The Nebraska Tuberculosis (TB) Elimination Program provides programmatic oversight, clinical guidance and consultation, education, training, and resources to 21 county health departments in Nebraska. These county health departments provide TB services (e.g., education, testing, treatment, and case management) to residents and visitors throughout the state. The mission of the of Nebraska’s Tuberculosis Program is to eliminate TB in Nebraska.
Nebraska is focused on reducing the incidence of tuberculosis in the state by providing effective prevention, detection, treatment, and education. These core elements include program responsibility for providing surveillance activities, TB case management activities, technical assistance, medical consultation, follow-up on Class A, B1, B2 and B3 immigrants and refugees, and TB education for health care professionals and the general public.
TB surveillance activities include maintaining a case registry of active tuberculosis cases, collection and interpretation of data, and monitoring mycobacteriology laboratory reports from the Nebraska Public Health Lab (NPHL) and other hospital and private laboratories. The TB Program oversees all cases of active TB in the state to assure that treatment standards are adhered to. Medications and other outpatient medical care services are provided to all active cases, if necessary, with State aid funds.
Achieving this mission is predicated on implementation of three (3) priority strategies for controlling and preventing TB, as recommended by the Advisory Council for the Elimination of Tuberculosis (ACET) that include: (1) identifying and fully treating persons who have active TB disease; (2) finding and screening persons who are contacts to TB cases to determine if they are infected with Mycobacterium tuberculosis or have active TB, and providing appropriate treatment; and (3) targeting populations at high-risk for TB infection and disease to detect infected persons and provide TB infection (TBI) therapy when appropriate to prevent profession to active TB. Over the last five years Nebraska has had an average of 25 cases of active TB per year for a case rate of 1.2/100,000.
The Nebraska Tuberculosis Program is applying for funding under the Tuberculosis Elimination and Laboratory Cooperative Agreement to assist with current efforts and fund future initiatives to prevent, control, and eventually eliminate TB in Nebraska. Strategies and activities to address active TB and TB infection will continue through the project period (i.e., year 2024).