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Newham CCGLatent Tuberculosis Screening and
Treatment Programme28th March 2014
Dr Margaret Chirgwin – Programme Director Primary Care Strategy
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What is Latent TB?
• Latent TB is when a person has TB bacteria in their body without causing any symptoms. These bacteria can survive in the body for many years. Sometimes latent TB bacteria can ‘wake-up’. If this happens to someone, they will become ill with active TB
• At least one in ten people who have latent TB infection (LTBI) will become ill at some point during their lifetime – the majority in the first 10 years of coming to the UK
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What is Newham CCG doing about TB in Newham?
The present service is focussed on those with active TB
– GP suspects a person has TB and sends them to Newham General to see the team there
– Outreach service provided by ELFT supports people to register with a GP and if at high risk of TB will offer them screening and then referral to the hospital
– All babies born in Newham has BCG
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What is Newham CCG going to do about TB in Newham?
The new service – in addition to the present service
1. All new patients registering with a GP in Newham who are aged 16-50 and at high risk of having LTBI will be offered a blood test (IGRA)
2. There will be a rolling programme across all practices to look at those already registered and send them a letter inviting them to have the same blood test
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Who is High Risk? Come to UK in last 10 years from:
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What happens if a person has a positive blood test?
• They will meet with their GP and discuss if they wish to be treated or prefer to be vigilant – wait and see if their LTBI wakes up
• If they decide they would like to be treated they will need to have some further blood tests and a chest X-ray before starting the 3 month treatment