CROYDON TB SERVICE ANNE SMITH Lead TB Nurse Specialist ROSEMARY KHAN TB Nurse Specialist JANET CAMARA TB Case Worker ROSHAN SOOBRATTY TB Nurse Specialist YVETTE BAILEY TB 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 4/6/2017

CROYDON INCIDENCES:- College. Hospital. Khat house. GP practice.

OCCUPATIONAL HEALTH Detection of active or latent TB. Gives BCG vaccination if unvaccinated and Mantoux negative.

MEETINGS COHORT REVIEW SWL SECTOR MEETING SWL EDUCATIONAL MEETING LONDON TB WORKFORCE GROUP.

In summary TB is here and increasing Awareness, awareness, awareness. Ease of referral Work together Improve.

How to contact Telephone number: 020 8401 3140 Fax number: 020 8401 3460 TB Administer: 020 8401 3861 Clinic Reception: 020 8401 3135 Information regarding the Tb service can be found on the CUH intranet website.