Tuberculosis (TB) Prevention and Control Program

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Activities
Tuberculosis Prevention and Control Program Objectives for Minnesota, 2013-2014
Contact information

Activities

The Minnesota Department of Health TB Prevention and Control Program, in collaboration with local public health departments and health care professionals statewide, collects and analyzes surveillance data to monitor epidemiologic trends and provides consultation to clinicians and local public health departments to assure appropriate clinical management and adequate therapy for TB patients and persons exposed to TB disease. In addition, MDH collaborates with community-based organizations and voluntary agencies to reach communities affected by TB; facilitates screening of persons at high risk for TB; provides TB-related education for health care providers, public health professionals, and the general public; and coordinates and administers a statewide program to provide TB medications free of charge.

The specific services provided by the TB Program are summarized below:

1. Disease Surveillance/Epidemiology

  • Compile standardized case reports for all TB cases reported in Minnesota
  • Notify local health departments regarding all newly-reported TB cases in their jurisdiction
  • Analyze and summarize data regarding the epidemiology of TB in Minnesota; distribute these data to health care providers and public health agencies statewide
  • Report surveillance data and programmatic outcomes to the Centers for Disease Control and Prevention (CDC)
  • Conduct or participate in epidemiologic studies regarding TB in Minnesota and nationally; summarize and distribute results to the appropriate audiences

2. Case Management/Contact Investigation

  • Through regular contact with physicians and public health nurses, monitor the status of individual TB cases to ensure that appropriate medications are supplied, that patients receive regular medical follow-up and adhere to drug regimens, that clinical response to therapy is documented - all as indicated in national guidelines
  • Work with local health departments to ensure that complete and timely epidemiologic (“contact”) investigations are conducted surrounding infectious TB cases in Minnesota; analyze and summarize the findings of TB contact investigations; provide feedback to local agencies
  • Receive and send interstate referrals for TB patients who move between jurisdictions during their course of TB treatment
  • Administer grant funding to local public health departments and public TB clinics, as resources are available, to facilitate the provision of culturally-appropriate TB outreach services

3. Consultation/Education

  • Consult with health care providers and local health departments about standard recommendations regarding diagnostic procedures, treatment regimens, clinical follow-up, and TB contact investigations
  • Disseminate national guidelines and other provider and patient education materials
  • Develop state-specific guidelines and recommendations, as indicated
  • Ensure that TB-related training and education resources are available and disseminated to local health departments, health care professionals and others
  • Provide telephone consultation regarding a variety of TB-related issues to health care providers, local public health agencies, long term care facilities, correctional facilities, workplaces, the general public, and others
  • On an ongoing basis, convene a Tuberculosis Advisory Committee


4. Screening and Follow-up of Immigrants and Refugees at Risk for TB

  • Receive paperwork from the CDC Division of Quarantine and Global Migration regarding all primary refugees and immigrants identified overseas with TB-related medical findings; review records for TB follow-up needs and assist in referring individuals to local public health agencies for follow-up medical evaluation after arriving in Minnesota
  • Track TB screening results and outcome of treatment of TB disease or latent TB infection among newly arrived refugees and immigrants with TB class conditions
  • Report programmatic outcomes to CDC

5. TB Medications Service

  • Provide free medications for TB patients statewide who are receiving treatment for TB disease or latent TB infection

Tuberculosis Prevention and Control Program Objectives for Minnesota, 2013 - 2014

Treatment and Case Management of Persons with Active TB
Program Performance Objectives for 2013-2014
Indicator 2013 2014 National Target for 2015

1

Completion of treatment within 12 months for eligible cases.

92%

92%

93.0%

2

Proportion of TB case-patients receiving Directly Observed Therapy

90%

90%

n/a

3

Drug-susceptibility results reported for culture-positive cases

100%

100%

100%

4

Treatment initiation within 7 days of sputum collection (for cases with positive sputum AFB smear results)

95%

95%

n/a

5

Sputum culture conversion documented within 60 days of treatment initiation

56%

57%

62%

6

Recommended initial (4-drug) therapy

92%

93%

93.4%

7

Universal genotyping of culture-positive cases

98%

98%

94.0%

8

Known HIV status for all TB cases

90%

90%

88.7%

9

Sputum culture reported for pleural or respiratory TB cases age >=12 years

94%

95%

95.7%

TB Contact Investigations
Program Performance Objectives for 2013-2014
Indicator 2013 2014 National Target for 2015

1

Sputum smear-positive cases with contacts elicited

97%

98%

100%

2

Evaluation of contacts of sputum smear-positive cases

88%

88%

93.0%

3

Contacts with newly-diagnosed latent TB infection (LTBI) who initiate treatment for LTBI

88%

89%

88.0%

4

Contacts with newly-diagnosed LTBI who start and complete treatment

73%

75%

79.0%

Evaluation of Immigrants and Refugees
Program Performance Objectives for 2013-2014
Indicator 2013 2014 National Target for 2015

1

Evaluation initiated within 30 days of arrival for refugees and immigrants with chest x-rays (CXR) read overseas as consistent with active TB

41%

41%

n/a

2

Evaluation completion within 90 days of arrival for refugees and immigrants with CXRs read overseas as consistent with active TB

63%

63%

n/a

3

LTBI treatment initiated for refugees and immigrants with CXRs read overseas as consistent with active TB and are diagnosed with LTBI in the U.S.

89%

89%

n/a

4

LTBI treatment completed for refugees and immigrants with CXRs read overseas as consistent with active TB and are diagnosed with LTBI in the U.S. and started on LTBI treatment

69%

72%

n/a

Contact Information

  • Phone: 651-201-5414
  • Toll-free disease reporting line: 1-877-676-5414
  • Fax: 651-201-5500
  • Address:
    TB Prevention and Control Program
    Immunization, Tuberculosis and International Health Section
    Minnesota Department of Health
    P.O. Box 64975
    St. Paul, MN 55164-0975
  • TB Web site

Updated Thursday, September 19, 2013 at 10:46AM