Presentation on theme: "CROYDON TB SERVICE ANNE SMITHLead TB Nurse Specialist ROSEMARY KHAN TB Nurse Specialist JANET CAMARATB Case Worker ROSHAN SOOBRATTYTB Nurse Specialist."— Presentation transcript:
CROYDON TB SERVICE ANNE SMITHLead TB Nurse Specialist ROSEMARY KHAN TB Nurse Specialist JANET CAMARATB Case Worker ROSHAN SOOBRATTYTB Nurse Specialist YVETTE BAILEYTB Administrator
Vulnerable groups in urban settings High-risk groups: -Refugees, asylum seekers, migrants No recourse to public funds -Homeless people. Sofa surfing -Prisoners -Drug Abuse -Alcoholic -HIV-seropositive -Children -Elderly
Expected benefits Reduce stigma and increased awareness- earlier presentation by TB patients. Increased awareness by health care professionals- reduced times for diagnosis and referral. Improved understanding and support of TB patients and their families.
DOT Offered to all patients who require Enhanced Case Management
INPATIENTS Support for diagnostic tests(i.e mantoux test and sputum specimen) and discharge plan.
PAEDIATRICS Working with infectious diseases paediatrician.
RAISING AWARENESS Community Groups. Places of worship. Colleges. Health care workers.
CONTACTS SCREENING Screening usually take place approx. 6 weeks after an index case has been identified.
Latent TB infection Individuals with latent TB are at increased risk of developing active TB, especially if they are recently infected or immunocompromised. The systematic screening and treatment of individuals with LTBI is therefore expected to significantly decrease the incidence of TB in England. Collaborative Tuberculosis Strategy for England consultations (2014), recommend to offer LTBI screening to new entrants who were born or lived in countries with an estimated TB incidence of 150 per 100,000 or over and who arrived in the UK within the last five years 8/25/2014
CROYDON INCIDENCES:- College. Hospital. Khat house. GP practice.
OCCUPATIONAL HEALTH Detection of active or latent TB. Gives BCG vaccination if unvaccinated and Mantoux negative.