May 2021

New Poster: Treatment of Drug-Susceptible Culture Confirmed Tuberculosis for Adults

From Heartland National TB Center, this 17x22 inch poster for healthcare workers provides the current first-line TB treatment regimens, dosing recommendations and frequency, and adverse reactions and monitoring. Print copies available soon. Access here.

New Product: Tips for Treating Latent TB Infection in Children

From Heartland National TB Center, this two-page handout provides recommendations for treating LTBI in children, including window prophylaxis. Access here.

New CDC Slide Set: Introduction to Tuberculosis

This slide set is meant to be a tool for people who are not familiar with TB. It provides a basic overview of TB using plain language and visual aids. Unlike the other CDC/DTBE slide sets which are often directed at those working in TB, this slide set is designed for a general public audience. Access here.

TB Elimination Alliance Accepting Mini-Grant Proposals

The TB Elimination Alliance is offering Mini-Grants to organizations serving Asian American (AA), Native Hawaiian (NH), and Pacific Islander (PI) communities that are disproportionately impacted by LTBI and/or TB. Up to 15 awards will be provided to selected organizations. Each award amount will be between $8,000 and $12,000. The application deadline will be May 7, 2021 by 5:00 p.m. local time. Apply here.

For LHJs: King County Pharmacy Staff Shortage

The pharmacy continues to be short staffed and this may mean longer TB medication order processing times. We are asking LHJs to plan for delays to last until the end of May. King County is working with the pharmacy to identify workarounds and ways to support the pharmacy until staff return. Please review your TB medications supplies compared to your patients' coming needs.

• Plan your patient TB medication needs a few weeks to a month in advance. 
• Place your order as soon as possible to allow the pharmacy staff time to process and ship your medications. 
• If you have an urgent need, please reach out to the State TB Program and we will coordinate with the pharmacy. Call (206) 418-5500 or email TBServices@doh.wa.gov

For LHJs: HRSA 340B Recertification for TB Medications

During this HRSA 340B recertification period (May 3-June 7, 2021) all of Washington's Local Health Jurisdictions (LHJs) will be recertified by the WA DOH TB program. This annual recertification allows our LHJs to receive TB medications under this federal 340B drug pricing program.   

The DOH STD program has been going through revisions to better meet HRSA requirements. Due to COVID, the TB program postponed going through similar changes. Many of the processes and/or policies created for the LHJ's STD programs may actually be close to what the TB Program also needs, hopefully saving some time and work. The WA DOH TB Program will give the LHJs plenty of notice and instruction regarding any changes and what is needed. If you have questions, please contact tbservices@doh.wa.gov

Upcoming Events and Education Opportunities

May 19, 2021 | Human Trafficking: Understanding the Barriers to Healthcare and the Effects on TB Case Management

11:00 am PT. Jointly sponsored by the TB Centers of Excellence and NTCA, this webinar discusses the impact of human trafficking on the health of individuals being trafficked, with emphasis on the treatment of TB. Register here.

June 2, 2021 | Clinical Pediatric TB Intensive Webcast

6:15 am - 2:30 am PT. From Heartland National TB Center, this course is designed for physicians, nurses and public health staff who are actively engaged in the identification, case management, and treatment of pediatric and adolescent patients with TB infection or disease. Register here.

CITC Schedule

To view the schedule of trainings, currently scheduled through August, including the TB Case Management and Contact Investigation Intensive, click 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 interactive event is guided by a panel of local TB experts. For more information about this project and our partners who make this ongoing event possible.

Free Continuing TB Education Credit Available from MMWR and Medscape

Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations From the National Tuberculosis Controllers Association and CDC, 2020 | CE ExpirationDate: 5/21/2021

Articles

Study finds some household contacts resistant to TB infection

Healio | 4/8/21 | Read more here

Psychosocial Counseling and Treatment Adherence Support for People Affected by TB

The Union | 4/14/21 | Read here

The global World TB Day 2021 campaign reached more than 100 million people

Stop TB | 4/15/21 | Read here

Pretomanid with Bedaquiline and Linezolid for Drug-Resistant TB: A Comparison of Prospective Cohorts

International Journal of Tuberculosis and Lung Disease | Posted on The Union 4/5/21 | DOI: 10.5588/ijtld.21.0035 | Read here



“You have to change your whole life”: A qualitative study of the dynamics of treatment adherence among adults with TB in the United Kingdom

Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Vol. 23 | 5/2021 | DOI: 10.1016/j.jctube.2021.100233 | Read here

Bedaquiline for multidrug-resistant tuberculosis and QTc prolongation in California

Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Vol. 23 | 5/2021 | DOI: 10.1016/j.jctube.2021.100216 | Read here

Videos and Recordings

Union-North America Region Conference: Post Graduate Course Recordings

The CDC TB Centers of Excellence post graduate course explored the dynamic and essential role of the laboratory in the diagnosis and management of persons with TB. 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 these webinars. Access here.

Southeastern National TB Center Archived Webinars

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

Heartland National TB Center

• Stop the Stigma: Eliminating Stigmatizing Language includes non‐hurtful replacement language to support more patient-centered care.

National Society of Tuberculosis Clinicians

• Testing and Treatment of Latent Tuberculosis Infection in the United States: Clinical Recommendations

CDC

• FindTBResources.cdc.gov is your one-stop site to find TB educational materials for patients and providers.
• January 7, 2021 CDC Letter: TB Tests and mRNA COVID-19 Vaccines
• TB Personal Stories patient videos available to help raise awareness about TB in the US | Updated 2/26/21
• CDC Learning Connection helps public health and healthcare professionals stay informed about quality trainings. Each month, they feature trainings on their website.
• CDC TRAIN is a comprehensive catalog of free public health training opportunities from the Public Health Foundation. For TB-related trainings, click here
• Program evaluation tools for TB programs | Updated 3/23/21
• Want to improve reader understanding for public messaging? Visit Everyday Words for Public Health Communication.
• Association of Public Health Laboratories “Essentials for the Mycobacteriology Laboratory: Promoting Quality Practices” training curriculum. Access here.
• Subscribe to the CDC TB Notes!

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