | Consultant: Joan Blossom, RN
|
Phone: (515) 281-4941 | Phone: (207) 287-3748
Fax: (515) 242-4958 | Fax: (207) 287-6865
___________________________________|________________________________________
|
Harold H. Geer | Sarah Bur, RN, MPH
Director, TB Control Section | Chief
Bureau of Disease Control | Division of Tuberculosis Control
Kansas Department of Health | Maryland Dept. of Health and
and Environment | Mental Hygiene
109 Southwest Ninth Street | 201 West Preston Street
Mills Building, Suite 605 | O'Connor Building - 3rd Floor,
Topeka, KANSAS 66612-1271 | Rm 307A
| Baltimore, MARYLAND 21201-2399
|
Consultant: Angela Akerstron, RN | Consultant: N/A
|
Phone: (913) 296-5589 | Phone: (410) 225-6692
Fax: (913) 296-4197 | Fax: (410) 669-4215
___________________________________|________________________________________
|
Sue C. Etkind, RN, MS | Mahree Skalar
Director | Deputy Director
Tuberculosis Control Program | Division of Environmental Health
Massachusetts Department of | and Epidemiology
Public Health | Missouri Department of Health
305 South Street | 1730 East Elm Street
Jamaica Plain, MASSACHUSETTS 02130| P.O. Box 570
| Jefferson City, MISSOURI
| 65102-0570
|
Consultant: Janice Boutotte, RN | Consultant: Marty Huber, RN
|
Phone: (617) 983-6970 | Phone: (314) 751-6080
Fax: (617) 983-8735 | Fax: (314) 526-6892
___________________________________|________________________________________
|
Dennis Minnice | Denise Ingman
Chief | TB Program Coordinator
Division of Tuberculosis Control | Preventive Health Services
Michigan Department of | Montana State Department of
Public Health | Health and Environmental Science.
P.O. Box 30035 | 1400 Broadway - Cogsweil Building
3500 N. Martin Luther King Blvd. | Helena, MONTANA 59620-0901
Lansing, MICHIGAN 48909 |
|
Consultant: N/A | Consultant: N/A
|
Phone: (517) 335-8063 | Phone: (406) 444-0275
Fax: (517) 335-8121 | Fax: (406) 444-2606
___________________________________|________________________________________
|
Kristine MacDonald, MD, MPH | Roger Murray
Director, TB Control Program | Coordinator
Minnesota Department of Health | Tuberculosis Control Program
P.O. Box 9441 | Nebraska Department of Health
717 Delaware Street SE | 301 Centennial Mall South
Minneapolis, MINNESOTA 55440 | P.O. Box 95007
| Lincoln, NEBRASKA 68509-5007
|
Consultant: Claudia Miller | Consultant: N/A
|
Phone: (612) 623-5526 | Phone: (402) 471-2937
Fax: (612) 623-5743 | Fax: (402) 471-6426
___________________________________|________________________________________
|
James M. Holcombe, MPA | Sandra Henneke, RN
Director | Program Manager
Tuberculosis Control Branch | Tuberculosis Control Program
Mississippi State Department | Nevada State Department of
of Health | Human Resources
2423 North State Street | 505 East King Street, Room 304
Jackson, MISSISSIPPI 39216 | Carson City, NEVADA 89710
|
Consultant: Paulette W. Smith, RN | Consultant: N/A
|
Phone: (601) 960-7700 | Phone: (702) 687-4800
Fax: (601) 354-0661 | Fax: (702) 687-4988
___________________________________|________________________________________
|
Richard DiPentima, RN, MPH | James Jones, MPH
TB Program Chief | Chief, Tuberculosis Control
Bureau | Section
Bureau Disease Control | Dept. of Environment, Health, &
New Hampshire Division of Public | Natural Resources
Health Services | P.O. Box 27687
6 Hazen Drive | Raleigh, NORTH CAROLINA
Concord, NEW HAMPSHIRE 03301-6527 | 27611-7687
|
Consultant: Janice Oberacker | Consultant: Dee Foster, RN
|
Phone: (603) 271-4496 | Phone: (919) 733-7286
Fax: (603) 271-4933 | Fax: (919) 715-4699
___________________________________|________________________________________
|
Clifford G. Freund | Larry Shireley, MPH
Director | TB Control Program
Communicable Disease Services | Division of Disease Control
New Jersey State Department | North Dakota Department of
of Health | Health
University Office Plaza - CN 369 | 600 East Boulevard Avenue
Trenton, NEW JERSEY 08625-0369 | Bismarck, NORTH DAKOTA
| 58505-0200
|
Consultant: Doris Lewis, | Consultant: N/A
RN, MA, MPA |
|
Phone: (609) 588-7539 | Phone: (701) 328-2378
Fax: (609) 588-7431 | Fax: (701) 328-4727
___________________________________|________________________________________
|
Doris Fields | Isamu J. Abraham, MO
Director, Tuberculosis Control | Secretary of Health
Program | Commonwealth of the Northern
Bureau of Infectious Disease | Mariana Islands
Prevention & Control | Department of Health
Public Health Division | P.O. Box 409 CK
Health and Environment Department | Saipan, MARIANA ISLANDS
P.O. Box 26110 |
1990 St. Francis Drive |
Santa Fe, NEW MEXICO 87502 |
|
Consultant: Jean Smithpeter, | Consultant: Lupe Hofschnieder
RN, MSN |
|
Phone: (505) 827-0156 | Phone: 9-011-670-234-8950
Fax: (505) 827-0163 | Fax: 9-011-670-234-8930
___________________________________|________________________________________
|
George DiFerdinando, MD, MPH | Thomas J. Halpin, MD
Director | Director
Bureau TB Control | Division of Prevention Medicine
New York State Department of Health| Ohio Department of Health
Corning Tower, Room 840/859 | P.O. Box 118
Empire State Plaza | 246 North High Street
Albany, NEW YORK 12237 | Columbus, OHIO 43266-0118
|
Consultant: Elizabeth Foster, RN | Consultant: Shirley Dobbins, RN
|
Phone: (518) 474-7000 | Phone: (614) 466-0304
Fax: (518) 473-6164 | Fax: (614) 644-8526
___________________________________|________________________________________
|
Jon Tillinghast, MD, MPH | Mildred Soto, MPH
TB Control Officer | Director
Communicable Disease Division | Tuberculosis Control Program
Oklahoma State Department of Health| Department of Health
1000 NE Tenth Street | P.O. Box 71423, Correo General
Oklahoma City, OKLAHOMA 73117-1299| San Juan, PUERTO RICO 00936-1423
|
Consultant: Helen Gretz, RN | Consultant: Millie Rodriquez,
| RN, MSN
|
Phone: (405) 271-4063 | Phone: (809) 721-2000, x 205
Fax: (405) 271-5149 | Fax: (809) 723-3565
___________________________________|________________________________________
|
Elizabeth Brown, MS, RN | Janet O'Connel, MPH
TB Program Director | Program Administrator for
Oregon Health Division | TB Control
800 NE Oregon, Suite 772 | Office of Disease Control
Portland, OREGON 97232 | Rhode Island Department of Health
| 3 Capitol Hill
| Providence, RHODE ISLAND 02908-5097
|
Consultant: Liz Binam, RN | Consultant: Jean Mainer
|
Phone: (503) 731-4024 | Phone: (401) 277-2577
Fax: (503) 731-4798 | Fax: (401) 272-3771
___________________________________|________________________________________
|
Anthony Polloi, MD | Donald F. Capella
Director | Secretary of Health and Environment
ATTN: Jill McCready | P.O. Box 16
Bureau of Health Services | Majuro Hospital
Republic of Palau | Majuro, REPUBLIC OF MARSHALL
P.O. Box 6027 | ISLANDS 96960
Koror, PALAU - W.C. Is. 96940 |
|
Consultant: N/A | Consultant: Justina R. Langidrik, MPH
|
|
Phone: 9-011-680-488-2813 | Phone: 9-011-692-625-7246
Fax: 9-011-680-488-1211 | Fax: 9-011-692-625-3432
___________________________________|________________________________________
|
VACANT | Carol J. Pozsik, RN, MPH
Tuberculosis Control Program | Director
Pennsylvania Department of Health | Division of Tuberculosis Control
P.O. Box 90 | S. Carolina Department of Health &
Health and Welfare Building | Environmental Control
- 10th Floor West | 2600 Bull Street
Commonwealth and Forster Street | Columbia, SOUTH CAROLINA 29201
Harrisburg, PENNSYLVANIA |
17108-0090 |
|
Consultant: N/A | Consultant: Betty Gore, RN,
| MSN, CIC
|
Phone: (717) 787-6267 | Phone: (803) 737-4150
Fax: (717) 783-3794 | Fax: (803) 737-6531
___________________________________|________________________________________
|
Kristin Schweigert | William Graham, MD
TB Project Coordinator | Medical Director
Office of Communicable Disease | Tuberculosis Control Program
Prevention and Control | Vermont Department of Health
South Dakota State Department | P.O. Box 70
of Health | 109 Cherry Street
445 East Capitol Avenue | Burlington, VERMONT 05402
Pierre, SOUTH DAKOTA 57501-3182 |
|
Consultant: N/A | Consultant: N/A
|
Phone: (605) 773-3364 | Phone: (802) 863-7245
Fax: (605) 773-6623 | Fax: (802) 865-7701
___________________________________|________________________________________
|
H. David Crowder | VACANT
Division of Tuberculosis Control | Bureau of Tuberculosis Control
Tennessee Department of Health | Virginia State Department of Health
and Environment | 1500 East Main Street, Rm. 119
Tennessee Tower Building | Richmond, VIRGINIA 23218
- 13th Floor |
Nashville, TENNESSEE 37247-4911 |
|
Consultant: Pat Johnson, RN | Consultant: N/A
|
Phone: (615) 532-2691 | Phone: (804) 786-6251
Fax: (615) 532-8478 | Fax: (804) 371-0248
___________________________________|________________________________________
|
Michael F. Kelley, MD, MPH | Sylvia Buntin-Simmons, PhD
Bureau Chief | Project Director
Bureau of Communicable Disease | TB Control Program
Control | Virgin Islands Department of Health
Texas Department of Health | Community Health Services
1100 West 49th Street | 48 Sugar Estate
Austin, TEXAS 78756-3199 | St Thomas Hospital
| St Thomas, VIRGIN ISLANDS 00802
|
Consultant: Isabel Vitek, | Consultant: N/A
RN, BSN |
|
Phone: (512) 458-7455 | Phone: (809) 774-3168
Fax: (512) 458-7787 | Fax: (809) 771-4001
___________________________________|________________________________________
|
Lillian Tom-Orme, RN, PhD | Kay Anderson, RN
Director, Community Health | TB Controller
Services | Washington Department of Health
Refugee and Pulmonary Program | 1511 Third Avenue, Suite 201
Utah Department of Health | Seattle, WASHINGTON 98101
P.O. Box 142868 |
288 North, 1460 West |
Salt Lake City, UTAH 84114-2868 |
|
Consultant: Margaret Chamberlin, | Consultant: Sheryl Palaniuk, RN
RN, BSN |
|
Phone: (801) 538-6141 | Phone: (206) 464-5327
Fax: (801) 538-6694 | Fax: (206) 464-6123
___________________________________|________________________________________
|
James H. Walker, MD | Dawn Tuckey
Director | Director
Tuberculosis Control Program | Tuberculosis Control Program
West Virginia Department of Health | Wisconsin Department of Health
1422 East Washington Street | & Social Services
Charleston, WEST VIRGINIA 25301 | 1414 East Washington Avenue
| Madison, WISCONSIN 53703
|
Consultant: Carolyn Winkler, RN | Consultant: N/A
|
Phone: (304) 558-2669 | Phone: (608) 266-9452
Fax: (304) 558-6335 | Fax: (608) 266-3696
___________________________________|________________________________________
|
Alex Bowler |
Coordinator |
Wyoming Department of Health |
and Social Services |
Hathaway Building, 4th Floor, |
Room 419 |
Cheyenne, WYOMING 82002 |
|
Consultant: N/A |
|
Phone: (307) 777-5658 |
Fax: (307) 777-5402 |
___________________________________|________________________________________
APPENDIX A
Addresses / Contact Information
Addresses & Contacts
for TB Resources
AIDS Action Council
1875 Connecticut Ave., NW, Suite 700
Washington, DC 20009
(202) 986-1300 - FAX: (202) 986-1345
AIDS Coalition to Unleash Power ("Act-Up")
135 W. 29th Street, #10
New York, New York 10001
(212) 564-2437 - FAX (212) 594-5441
Alma Illery Medical Center
7227 Hamilton Avenue
Pittsburgh, Pennsylvania 15208
(412) 244-4775
American Academy of Family Physicians
8880 Ward Parkway
Kansas City, Missouri 64114
(816) 333-9700 or (800) 274-2237 (toll free)
American Academy of Pediatrics
141 Northwest Point Boulevard
Elk Grove Village, Illinois 60007-0927
(708) 228-5005 - FAX (708) 228-5097
American Ambulance Association
50 Monroe, NW
Suite 420
Grand Rapids, MI 49503-6201
(616) 454-0775
American Association for Continuity of Care
1730 N. Lynn Street, Suite 502
Arlington, Virginia 22209
(703) 525-1191 - FAX (703) 276-8196
American Association for Respiratory Care
11030 Ables Lane
Dallas, Texas 75229
(214) 243-2272 - FAX (214) 484-2720
American Association for World Health
1129 20th Street, NW, Suite 400
Washington, DC 20036
(202) 466-5883 - FAX (202) 466-5896
American Association of Occupational Health Nurses (AAOHN)
50 Lenox Pointe
Atlanta, GA 30324-3176
(800) 241-8014 / (404) 262-1162 / FAX (404) 262-1165
American College of Chest Physicians
3300 Dundee Road
Northbrook, Illinois 60062-2348
(708) 498-1400 - FAX (708) 498-5460
American College of Internal Physicians
711 Second Street, NE, Suite 200
Washington, DC 20002
(202) 544-7498 - FAX (202) 546-7105
American College of Physicians
Independence Mall West, Sixth Street at Race
Philadelphia, Pennsylvania 19106-1572
(215) 351-2829 - FAX (215) 351-2829
American College of Preventive Medicine
1015 15th Street, NW, Suite 403
Washington, DC 20005
(202) 789-0003 - FAX (202) 289-8274
American Correctional Health Services Association
11 West Monument Ave., Suite 510
P.O. Box 2307
Dayton, Ohio 45401-2307
(513) 223-9630 - FAX (513) 223-6307
American Federation of State, County and Municipal Employees, AFL-CIO
(AFSCME)
1625 L Street, NW
Washington, DC 20036-5687
(202) 429-1000 - FAX (202) 429-1293
American Federation of Teachers, AFL-CIO (AFT)
555 New Jersey Avenue, NW
Washington, DC 20001-2079
(202) 393-5674 - FAX (202) 879-4597
American Geriatrics Society
770 Lexington Avenue, Suite 400
New York, New York 10021
(212) 308-1414
American Health Care Association (AHCA)
1201 L Street, NW
Washington, DC 20005
(202) 898-2850 - FAX (202) 842-3860
American Hospital Association
1 North Franklin Street
Chicago, Illinois 60606
(312) 422-3000
American Jail Association
2053 Day Road, Suite 100
Hagerstown, Maryland 21740-9795
ATTN: Training Coordinator
(301) 790-3930 - FAX (301) 790-2941
American Journal of Nursing Company (AJN)
Educational Services Division
555 West 57th Street
New York, New York 10019-2961
(800) CALL-AJN [(800) 225-5256] - FAX (212) 944-9055
American Lung Association
1740 Broadway
New York, New York 10019-4374
(212) 315-8700 - FAX (212) 265-5642
(800) LUNG-USA [(800) 586-4872] to contact local chapters or
request information.
American Medical Association
515 North State Street
Chicago, Illinois 60610
(312) 464-5000 - FAX (312) 464-4184
American Nurses Association
600 Maryland Avenue, SW, Suite 100W
Washington, DC 20024-2571
(202) 651-7126 - (800) 637-0323
American Public Health Association
1015 15th Street NW
Washington, DC 20005
(202) 789-5600 - FAX (202) 789-5681
American Society for Microbiology
1325 Massachusetts Avenue, NW
Washington, DC 20005
(202) 737-3600
American Thoracic Society
1740 Broadway
New York, New York 10019-4374
(212) 315-8778 - FAX (212) 265-5642
Asian Health Services
310 Eighth Street
Suite 200
Oakland, California 94607
(510) 465-3374
Association for Practitioners in Infection Control and Epidemiology, Inc.
(APIC)
1016 16th Street, NW, 6th Floor
Washington, DC 20036
(202) 296-2742 - FAX (202) 296-5645
Exec. Director: Rick Dorman
Association of Asian Pacific Community Health Organizations
(AAPCHO)
1212 Broadway, Suite 730
Oakland, California 94612-1825
(510) 272-9536 - FAX (510) 272-0817
Program Coordinator: Jeff Caballero
Association of Community Health Nursing Educators
President
Bianca M. Chambers, RN, D.N.Sc.
Indiana University School of Nursing
Department of Community Health Nursing
1111 Middle Drive
Indianapolis, Indiana 46202-5107
(317) 274-2129 - FAX (317) 278-1378
Association of State and Territorial Directors of Nursing
Elfrida Nord, RN, MPH
Chief, Section of Nursing
Department of Health and Social Services
P.O. Box 110611
Juneau, Alaska 99811-0611
(907) 465-3150 - FAX (907) 465-3913
Association for Professionals in Infection Control and Epidemiology, Inc.
1016 16th Street, NW - Sixth Floor
Washington, DC 20036
(202) 296-2742 - FAX (202) 296-5645
Association of State and Territorial Health Officials
415 Second Street, NW, Suite 200
Washington, DC 20002
(202) 546-5400
California Department of Health Services
California Indoor Air Quality Program
Dr. Janet Macher
Dr. Kenneth W. Kizer, ME, MPH, Director of CA Dept Health
Services
2151 Berkeley Way
Berkeley, California
(510) 540-2469
Centers for Disease Control and Prevention (CDC)
Division of Tuberculosis Elimination and Control
1600 Clifton Road, NE, Mailstop E-10
Atlanta, Georgia 30333
(404) 639-8120; (404) 639-1819 (voice activated, for ordering
specific materials)
FAX (404) 639-8628
RN Consultant: Susan Dougharty Gibson: (404) 639-8135
Centers for Disease Control and Prevention (CDC)
Information Services
National Center for Prevention Services
1600 Clifton Road, NE, Mailstop E-06
Atlanta, Georgia 30333
(404) 639-1819 (voice activated, for ordering
materials/publications)
FAX (404) 639-8628
Centers for Disease Control and Prevention (CDC)
National AIDS Clearinghouse
P.O. Box 6003
Rockville, Maryland 20849-6003
(800) 458-5231 - (301) 217-5343 - FAX - (301) 251-5343
Centers for Disease Control and Prevention (CDC)
Office of Safety & Health
1600 Clifton Road
Atlanta, Georgia 30333
(404) 639-3235 (copy of Biosafety in Microbiological &
Biomedical Laboratories, 3rd Ed.)
College of American Pathologists
325 Waukegan Road
Northfield, Illinois 50093-2750
(708) 446-8800
Congress of National Black Churches
1225 I Street, NW, Suite 750
Washington, DC 20005
(202) 371-1091 - FAX (202) 371-0908
Department of Defense
Office of the Assistant Secretary of Defense (Clinical Services)
1200 Defense Pentagon - Health Affairs
Washington, DC 20301-1200
(703) 695-7116
Department of Veterans Affairs
Office of Geriatrics and Extended Care (114)
810 Vermont Avenue, NW
Washington, DC 20420
(202) 535-7165 - FAX (202) 535-7006
Drug Strategies
2445 M Street, NW, Suite 480
Washington, DC 20037
(202) 663-6090 - FAX (202) 663-6110
1199 National Health and Human Service Employee Union
330 West 42nd Street, 15th Floor
New York, New York 10036
(212) 631-4580 - FAX (212) 695-0538
Food and Drug Administration
5600 Fishers Lane
HFD (NLRC)
Rockville, Maryland 20857
(301) 443-2410 - FAX (301) 443-9292
Hawaii (State of), Department of Health
AIDS/STD Project
1250 Punchbowl Street
Honolulu, Hawaii 96813
Health Care Finance Administration
Hubert Humphrey Building, Room 314G
200 Independence Avenue, SW
Washington, DC 20201
(202) 690-5727 - FAX (202) 690-6262
Health Care for the Homeless Information Resource Center
John Snow, Inc.
210 Lincoln Street
Boston, Massachusetts 02111
(617) 482-9485 - FAX (617) 482-0617
Health Resources & Services Administration
5600 Fishers Lane, Rm 7-05
Rockville, Maryland 20857
(301) 443-1993 - FAX (301) 443-9645
Home Health Services and Staffing Association (HHSSA)
115 D South
Saint Asaph Street
Alexandria, Virginia 23314
Mark Ranslem (703) 836-9863
Hunter College School of Health Sciences
The Center for Occupational & Environmental Health
425 East 25th Street
New York, New York 10010
(212) 481-8790 - FAX (212) 481-8795
Director: Daniel Kass (212) 481-4361
Indian Health Service
5600 Fishers Lane, Room 6-05
Rockville, Maryland 20857
(301) 443-1083
Infectious Diseases Society of America
Yale University School of Medicine
333 Cedar Street, 201 LCI
New Haven, Connecticut 06510-8056
(203) 785-4141 - FAX (203) 785-6179
Joint Commission on Accreditation of Healthcare Organizations
(JCAHO)
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
(708) 916-5600
Labor Institute, The
853 Broadway, Room 2014
New York, New York 10003
(212) 674-3322 - FAX (212) 353-1203
Lincoln Medical Education Foundation
Attn: Tuberculosis Video
4600 Valley Road
Lincoln, Nebraska 68510
(402) 483-4581 - FAX (402) 483-4184
Madigan Army Health Social Service Department
Medical Center
Tacoma, Washington 98431
(206) 968-2302
Massachusetts Refugee Health Program
305 South Street
Jamaica Plains, Massachusetts 02130
(617) 522-3700
Migrant Clinicians Network
5524 Bee Caves Road, Building I, Suite 1
Austin, Texas 78746
(512) 327-2017 - (512) 327-0719
National Association of Community Health Centers, Inc.
1330 New Hampshire Avenue, Suite 122
Washington, DC 20036
(202) 659-8008 - FAX (202) 659-8519
National Association of County Health Officials
440 First Street, NW, Suite 500
Washington, DC 20001
(202) 783-5550
National Black Nurses Association
1511 K Street, NW, Suite 415
Washington, DC 20006
(202) 393-6870 - FAX (202) 347-3808
National Coalition for the Homeless
1612 K Street, NW, Suite 1004
Washington, DC 20006
(202) 775-1322 - FAX (202) 775-1316
National Commission for Clinical Laboratory Standards (NCCLS)
771 East Lancaster Avenue
Villanova, Pennsylvania 19085
(215) 525-2435
National Commission on Correctional Health Care
2105 North Southport, Suite 200
Chicago, Illinois 60614-4017
(312) 528-0818
National Council of La Raza
810 First Street, NE, Suite 300
Washington, DC 20002
(202) 289-1380 - FAX (202) 289-8173
National Foundation for Infectious Diseases
4733 Bethesda Avenue, Suite 750
Bethesda, Maryland 20814-5228
(301) 656-0003 - FAX (301) 907-0878
National Health Care for the Homeless Council
P.O. Box 68019
Nashville, Tennessee 37206-8019
(615) 226-2292 - FAX (615) 226-1656
National Heart, Lung and Blood Institute
National Institutes of Health
9000 Rockville Pike
Building 31, Room 5A52
Bethesda, Maryland 20892
(301) 496-5166 - FAX (301) 496-7408
National Institute of Allergy and Infectious Diseases (NIAID)
National Institutes of Health
9000 Rockville Pike
Building 31, Room 7A03
Bethesda, Maryland 20892
(301) 496-2263 - FAX (301) 496-4409
National Institute of Nursing Research
National Institutes of Health
Building 45, Room 3AN-12
MSC 6300
Bethesda, Maryland 20892-6300
(301) 594-6908 - FAX (301) 480-8260
National Jewish Center for Immunology and Respiratory Medicare
TB Office K624
1400 Jackson Street
Denver, Colorado 80206
(303) 398-1700 - (800) 423-8891, extension: 1700
National Leadership Coalition on AIDS
1730 M Street, NW, Suite 905
Washington, DC 20036
(202) 429-0930 - FAX (202) 872-1977
National Minority AIDS Council
300 I Street, NW, Suite 400
Washington, DC 20002
(202) 544-1076 - FAX (202) 544-0378
National Public Health Information Coalition
P.O. Box 941804
Atlanta, Georgia 30341-0804
National Rural Health Association
1 West Armour, Suite 301
Kansas City, Missouri 64111
(816) 756-3140 - FAX (816) 756-3144
National Technical Information Service
U.S. Department of Commerce
5285 Port Royal Road
Springfield, Virginia 22161
(800) 553-6847
National Tuberculosis Model Centers
Francis J. Curry, National Tuberculosis Center
3180 18th Street, Suite 101
San Francisco, California 94110
(415) 502-4600 - FAX (415) 502-4620
Director: Gisela Schecter, MD, MPH
Education Director: Wesley S. Wong
National Tuberculosis Model Centers (continued)
National Tuberculosis Center, UMDNJ
University of Medicine and Dentistry of New Jersey
65 Bergen Street, Suite GB-1
Newark, New Jersey 07107-3001
(201) 982-3270 - FAX (201) 982-3268
Education Director: Debra Bottinick
New Hampshire Division of Public Health Services
6 Hazen Drive
Concord, New Hampshire 03301
(603) 271-4661
New York Academy of Medicine
1216 Fifth Avenue
New York, New York 10029
New York City Department of Health
Bureau of Tuberculosis Control
125 Worth Street, Box 74
New York, New York 10013
(212) 788-4153 - FAX (212) 788-4179
Nursing Organization Liaison Forum
American Nurses Association
600 Maryland Avenue, SW
Washington, DC 20024
(202) 651-7120
Office of Minority Health
5515 Security Lane, Suite 1000
Rockville, Maryland 20852
(301) 443-5084 - FAX (301) 594-0767
Office of Minority Health Resource Center (OMH-RC)
PHS-DHHS
PO Box 37337
Washington, DC 20013-7337
(800) 444-MHRC [(800) 444-6472]
TDD: (301) 589-0951
FAX: (301) 589-0884
Pharmaceutical Manufacturers Association
1100 15th Street, NW, Suite 900
Washington, DC 20005
(202) 835-3550 - FAX (202) 835-3597
Services Employees International Union, AFL-CIO
1313 L Street, NW
Washington, DC 20005
(202) 898-3434 - FAX (202) 898-3491
Society for Hospital Epidemiology of America
875 Kings Highway, Suite 200
Woodbury, New Jersey 08096
(609) 845-1636 - FAX (609) 853-0411
Substance Abuse and Mental Health Services Administration
5515 Security Lane
Rockwall II Building, Room 880
Rockville, Maryland 20852
(301) 443-8391 - FAX (301) 443-8345
UMDNJ New Jersey Medical School
National Tuberculosis Center
65 Bergen Street, Suite GB1
Newark, New Jersey 07107-3001
(201) 982-3270 - FAX (201) 982-3268
United States - Mexico Border Health Association
JUNTOS Program
6006 North Mesa, Suite 600
El Paso, Texas 79912
(915) 581-6645 - FAX (915) 833-4768
Fernando J. Gonzalez, MD, MPH
Bi-National TB Control Project Coordinator
University of California, San Diego Medical Center
Preventive Pulmonary Medicine
225 Dickinson Street
San Diego, California 92103-8377
Attn: Andrew Ries, MD
University Hospital & Clinics
Infection Control Department
DC092.00 212 Dockery Hall
One Hospital Drive
Columbia, Missouri 65212
U.S. Department of Health and Human Services
Division of Federal Occupational Health
(301) 594-0260
U.S. Department of Labor - OSHA
Office of Training and Education
1555 Times Drive
Des Plaines, Illinois 60018
(708) 297-4810
U.S. Government Printing Office
Superintendent of Documents
Washington, D.C. 20402
(202) 512-2356
Utah (State of)
Industrial Commission of Utah
Utah Job Safety and Health Consultation Services
160 East 300 South, 3rd Floor
PO Box 146650
Salt Lake City, Utah 84114-6650
(801) 530-6855 / (800) 222-1238 - FAX (801) 530-6992
Consultant: Eldon Tryon, PhD
Wasatch Homeless Health Care Program
404 South 400 West
Salt Lake City, Utah 84101
(801) 364-0058 - FAX (801) 364-0161
APPENDIX B
Centers for Disease Control and Prevention, Education and Training
Materials Order Form.
Division of Tuberculosis Elimination
Educational and Training Materials
Please indicate desired quantity in the blank provided. All materials are
free of charge.
For Health Care Providers
Multidrug Resistant Tuberculosis - 1994
___ (00-6529) 8-page article on the causes, treatment, and
control of drug-resistant tuberculosis
Core Curriculum on Tuberculosis, 3rd Edition - 1994
___ (00-5763) 95-page training guide on important clinical and
public health aspects of TB control
___ (00-6077) Set of 82 slides that accompany this training
guide (Slides limited to one set per order)
TB Care Guide - 1994
___ (00-6470) 57-page booklet for clinicians on care of TB
patients, with a tear-off card for dosage
calculation and reference
TB Treatment: A Clinical Guide - 1994
___ (00-6471) Fold-out chart with 8 panels with tables on TB
treatment and medications for clinicians'
reference
TB Facts for Health Care Workers - 1993
___ (00-5655) 7-page booklet on TB transmission, diagnosis,
prevention, and treatment
Think TB! - Poster listing the symptoms of tuberculosis
___ (00-6186) English language - 1992
___ (00-6406) Spanish language - 1993
Improving Patient Adherence to Tuberculosis Treatment - 1994
___ (00-5988) 55-page booklet on measuring, predicting, and
improving compliance
Mantoux Tuberculosis Skin Testing - Visual aids for training to
administer and interpret the Mantoux test
___ (00-5564) Wall chart - 1990
___ (00-5457) Videotape - 1991
TB/HIV - The Connection: What Health Care Workers Should Know - 1993
___ (00-5316) 16-page booklet on diagnosis, prevention, and
treatment of TB in persons with HIV infection
Reported TB in the United States - 1993
___ (00-6481) Statistics on tuberculosis cases and case rates
reported for 1993
For Drug Treatment Center Staff
What Drug Treatment Centers Can Do To Prevent Tuberculosis - 1991
3-page pamphlet on TB infection, disease, screening, and prevention for
drug treatment centers
___ (00-5748) English Language
___ (00-6038) Spanish language
For Correctional Facility Inmates
Tuberculosis Facts - 1991 - Pad of 40 tear-off sheets providing basic
information on the subject specified:
English language
___ (00-5983) Exposure to TB
___ (00-5984) The TB Skin Test
___ (00-5981) You Can Prevent TB
___ (00-5985) TB Can Be Cured
___ (00-5982) TB and HIV (The AIDS Virus)
Spanish language
___ (00-6200) Exposure to TB
___ (00-6201) The TB Skin Test
___ (00-6198) You Can Prevent TB
___ (00-6202) TB Can Be Cured
___ (00-6199) TB and HIV (The AIDS Virus)
GUIDELINES
TB PREVENTION AND CONTROL
___ (00-5856) Guidelines for preventing the Transmission of
Mycobacterium tuberculosis in Health Care
Facilities. MMWR, 1994.
___ (00-6410) Tuberculosis Control Laws - United States
1993. MMWR, November 12, 1993.
___ (00-6330) Control of Tuberculosis in the United States.
Reprint from the American Review of Respiratory
Disease, December 1992.
___ (00-6224) National Action Plan to Combat Multidrug-
Resistant Tuberculosis. MMWR, June 19, 1992.
___ (00-6223) Prevention and Control of Tuberculosis in
Migrant Farm Workers. MMWR, June 5, 1992.
___ (00-6148) Prevention and Control of Tuberculosis Among
Homeless Persons and Prevention and Control of
Tuberculosis in U.S. Communities with At-Risk
Minority Populations. MMWR. April 17, 1992
___ (00-5897) Prevention and Control of Tuberculosis Among
Foreign-Born Persons Entering the United States.
MMWR, July 13, 1990.
TB SCREENING AND TREATMENT
___ (00-6453) Treatment of Tuberculosis and Tuberculosis
Infection in Adults and Children. Reprint from
the American Journal of Respiratory and Critical
Care Medicine, May 1994.
___ (99-3307) Screening for Tuberculosis and Tuberculosis
Infection in High-Risk Populations and Use of
Preventive Therapy for Tuberculosis Infection in
the U.S. MMWR, March 18, 1990.
___ (00-6225) Management of Persons Exposed to Mulitdrug-
Resistant Tuberculosis. MMWR, June 19, 1992.
For Patients and the General Public
Questions and Answers about TB - 1994
___ (00-6469) 16-page booklet about TB transmission, skin test,
and treatment, including DOT and side effects of
medications
Stop TB! - 1994
___ (00-6474) Poster describing the transmission and
pathogenesis of TB
___ (00-6475) Pad of 50 tear-off sheets duplicating the Stop TB!
poster
Tuberculosis - Get the Facts! - 1990
One-page pamphlet on basic facts about TB transmission,
infection, and the tuberculin test
___ (00-5743) English language
___ (00-5772) Spanish language
Tuberculosis - The Connection Between TB and HIV (the AIDS Virus) - 1990
One-page pamphlet on the risk of HIV-related TB, tuberculin testing, and
preventive therapy
___ (00-5738) English language
___ (00-5745) Spanish language
TB/HIV Double Trouble - 1992
___ (00-6154) Poster stressing the importance of tuberculin
testing for persons with HIV infection
To order tuberculosis educational and training materials or guidelines,
you may (1) call the National Center for Preventive Services Voice
Information System (recording) at (404) 639-1819; (2) FAX this form to
Information Services at (404) 639-8628; OR (3) mail this form to:
Information Services, NCPS, CDC, 1600 Clifton Road NE. Mailstop E-06,
Atlanta, Georgia 30333.
Please provide the following information:
Name: _______________________________________________________
Address: _______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Phone: ( ) _______________________________________________