The 22 Countries listed account for 80% of the TB Cases in the World
Global TB One-third of the world's population, is currently infected with TB over 90% in developing countries More than 8.4 million people become sick with active TB each year About 2 million people die each year from TB TB is the leading infectious killer among people living with HIV/AIDS
Public health structure Counties receive funding from CDPHE to provide TB services Active TB disease Evaluation of Class B TB Immigrants and Refugees Contact investigations Treatment for latent TB infection (in partnership with private providers)
Local health agencies Denver Public Health has a TB clinic that serves 7 metro counties 70-80% of cases Outlying counties work directly with the private providers to assure appropriate diagnosis, treatment, monitoring, and follow- up of active and latent TB Provide DOT Perform contact investigations
CDPHE TB Program Provide consultation and technical assistance active disease latent disease contact investigations outbreaks Conducts case management oversight of active TB cases in outlying counties
CDPHE Funding Formula for Local Health Departments Average number of cases (5 years) Number of TB suspects started on treatment Number of patients started on LTBI treatment
CDPHE TB Contracts CDPHE currently contracts with 20 local health departments Contract period July 1, 2009 through June 30, 2010 Contracts include the ability to charge for DOT and Diagnostic testing (xrays).
TB resources CDC Division of TB Elimination web site http://www.cdc.gov/nchstp/tb/default.htm Interactive Core Curriculum on Tuberculosis: What the Clinician Should Know Self Study Modules on Tuberculosis CDPHE TB Program web site http://www.cdphe.state.co.us/dc/TB/tbhome.html CDPHE TB Program – 303.692.2638