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Progressing Toward Tuberculosis Elimination in Low-Incidence Areas of the United States Recommendations of the Advisory Council for the Elimination of Tuberculosis

By Department of Health and Human Services

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Book Id: WPLBN0000182212
Format Type: PDF eBook
File Size: 0.4 MB
Reproduction Date: 2005
Full Text

Title: Progressing Toward Tuberculosis Elimination in Low-Incidence Areas of the United States Recommendations of the Advisory Council for the Elimination of Tuberculosis  
Author: Department of Health and Human Services
Volume:
Language: English
Subject: Health., Medical research, Medical reports
Collections: Medical Library Collection
Historic
Publication Date:
Publisher: Centers for Disease Control and Prevention

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Health And Human Services, D. O. (n.d.). Progressing Toward Tuberculosis Elimination in Low-Incidence Areas of the United States Recommendations of the Advisory Council for the Elimination of Tuberculosis. Retrieved from http://members.worldlibrary.net/


Excerpt
Introduction: Following a period of resurgence of tuberculosis (TB) that began in the mid-1980s and peaked in 1992, the United States reestablished control over the disease. Before that epidemic, the public health infrastructure and resources for TB control had declined below the level needed to respond to an emergent threat (1). Once the epidemic and its causes were recognized, infrastructure and resources were restored in the early 1990s by a large infusion of resources at local, state, and national levels (2). From 1992 through 2000, the incidence of TB decreased by 45%, reflecting the impact of renewed capability to implement the essential elements of TB control. In 2000, the eighth consecutive year of decline, the TB incidence rate was 5.8 cases/100,000 population, the lowest ever recorded in this country.

Table of Contents
CONTENTS Introduction ......................................................................... 1 Tuberculosis Profiles of Low-Incidence States ........................ 3 Epidemiologic Profiles ....................................................... 3 Outbreaks ........................................................................ 4 Program Profiles ............................................................... 5 Unique Challenges to Good Tuberculosis Control in Low-Incidence States .................................................... 6 Loss of Expertise ............................................................... 6 Scarcity of Special Facilities for Prolonged Health Care ..... 6 Laboratory Costs and Decreased Proficiency ...................... 6 Travel in Rural Areas ......................................................... 7 Loss of Funds and Personnel Dedicated to Tuberculosis Control .................................................. 7 Recommendations for Tuberculosis Programs in Low-Incidence Areas .................................................... 7 Work Creatively To Ensure the Essential Components of Tuberculosis Control .................................................. 7 Raise the Priority of Prevention ........................................ 11 Implement a Tuberculosis Elimination Plan ...................... 11 Make Progressing Toward Tuberculosis Elimination in Low-Incidence Areas a National Priority ................... 11 Roles and Responsibilities .................................................. 12 Federal Government ....................................................... 12 Nongovernmental Organizations .................................... 12 Research Agenda for Tuberculosis Low-Incidence Areas ..... 13 Test the Feasibility of Regionalization .............................. 13 Study Population-Based DNA Fingerprinting.................... 13 Evaluate New Modes of Training ..................................... 13 Establish Pilot Model Tuberculosis Elimination Programs .. 13 Compare Innovative Case Management Systems ............ 13 Evaluate Prevention Strategies ........................................ 13 Conclusion ........................................................................ 14 References ......................................................................... 14

 

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