During the time period of 2019 to 2023, South Dakota averaged 14 tuberculosis (TB) cases per year. The state TB case rate has remained consistently below the United States case rate during this time period, however when the South Dakota TB case rate is broken out by race, significant increases are observed with American Indians, Blacks and Asians, particularly among those who were born outside the United States. South Dakota TB cases in persons born outside the United States has steadily increased over the last 5 years representing 68% of all TB cases compared with 43% for the prior 5-year time period of 2014 to 2018. During the last 5 years, only 2 HIV coinfected TB cases were reported. In addition, no multi-drug resistant TB cases were reported however 4 TB cases were reported with mono-drug resistance or combination drug resistance without Rifampin resistance.
The South Dakota Department of Health has requested federal assistance through the Tuberculosis Elimination and Laboratory Cooperative Agreement to augment existing core prevention and control TB Program activities and TB laboratory services. The purpose of the funding is to assist the South Dakota Department of Health to prevent transmission of TB and reduce the TB case rate. The South Dakota TB Program uses recommendations from the American Thoracic Society (ATS) and the Centers for Disease Control and Prevention (CDC) in developing policy and procedure. The TB Program collaborates with Indian Health Service (IHS) statewide for management of American Indian TB cases and Falls Community Health Center in Sioux Falls, SD for management of TB cases born outside the United States. The South Dakota TB Program is fully integrated with all other public health programs in the Office of Disease Prevention Services including the HIV and STI Programs. In addition, the TB Program collaborates with infection control staff, infectious disease physicians, hospitals, nursing homes, state and federal correctional facilities, drug and alcohol programs, mental health programs, homeless shelters, and other agencies as necessary regarding TB Program activities.
The South Dakota Department of Health is requesting federal funding to fund 1 FTE for a TB Program Manager and associated travel, to fund 0.5 FTE for a part-time TB Nurse Consultant and associated travel, and to fund 0.5 FTE for a fulltime DIS TB Lead position and associated travel with the other 0.5 FTE paid by state general dollars. The TB Nurse Consultant is the TB Focal Point for Education and Training as well as the Focal Point for the TB Evaluation Plan. In addition, the South Dakota Department of Health is requesting federal funding to fund 0.26 FTE for a TB Laboratorian and associated travel with the other 0.74 FTE paid by state general dollars. The Director of the South Dakota Public Health Laboratory is the TB Laboratory Focal Point.
In total, the South Dakota Department of Health requests funding to support 2.26 FTE to achieve the TB Program and TB Laboratory goals and objectives. The application requests $261,769 for TB Program activities, $18,000 for Human Resource Development (HRD) activities and $39,850 for TB Laboratory activities for a total application of $319,619.