170922 Eliminating borders in Tuberculosis surveillance

Wednesday, October 29, 2008: 10:50 AM

Sandra S. Morano, BA, RN , Stamford Department of Health and Social Services, Public Health Nursing, Stamford, CT
Johnnie A. Lee, MD, MPH, FACP , Stamford Department of Health and Social Services, Stamford, CT
Olga M. Brown-Vanderpool, BSN, MPH, MA , Nursing Services, Stamford Department of Health and Social Services, Stamford, CT
The Tuberculosis Control Program in the City of Stamford processed 235 new latent cases and 12 new active cases in 2007. This represents 40% and 71% increase respectively from 2006. Stamford, CT, located 25 miles outside of New York City, has a population of approximately 117,000.

The purpose of this abstract is to demonstrate how an interdisciplinary team analyzed information gathered during contact investigations and identified increased numbers of active and latent cases. This team included: the Health Department's Director of Health, Director of Nursing Services, TB Nurse Coordinator, federal and local Pulmonologists, state TB Nurse Consultant and TB Epidemiologist, state and local laboratories, local hospital Infectious Disease Physician and Nurse, Radiologists and Pharmacists.

In July of 2007 there was information surrounding active TB cases that pointed to epilinks between cases in our local community. Methods used to link the cases were sputum specimens, genotyping cultures, autopsy reports, active listening skills while interviewing patients, utilizing interstate health departments, communication via phone calls, conference calls, meetings and a newsletter. The TB Nurse Coordinator's education program increased client trust leading to additional contacts.

Benefits of forming an interdisciplinary team include early identification of new active and latent cases and the establishment of a multi-agency team that remains “at the ready” to prevent future TB outbreaks. Networking within the local, state and federal health-related agencies, should be embraced by every local health department to eliminate borders in public health practice in general, and TB surveillance in particular.

Learning Objectives:
1. Dicuss the effectiveness of an interdisciplinary team in the analysis of information and identification of new active tuberculosis cases and their contacts. 2. Discuss four methods of investigational follow up to maintain quality community TB surveillance. 3. Discuss the need for early identification and treatment of active and latent TB to prevent its' transmission.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Tuberculosis Coordinator for the City of Stamford since February 1, 2007.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.