The purpose of the New York State Tuberculosis Control program is to minimize morbidity and mortality caused by tuberculosis disease and to prevent TB transmission by maintaining active surveillance for suspect tuberculosis disease, assuring appropriate diagnosis and treatment of TB, supporting effective infection control measures, and enhancing strategies for identification, assessment, and treatment of close contacts. Preventing progression from latent TB infection (LTBI) to TB disease requires close collaboration with local health departments and community providers, to enhance targeted outreach to communities at highest risk for TB disease to assure sustainable programs of risk assessment, targeted testing and treatment of TB infection.
The Bureau of Tuberculosis Control is under the direction of the Principal Investigator and the CDC-assigned Medical Officer. The Bureau has four main units: 1) Field Operations manages the relationship of central/regional office staff and interfaces with local health departments; 2) Data Unit maintains the statewide TB Registry and all associated reporting, and also plays a major role in special projects for research purposes, lending significant epidemiologic, statistical, and computer expertise; 3)Administrative Unit manages Bureau funds through purchasing, contract management, budget preparation, and ongoing fiscal monitoring; 4) Clinical Consultation Unit provides technical support for TB diagnosis and treatment to healthcare providers and institutions, prepares and disseminates educational materials and coordinates conferences. Under these four main units, the Bureau has established a comprehensive and coordinated program addressing the critical elements of TB Control, which include early case finding, prompt diagnosis, appropriate treatment, case management with particular attention to directly observed therapy, aggressive investigations of contacts, treatment of latent TB infection, and educational programs which target health professionals/students, and the general public. Meetings are held with the other bureaus to ensure topics of mutual concern are addressed promptly, such as surveillance, local outbreak investigations, cases that cross bureau jurisdictions, general disease control issues, and processes to ensure appropriate national reporting. The BTBC also maintains a network of field staff stationed across the state to provide both technical and hands-on assistance in maintaining local TB Control infrastructure services, and assistance with problems likely to overwhelm local control resources, such as large or complicated contact investigations. BTBC has staff in the central office located in Albany, with regionally-based staff in Buffalo, Roches
ter, Syracuse, New Rochelle, and Long Island.