Tuberculosis Update - Official Website · Tuberculosis Update ... Had a hit single “Smooth”...
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www.SBCounty.gov Tuberculosis Update San Bernardino County Department of Public Health Communicable Disease Section May 3 & 10, 2017 Olu Teiko, BSN Public Health Nurse
Transcript of Tuberculosis Update - Official Website · Tuberculosis Update ... Had a hit single “Smooth”...
www.SBCounty.gov
Tuberculosis Update
San Bernardino County Department of Public Health
Communicable Disease Section
May 3 & 10, 2017
Olu Teiko, BSN Public Health Nurse
www.SBCounty.gov
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Has eleven Grammy Awards
Referred to as the Queen of Rock and Roll
Born Anna Mae Bullock
Name this artist?
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Tina Turner
Diagnosed with TB at age 31
Survived
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Page 4Name this artist?
Won 10 Grammy Awards and three Latin Grammy Awards.
Named by Rolling Stone magazine, as one of the Greatest Guitarists of All Time
Had a hit single “Smooth” featuring Rob Thomas
Also known for award winning song, “Maria Maria” and “Black Magic Woman”
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Carlos Santana
Contracted TB at the age of
18 for which he spent three
months in a hospital
recovering.
Survived
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Page 6Name the artist?
A Welsh singer
Known for “It’s Not Unusual” and “What’s New Pussycat”
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Tom Jones
Singer
Contracted tuberculosis as a
child
Survived
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Florence Nightingale
Eleanor Roosevelt
Nelson Mandela
• Battled TB while in prison and was cured.
Other Famous People affected by TB
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Tuberculosis Cases
San Bernardino County 2013-2016
0
10
20
30
40
50
60
70
2013 2014 2015 2016
TB Case Count
TB Case Count
www.SBCounty.gov
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TB Infection
The TB bacteria is present
in their body.
The person is not sick.
They cannot spread the
bacteria to others.
They are usually
prescribed
prophylaxis.
TB Disease
These people are sick.
They usually have one or more
of the classic TB symptoms.
They can spread the infection
to others.
They are usually
prescribed
medication
to cure the
disease.
Tuberculosis
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According to the Tuberculosis Control Branch, there
is an estimated 2.4 million people infected with
tuberculosis in California¹.
Tuberculosis Infection
That is about 6 percent (estimate) of California’s population (present).
-Of the 6 percent (estimate), only 23 percent are aware of their diagnosis (testing is important).
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Californians at greatest risk for Tuberculosis Infection or Disease
Born in a county with a high rate of TB*
(not U.S., Canada, Australia, New Zealand, or Western or
Northern Europe)
Immunosuppressed, current or planned: HIV infection, organ
transplant recipient, or treated with immunosuppressive meds
Close contact to someone with Infectious TB disease, anytime
TB and Californians
In this group an IGRA is preferred over the skin test.
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Taken once a week, for 12 weeks
Rifapentine
Isoniazid
Each dose should be directly observed.
12-Dose Regimen
Latent Tuberculosis Infection
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Page 14LTBI Treatment
• 9-months Isoniazid (INH) Regimen Daily1
• 12-Dose (3 months) Isoniazid and Rifapentine [RPT] Regimen
Once weekly2
• 4-months Rifampin (RIF) RegimenDaily3
• There are certain restrictions for each of these regimen
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Healthy persons 12 years of age or older
Recently exposed contacts to infectious TB and newly
TB test/interferon-gamma release assay positive
Persons with radiographically
healed pulmonary TB
HIV-infected persons not taking
antiretroviral medications.
Who is a candidate for treatment
with the 12-dose regimen?
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Children under 2 years of age
HIV persons on antiretroviral treatment
Persons presumed to be infected by a person with a
strain of M. tuberculosis that is resistant to INH or
rifampin.
Persons with a history of
adverse events or allergies
to INH or rifampin.
Who is treatment NOT recommended for?
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Monthly medical appointments for the identification
of adverse events
Baseline hepatic chemistry panel for those with
a medical history of :
• HIV infection.
• Liver disorder.
• Immediate post partum period.
• Regular ETOH use.
• Older patients.
• Those taking medications for
chronic conditions.
Monitoring during treatment
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Face to Face DOT
Clinic, Home visit, Doctors offices
Video DOT
Require landline
eDOT
Smart phone, tablet, computer with webcam
Toolkit put out by CDC for TB programs
Direct Observe Therapy (DOT)
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U.S. Preventive Services Task Force recommends testing for TB
as a part of standard preventive care for certain at-risk groups
- Populations at increased risk for LTBI include persons
who were born in, or are former residents of,
countries with increased tuberculosis prevalence 1
- Persons who live in, or have lived in, high-risk congregate
settings (e.g., homeless shelters and correctional facilities)
NEW RECOMMENDATIONS
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Page 20Questions
TB Program: 1-800-722-4794
![[Carlos Santana] Santana Shaman Guitar Songbook(BookZZ.org)](https://static.fdocuments.in/doc/165x107/55cf975f550346d03391452d/carlos-santana-santana-shaman-guitar-songbookbookzzorg.jpg)
