CDC History of Tuberculosis Control - Medical and Public Health ...

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every locale and/or state to understand the unique nature of its own TB problem, in order to apply current tools for TB control to their best advantage. The establishment of new partnerships to reach locally-identified highrisk groups is another important new concept. Notable Events in TB Control Another way that an equilibrium between TB and TB control may become tipped in favor of TB control is by the introduction of new tools for the diagnosis, treatment, or prevention of TB. This point was also made by Dr. Miller and Dr. Castro in their JAMA editorial. Consider, for example, the advantage of being able to identify, among a population of 100 persons screened and found to have positive tuberculin skin tests, the handful that are destined to develop TB in the future, and to offer treatment only to those who are truly at risk, rather than to the entire cohort. Likewise, based on forthcoming ATS/CDC recommendations, we now have a range of options for treatment for latent TB infection, which should result in more effective use of that preventive intervention. Finally, given the events of the past year, with burgeoning interest in a TB vaccine on the part of the US government, private philanthropic organizations, and the pharmaceutical industry, the notion of a TB vaccine at last (in the immortal words of Ken Castro) “passes the laugh test.” Even as Seattle’s current impasse with TB has served to motivate us to redouble our efforts, to think creatively, and to engage new partners in our struggle, I am confident that, should our trend become a national one, the nation will be equal to that challenge. “The man (or woman) who is tenacious of purpose is not shaken from his firm resolve by the tyrant’s threatening countenance.” Horace, 23 BC. 39
40 500 200 100 50 20 10 5 2 1 0.5 A CENTURY OF ADVANCES IN TUBERCULOSIS CONTROL, UNITED STATES 1895 Roentgen discovers X-ray TB Control at the Millennium
Page 1 and 2: Christmas Seal Campaign, 1945. Reco
Page 3 and 4: A Century of Notable Events in TB C
Page 5 and 6: was clearly evident in the literatu
Page 7 and 8: grams that was emulated by other he
Page 9 and 10: In 1947, the PHS organized and supp
Page 11 and 12: and all patients were x-rayed annua
Page 13 and 14: It was not until 1991 that TB got t
Page 15 and 16: What is the role of New York City i
Page 17 and 18: Clinic (ECC) by directly observed t
Page 19 and 20: At first some of the nursing staff
Page 21 and 22: (NIH). Strong academic ties with th
Page 23 and 24: the greatest contribution of Nation
Page 25 and 26: on preventive therapy. In addition,
Page 27 and 28: changed to the American Trudeau Soc
Page 29 and 30: tic Standards and Classification of
Page 31 and 32: For several years many in the TB co
Page 33 and 34: through training. In 1993, the CDC
Page 35 and 36: New Jersey Medical School National
Page 37 and 38: Conferences specifically addressing
Page 39 and 40: Modeling the global fight against T
Page 41: (If annual incidence rates rather t
Page 45 and 46: Where We’ve Been and Where We’r
Page 47 and 48: working as a team with state and lo
Page 49 and 50: ended and outbreaks of MDR TB in ho
Page 51 and 52: patient care in light of these chan
Page 53 and 54: TB; and d) there was also a suggest
Page 55 and 56: appear to be more efficacious than
Page 57 and 58: therapy for pulmonary TB. Enrollmen
Page 59 and 60: ehavioral science and implementatio
Page 61 and 62: Division of Tuberculosis Control wi
Page 63 and 64: facilities to provide protection to
Page 65 and 66: issue recommendations, OSHA has the
Page 67 and 68: source patient, and one other patie
Page 69 and 70: the US with TB. Previously CDC work
Page 71 and 72: DOTS-plus, the WHO strategy for the
Page 73 and 74: efugee is informed of the need to b
Page 75 and 76: the Soros Foundation, and the Rocke
Page 77 and 78: • The HIV/AIDS and TB epidemics c
Page 79 and 80: ology, diagnosis, treatment, preven
Page 81 and 82: the original designer of the poster
Page 83 and 84: TB Control at the Millennium 80
Page 85: TB Control at the Millennium 82

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