TB News 

June 2022

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Medication Updates


Isoniazid

CDC National Stockpile Isoniazid 300mg (expires 10/31/2022) has arrived for Local and Tribal Public Health and Dept. of Corrections. Use this special order form to place your order. We are currently not limiting how much your agency orders.


Rifapentine

The FDA is currently listing Rifapentine as 'in shortage' but is available in limited quantities at local drug distributor.


Rifampin

Thru local distributors, rifampin is becoming more available but supplies still may be spotty.

  • For TB medications DOH provides LHJs: follow your normal process for 340B rifampin and send your order thru TBServices@doh.wa.gov


Rifabutin

Supply is very limited.


For more information about current TB medication shortages, visit the DOH TB Medications page. LHJs can visit the Medication Shortages SharePoint page

*New* Ukrainian Health Resources 


The WA DOH Refugee Health Program created a Ukrainian Health Resources page which includes fact sheets, webinars, videos, and other health resources to support new arrivals from Ukraine. TB patient education materials are under the 'TB Resources' tab under 'Health Promotion and Education'. 

Reinstatement of Tuberculosis Testing Requirements July 1, 2022


The Washington State Department of Social and Health Services (DSHS) released this letter stating that the TB testing requirements which are currently suspended by DSHS under WSR 22-07-004, for Residential Care Services (RCS) will expire July 1, 2022.  


The following rules will be reimplemented on July 1, 2022:

  • For Adult Family Homes - WACs 388-76-10265, -10285, and 10290(1)
  • For Adult Long-term Facilities - WACs 388-78A-2484, -2480(1), and 2485(1)
  • For Certified Community Residential Services - WACs 388-101D-0650(1) and -0660(3)
  • For Enhanced Services Facilities - WACs 388-107-0490 and 0460(1)

 

This past fall on September 23, 2021 nursing home emergency rules for TB testing requirements was allowed to expire and normal testing requirements were reinstated

Career Opportunities


*New* We Are TB Support Group: Somos TB


We Are TB has created a Spanish support group for people in the USA who speak Spanish! Meetings for Somos TB take place via zoom at 5:00 pm PT/8:00 pm ET. To request a meeting invite, email somostuberculosis@gmail.com.


Meeting schedule: June 14 | July 12 | September 13 | October 11 | November | December 13

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*New Factsheet* Severe COVID-19: A TB Risk Factor


The Heartland National TB Center created this factsheet based on the research conducted to develop the presentation for the webinar COVID-19/TB – Diagnostic Delays and Unrecognized Risk for Progression of LTBI to TB Disease. 

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CDC's Think. Test. Treat TB. Campaign in the Field


CDC's new campaign was advertised in Seattle last month! Patient and provider education materials are also available in English, Vietnamese, Chinese, Ilocano, Marshallese, Spanish, and Tagalog. 

Information for Local Health Jurisdictions

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TB Partners SharePoint Updates


New pages 


Updated pages 


Please contact tbservices@doh.wa.gov to request access to the TB SharePoint. 

Phlebotomy Training Available


The DOH TB Program is now partnering with the Phlebotomy Training Center at the University of Washington to offer phlebotomy training for LHJ TB program staff to be able to perform TB blood tests. This is a two day in-person training in Seattle that requires one month advance notice to schedule. Class space is limited. LHJs who are interested in sending over staff to obtain this certification through June 30, 2023, should contact tbservices@doh.wa.gov.

Delivery Express Courier Accepting All Specimen Types to DOH Public Health Lab


Please contact TBServices@doh.wa.gov or 206.418.5500 for more information on couriering TB specimens from your local health jurisdiction to the Public Health Lab.

Upcoming Events and Education Opportunities


June 24, 2022 | TB Grand Rounds “Sarcoidosis vs. Tuberculosis” 

9:00 am - 10:00 am, PT. To join this Rutgers Global TB Institute series, please contact Shwata Suresh Kumar at ss2980@njms.rutgers.edu. More information here


TB Expert Network: Unplugged

This joint project among CDC's TB Centers of Excellence & Division of TB Elimination provides a forum to discuss challenging or complicated cases with other TB experts. More information here.

  • August 19, 2022: Hosted by Global TB Institute
  • October 6, 2022: Hosted by Heartland National TB Center
  • December 8, 2022: Hosted by Curry International TB Center


Heartland National TB Center Panel Physician Webcast Series

This webcast series is intended for panel physicians who examine, evaluate and provide clearance for immigrants, refugees, and adoptees to the U.S. The series is also open to U.S. providers who may see children after being evaluated overseas. More information here.

  • July 14, 2022: Part 2 - Global Epidemiology of TB in Children, Adolescents and Pregnant Women
  • September 1, 2022: Part 3 - IGRAs, the TST, and treatment of TB Infection
  • September 29, 2022: Part 4 - Radiology of TB in Children, Adolescents, and Pregnant Women
  • October 20, 2022: Part 5 - Clinical Presentation, Evaluation and Treatment of TB Disease in Children, Adolescents, and Pregnant Women
  • November 17, 2022: Part 6 - U.S. Experience After Immigration


July 2022 | Contact Investigation Fundamentals

Registration for this Southeastern National TB Center (SNTC) training opens this month. More information will be available here.


July 21, 2022 | Achieving Treatment Completion for Drug-Susceptible TB: Rarely a Straight Path

This Curry International TB Center is intended for nurses and case managers who provide care for TB patients within the public health setting. Register here


July - August, 2022 | TB Diagnosis & Treatment

Registration for this SNTC training opens this month. More information will be available here.


July 12-16 & September 13-17, 2022 | NJ TB Intensive Workshop

This Global TB Institute workshop for clinicians provides comprehensive information on the application of principles for the diagnosis and treatment of TB, as well as the management of TB in special populations. July Workshop Information | September Workshop Information


September 2022 | SNTC Drug Resistant TB for Clinicians

Save-the-date. Registration opens in July. More information will be available here.


October 2022 | TB Medical Consultants Meeting

Save-the-date for this GTBI meeting. More information will be available here


TB Research & Training Center Seminar Series

This University of Washington seminar features both TB basic science and clinical science presentations, held on the fourth or third Friday of the month from 12-1 pm. More information here.


Washington's TB Project ECHO

12:30-1:30 pm PT. On Mondays join our lunch-time virtual discussion about real TB cases with your peers. This free interactive event is guided by a panel of local TB experts. For more information about this local project and our partners who make this ongoing event possible.

Articles


Latent TB testing, positivity increased throughout 2021

Healio | 6/2022 | Read here


New blood test can help doctors diagnose tuberculosis and monitor treatment

Science News | 6/2022 | Read here


Pompeii victim had spinal tuberculosis when he died

Ars Technica | 5/2022 | Read here


Tuberculosis: The Disease That Changed World History

Medscape | 5/2022 | Read here


Rapid communication: Key changes to the treatment of drug-resistant tuberculosis

World Health Organization | 5/2022 | Read here

Video Recordings and Education Opportunities


Effects of COVID-19 on Tuberculosis Prevention, Detection, and Treatment

The Association of State and Territorial Health Officials released this podcase episode that was recorded on 5/12/2022. Access here


CITC Archived Webinars

CME/CE units will not be offered for these trainings. Access here.


Rutgers TB Institute Archived Trainings

CE units are available for select archives for a limited time frame.


SNTC Archived Webinars

CME/CE units are not offered for these trainings. Access here.


SNTC Online Courses

CME/CE units are offered for these trainings. Access here.


CDC: TB 101 for Health Care Workers

CE units expire on 11/6/2023 and are available at no cost. Access here.


TB ECHO Recorded Archives

Missed a TB ECHO® session? TB ECHO® has didactic presentations available for viewing on YouTube. Handouts related to the presentation are included where appropriate. Watch recorded TB ECHO® here

Tools and Resources


CDC


DOH Refugee Health Program

  • Afghan Health Resources - This page includes fact sheets, webinars, videos, and other health resources (scroll down for TB resources).


Heartland National TB Center


Southeastern National TB Center

  • Individualized Country Guides for Afghanistan and many other countries. Each County Guide is intended to support the provider-foreign-born client relationship by giving country-specific background information, epidemiological data, common misperceptions and beliefs about TB and HIV/AIDS, as well as information about general health practices, cultural beliefs and courtesies to observe.
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