Enclosed please find the State of Hawaii application package prepared for the CDC Tuberculosis
Elimination and Laboratory Cooperative Agreement. This one-page summary serves to highlight
priorities for the Hawaii TB Control Program (HTCP) over the next 5-year period.
Hawaii has a vibrant TB Program that is working very hard to meet the demands for quality TB
services in the State. For that effort, CDC Tuberculosis Elimination Cooperative Agreement funds
greatly assist (but do not supplant) our current efforts in Hawaii to prevent and control TB. This
assistance augments State of Hawaii support for TB prevention and control activities; developing
our valuable human resources and strengthening Hawaii’s laboratory capacity to ensure that timely
and reliable TB laboratory services are available throughout Hawaii.
The HTCP has adopted a priority-based approach for program activities and the strategies
included in this NOFO. As a low-incidence jurisdiction, the HTCP will accomplish the requirements
set forth by CDC, and this plan sets HCTB on a path to satisfy several of the minimum priority
activities and strategies set for high-incidence programs as well.
Highlighted activities included for this new funding announcement include:
• Improving oversight for TB cases managed by our private sector clinicians,
• Increasing use of MTB-PCR testing to shorten the time to treatment initiation,
• Improving percentage of patients with HIV, timely DST, and WGS,
• Convening a Community TB Advisory Committee and completing a TB elimination plan,
• Increasing staff understanding of NTIP measures and goals,
• Improving the accuracy and completeness of surveillance data,
• Completing 4 cohort reviews annually (two at Lanakila, two for the neighboring islands),
• Increasing staff understanding of Hawaii’s highest risk groups’ cultures/health beliefs,
• Continuing to improve staff training and skills in counseling and case management of patients
on TBI treatment,
• Implementing targeted TBI treatment program,
• Improving rates of treatment initiation and completion for TBI in contacts and B1 immigrants,
• Coordinating training and outreach with HIV/STD, Hansens Disease and Hepatitis Programs,
• Improving infection control and TBI screening and treatment among Hawaii prisons and homeless
• Continuing healthcare provider training in diagnosis of TB disease and TBI treatment,
• Expanding patient education and community education and outreach,
• Expanding electronic data bases to improve case management and program evaluation.
We are grateful for the many years of partnership with CDC and we appreciate your ongoing
collaboration as we advance towards our shared goals of reducing human suffering from TB and
achieving our long-term goal of TB elimination in Hawaii.