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This web-based seminar will cover the new tuberculosis technical instructions for panel physicians and the implications for United States (US) practitioners. Case presentations will explore adoptees, drug resistant TB, and the severely ill.

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This seminar will explore issues around HIV screening in TB clinics, including barriers to provider-initiated HIV testing, successful strategies to improve screening rates, and interventions for strengthening TB-HIV collaborations. The format will include an overview of the CDC's recommendations, perspectives and experiences of TB programs, and a case study.

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This web-based seminar covers the diagnosis and treatment of extra-pulmonary tuberculosis. Case presentations explore clinical manifestations, diagnostic evaluation, typical complications, and principles of managing extra-pulmonary TB disease.

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This seminar will explore the health factors that coexist with tuberculosis among homeless persons, as well as successful strategies for the prevention and control of tuberculosis among homeless persons in the US. In particular, it will elucidate the partnership between health departments and agencies that serve the homeless to improve the coordination of clinical care and contact investigation outcomes. The format will include an overview of the situation, the perspective of shelter staff, and a case study of collaboration between a local health department, Federally Qualified Health Centers (FQHCs) and homeless services providers.

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Treatment of tuberculosis requires multi-drug combination therapy over a sufficient time period and all anti-TB medications are associated with a predictable incidence of adverse effects ranging from mild to severe. This web-based seminar discusses the management of medication side effects in TB patients to decrease the risk of toxicity and ensure completion of therapy.

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This seminar will present the entire picture of a cohort review from start to finish. The format features a simulated cohort review session including case presentations, feedback and comments by a program director and medical reviewer, analysis and summary of outcomes by an epidemiologist, and plans for each person to follow up on the findings. Presenters are experienced practitioners from programs in Columbus OH, Philadelphia PA, Washington DC, and Washington State.

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This web-based seminar is the second in a series of webinars on the TB Cohort Review Process. The purpose is to provide TB program leaders, managers, clinicians and case managers with the necessary knowledge and skills to participate in TB cohort reviews in their program areas. It explores in depth the activities the key leaders and case managers do to prepare, present and follow-up cohort reviews. The format includes discussion of implementation and follow-up issues with examples from programs in Ohio, Philadelphia, Washington DC, and Washington State.

Additional Resources:

• Plan for Implementing Cohort Reviews

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The management of patients infected with M. tuberculosis can be complicated and challenging in the presence of other medical conditions. This web-based seminar will specifically cover screening, diagnosis, treatment, and management of TB patients who are pregnant. The seminar will consist of an overview of the current practices and recommendation related to this population, as well as issues around TB in women of childbearing age. A case presentation will be included along with time for discussion.

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The purpose of this one and one-half-hour seminar is to begin the process of providing TB program leaders, managers, and clinicians with the necessary knowledge and skills to lead TB cohort reviews in their program areas. The seminar covers recent guidance from the Centers for Disease Control and Prevention (CDC) regarding this requirement in the cooperative agreement, principles of the TB cohort review process, impact of cohort reviews, and examples of implementation in local program areas. The format includes exposition of the guidance, discussion of principles and process, and examples highlighting implementation in Missouri, New York City, and Oregon.

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The risk of TB transmission is high in settings such as emergency departments where care may be provided to patients before they are diagnosed with TB disease. This web-based seminar is intended to discuss the typical presentation of TB patients in the emergency department and outline the steps necessary to reduce missed opportunities for appropriate diagnosis and treatment. The seminar will also cover administrative, environmental, and respiratory protection control measures with the goal of improving infection control practices in emergency department settings.

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The management of patients infected with M. tuberculosis in the presence of an immunocompromising condition can be complicated and challenging. This web-based seminar which was presented on September 16, 2009, covers screening, diagnosis, treatment, and management of patients who are taking anti-tumor necrosis factor agents (TNF-alpha inhibitors) It consists of an overview of the interaction between TNF-alpha inhibitors and TB infection and disease and review the latest recommendations for physicians prescribing these agents as well as for physicians diagnosing and treating TB in patients already taking TNF-alpha inhibitors.

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This recording of a live, web-based seminar which occurred on March 26th 2007provides a basic foundation for understanding cultural differences in health attitudes, beliefs, behaviors, and language, which can help providers to function more effectively in cross-cultural activities. The training develops a culture-general perspective, explores how to provide patient-centered care to diverse populations, and illustrates use if new technologies to ensure effective communication with clients from other cultures.

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New Jersey remains a state with a high incidence of TB cases and with an estimated high rate of persons infected with Mycobacterium tuberculosis. With the decline in public health funding for TB prevention and control, it is imperative that a collaborative approach between community providers and health departments occur to detect and treat TB infection and disease in the community. This recording of a live, web-based seminar which occurred on December 11, 2008, covers the diagnosis, treatment, and monitoring of latent TB infection, and describes the opportunity for collaboration with the State health department in the management of patients for TB infection. The audience for this seminar includes primary care providers, particularly those at federally qualified health centers.

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TB surveillance data indicate that the many TB patients include foreign born, homeless, substance abusers, refugees, migrants, and HIV-infected persons. Peer-reviewed literature and best practices have indicated that the inclusion of social support services in the care of these patients enhances treatment adherence and outcomes. This web-based seminar will cover resources that can be utilized to assist at-risk TB patients. We will do this through a multiple layer approach that looks at TB patients as individuals as well as how practitioners can enhance service through system-wide interventions, and through program collaborations.

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This web-based course will explore successful and innovative approaches to ensuring adherence to LTBI treatment. Sound principles of behavioral science, flexibility, and a patient-centered approach are essential. Hands-on experts will explain how they are successful and how to tailor approaches to your own programs and patient populations. Case presentations are included.

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Tuberculosis (TB) is a communicable disease with standardized regimens for medical treatment. When drug resistance, persistent disease, or other complications occur, medical resolution of the disease may not be the only feasible option. This web-based seminar will cover the indications for surgery in TB patients. A case presentation will be included.

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This web-based seminar explored successful and innovative approaches to implementing legal interventions in TB control programs in the United States. Experts shared legal and ethical considerations, as well as hands-on experiences, practical steps, and legal tools that can be used to improve outcomes of case management, treatment outcomes, and contact investigations. Points were illustrated using lectures and case presentations.

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TB surveillance data indicate that the many TB patients include foreign born, homeless, substance abusers, refugees, migrants, and HIV-infected persons. Peer-reviewed literature and best practices have indicated that the inclusion of social support services in the care of these patients enhances treatment adherence and outcomes. This web-based seminar will cover resources that can be utilized to assist at-risk TB patients. We will do this through a multiple layer approach that looks at TB patients as individuals as well as how practitioners can enhance service through system-wide interventions, and through program collaborations.

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This web-based seminar was originally held on August 17, 2007. The web-based seminar was presented by the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention (CDC) in joint sponsorship with the Francis J. Curry National Tuberculosis Center, Heartland National Tuberculosis Center, Southeastern National Tuberculosis Center, and the New Jersey Medical School Global Tuberculosis Institute.

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TB surveillance data indicate that the many TB patients include foreign born, homeless, substance abusers, refugees, migrants, and HIV-infected persons. Peer-reviewed literature and best practices have indicated that the inclusion of social support services in the care of these patients enhances treatment adherence and outcomes. This web-based seminar will cover resources that can be utilized to assist at-risk TB patients. We will do this through a multiple layer approach that looks at TB patients as individuals as well as how practitioners can enhance service through system-wide interventions, and through program collaborations.

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This web-based seminar explored successful and innovative approaches to TB control challenges in low-incidence settings. Geographical distance and staffing can present program constraints, but some approaches work better than others. Sound TB control principles, flexibility, and a patient-centered approach are essential. Hands-on experts explained how they have been successful in these circumstances.

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Compared to the general population, TB disease and infection are more common among substance users and the homeless. This web-based seminar explores successful and innovative approaches to working with these two hard-to-reach groups. Experts from the region shared hands-on experiences and practical tools that can improve case management, treatment outcomes, and contact investigations.

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The transmission of tuberculosis in healthcare settings is mainly due to the risk posed by patients with unsuspected or undiagnosed infectious TB disease. The decline and prevention of healthcare-associated transmission of TB depends on rigorous implementation of TB infection control measures and adherence to written protocols. In December 2005, the Centers for Disease Control and Prevention issued revised recommendations entitled, "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings." This web-based seminar summarizes these recommendations and uses a case example to illustrate key points.

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TB control remains a public health challenge in multiple settings. TB can be particularly problematic in correctional and detention facilities, in which persons from diverse backgrounds and communities are housed in close proximity for varying periods. Effective TB prevention and control measures in correctional facilities are needed to reduce TB rates among inmates and the general U.S. population. In July 2006, the Centers for Disease Control and Prevention issued revised guidelines entitled, "Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC." This web-based conference summarized these recommendations and uses a case example to illustrate key points.

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This web-based course will cover the components of conducting a contact investigation in a congregate setting. It will include the latest Centers for Disease Control and Prevention and National TB Controllers Association guidelines.

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This web-based conference is for physicians and other providers who manage the evaluation and treatment of contacts to infectious TB cases. It will include determining the infectious period, prioritization of contacts, diagnostic evaluation of contacts, standard treatment of latent TB disease, and case studies. (IMPORTANT! Please download WebEx player before downloading this file)

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Communicating easy-to-understand information about TB infection and disease, and how a contact investigation will be conducted, is key to successfully investigating a possible exposure in a group setting. Many TB control staff are accustomed to doing this with patients and their families, one-on-one. However, in a workplace or congregate setting there are many more players – the process can become complicated if not managed well. This web-based conference for TB control staff covered effective TB communication as part of the investigation of a possible TB exposure in a workplace or congregate setting.

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This web-based course will cover the medical evaluation and treatment TB contacts. It will also cover the latest Centers for Disease Control and Prevention and National TB Controllers Association guidelines. (IMPORTANT! Please download WebEx player before downloading this file)

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The web-based conference is for TB control staff who work in clinical or field settings. Patients’ mental health issues can adversely impact TB treatment adherence and completion, as well as successful contact investigation. This web-based conference will increase participants’ ability to recognize common mental health disorders and how best to assess and intervene when patients present with mental health needs. This knowledge will increase participants’ ability to work more effectively with patients having mental health needs.

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