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Colorado Department of Public Health and Environment

Colorado Department of Public Health and Environment. Tuberculosis Prevention and Control Program. On March 24 th , 1882, Dr. Robert Koch announced the discovery of Myco-bacterium tuberculosis This discovery was the most important step taken toward the elimination of TB.

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Colorado Department of Public Health and Environment

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  1. Colorado Department of Public Health and Environment Tuberculosis Prevention and Control Program

  2. On March 24th, 1882, Dr. Robert Koch announced the discovery of Myco-bacterium tuberculosis This discovery was the most important step taken toward the elimination ofTB. History of TB

  3. World TB Day March 24th

  4. The 22 Countries listed account for 80% of the TB Cases in the World

  5. Global TB • One-third of the world's population, is currently infected with TB • over 90% in developing countries • More than 8.4 million people become sick with active TB each year • About 2 million people die each year from TB • TB is the leading infectious killer among people living with HIV/AIDS

  6. Patient country of origin

  7. TB in Colorado: 2008Cases by Race/Ethnicity (n=103)

  8. TB in Colorado: 2008Case rates (per 100,000) by race/ethnicity

  9. CDPHE TB Program receives funds from • Centers for Disease Control and Prevention • State General Funds • Public Health and Human Services Block Grant

  10. CDC funding formula • Incident cases – 30% • U.S.-born minorities and foreign-born persons – 35% • Persons co-infected with HIV – 5% • Persons with MDR TB – 5% • Substance abusers – 5% • Homeless – 5% • Persons with smear or culture positive pulmonary TB – 15%

  11. The Role of Public Health in TB Prevention and Control

  12. Role of public health

  13. Public health structure • Counties receive funding from CDPHE to provide TB services • Active TB disease • Evaluation of Class B TB Immigrants and Refugees • Contact investigations • Treatment for latent TB infection (in partnership with private providers)

  14. Local health agencies • Denver Public Health has a TB clinic that serves 7 metro counties • 70-80% of cases • Outlying counties work directly with the private providers to assure appropriate diagnosis, treatment, monitoring, and follow-up of active and latent TB • Provide DOT • Perform contact investigations

  15. CDPHE TB Program • Provide consultation and technical assistance • active disease • latent disease • contact investigations • outbreaks • Conducts case management oversight of active TB cases in outlying counties

  16. CDPHE Funding Formula for Local Health Departments • Average number of cases (5 years) • Number of TB suspects started on treatment • Number of patients started on LTBI treatment

  17. TB Program Funding Formula

  18. CDPHE TB Contracts • CDPHE currently contracts with 20 local health departments • Contract period July 1, 2009 through June 30, 2010 • Contracts include the ability to charge for DOT and Diagnostic testing (xrays).

  19. TB resources • CDC Division of TB Elimination web site • http://www.cdc.gov/nchstp/tb/default.htm • Interactive Core Curriculum on Tuberculosis: What the Clinician Should Know • Self Study Modules on Tuberculosis • CDPHE TB Program web site • http://www.cdphe.state.co.us/dc/TB/tbhome.html • CDPHE TB Program – 303.692.2638

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