The proposed project reflects the New York City (NYC) Bureau of Tuberculosis Control (BTBC)’s plans to continue to reduce morbidity and mortality caused by tuberculosis (TB) by 1) preventing transmission of M. tuberculosis in the community, 2) preventing persons from progressing from latent TB infection (LTBI) to TB disease, and 3) strengthening laboratory capacity to ensure timely and reliable laboratory services.
The purpose of the funds received by BTBC is to supplement state and local funds to prevent, control, and ultimately eliminate TB as a public health threat in NYC. Completing the proposed activities and achieving the desired outcomes described below is dependent upon receiving the funding reflected in the budget submitted with this application.
Strategies and activities to be employed in the proposed work include:
-¿ Advise providers and laboratories to report suspected and confirmed cases in an accurate, timely, and complete manner
-¿ Diagnose and treat persons with TB disease through case management and provide directly observed therapy to support treatment adherence and completion; collaborate with providers and other agencies to ensure newly diagnosed cases of TB in congregate settings and special populations complete treatment; provide consultation for treatment of Multi-Drug Resistant TB and other complicated cases; and use laboratory results for molecular detection of drug resistance to ensure patients are placed on appropriate treatment regimen
-¿ Identify and treat persons with LTBI through contact investigations for infectious TB cases, outbreak detection and investigation, evaluation of Class B immigrants and refugees, and targeted screening among other populations at high risk for LTBI
-¿ Conduct program evaluation to improve performance towards BTBC goals and national targets, inform policies and practices, and share best practices
-¿ Conduct program planning, evaluation, and improvement to make progress towards BTBC goals and national targets, including conducting cohort review process
-¿ Develop and implement human resource development plans to strengthen program capacity, including collaborations with community partners serving high-risk populations
-¿ Strengthen laboratory practices by finding ways to improve and ensuring availability of high-quality and prompt TB laboratory services
Expected outcomes include:
-¿ Increased identification, evaluation, and treatment initiation/completion rates for individuals with TB and LTBI, with emphasis on contacts, immigrants and refugees, and populations at high risk of having LTBI or progressing to TB disease
-¿ Increased performance evaluation activities, identification and dissemination of best practices, and use of evaluation findings to inform policy
-¿ Increased capacity to adopt new technologies to support TB treatment, and increased capacity to diagnose and treat high-risk populations in a culturally-sensitive manner
-¿ Decreased turnaround times for testing and reporting of laboratory results.