Southeastern National Tuberculosis Center

Reunion de Control de Infeccion de la TBCiudad de Mexico10 Agosto 2009

What is the SNTC?

Southeastern National TB Center

• One of four Regional Training and Medical Consultation Centers (RTMCC) in the US.

• RTMCCs are funded by the Centers for Disease Control and Prevention (CDC), Division of Tuberculosis Elimination.

• The four centers are: – Curry National TB Center – California– Heartland TB Center – Texas– Global Tuberculosis Institute (GTBI) – New Jersey– Southeastern National TB Center – Florida

Southeastern National TB Center

The SNTC supports the education and training missions of TB programs throughout the region and provides a source of expert medical consultation for healthcare providers caring for TB patients and technical assistance for all TB program personnel.

Our region consists of

11 southeastern states,

Puerto Rico, and the

U.S. Virgin Islands.

Southeastern National TB Center

Established in 2005 as a collaboration between University of Florida College of Medicine,

GainesvilleA.G. Holley State (Tuberculosis) HospitalFlorida Department of Health, Bureau of TB

and Refugee Health

CDC funded RTMCC focuses on domestic TB Programs

SNTC Gainesville Office

SNTC Clinical Training Campus

A.G. Holley TB Hospital

SNTC Training Offerings

• Courses– Comprehensive Clinical TB Course and Clinical

Updates– TB Program Management– Contact Investigation Skills– Corrections– TST Train-the-Trainer– Cultural Competency

• Webinars• Mini Fellowship Opportunities

Spanish Language Capacity• With Puerto Rico in our region, Spanish

language skills, translated documents and tools are essential– Five bi-lingual staff

• Dr. Lauzardo• Dr. Hamsho-Diaz – Coordinator of Special Projects• Ms. Ottenwess – Health Educator/Training Specialist

– Focus on translation of existing critical materials and development of patient educational materials for the Spanish-speaking population

¡Vivir a Todo Pulmón!A Multimedia Toolkit

TST CaliperIn English and Spanish

Spanish Translations

Country Guides

Country Guides Currently Available…

Guides of Most Relevance…

Common Misperceptions: Etiology of TuberculosisMexico, India, Vietnam,

PhilippinesSmoking Drinking alcoholNot eating nutritious foods /

malnutrition Physical exertion or hard work Disruptions in the body’s hot / cold

balance (causes vary)

India, Vietnam, Philippines Excessive Stress / Worry / Anxiety Genetic inheritance / passed

through generations of families Poor sanitation or hygiene / dirty

housing

Mexico, Philippines A cough (due to a cold or bronchitis)

that was not treated and developed into a serious disease

Note: While TB is associated with malnutrition, poverty/overcrowded living conditions, individuals view these factors as the direct cause (or etiological agent) of TB disease.

Mexico India VietnamThe

Philippines Inhaling ashes,

dust or smoke Bewitchment

Sexual promiscuity Fate or karma God’s curse An evil soul or evil

spirit

Polluted / dusty environments

Supernatural causes Contaminated water Lack of sleep/fatigue God’s Decision

Frequent pregnancies

Common Misperceptions: Transmission of Tuberculosis

Mexico, India, Vietnam, PhilippinesSharing items with a TB patient.

Examples: Eating utensils, blankets, bed sheets, towels or drinking from the same bottle or glass.

Mexico India Vietnam The PhilippinesShaking hands

with a TB patient.

Sexual relations with an infected person.

Social contact

Heredity

Spitting From mother to

child during pregnancy

Bad genes

Touching a person with TB

Sexual IntercourseBlood TransfusionDrinking WaterChildren cannot have

TB, the illness only affects adults.

Misperceptions: Diagnostic Testing

Mexico India VietnamThe

Philippines Routine

blood draws can drain a person of energy.

No misperceptions related to diagnostic testing found in the literature.

X-rays kill blood cells and causes a patient to become tired or turns the skin yellow.

The body has a finite amount of blood, and the withdrawal of blood causes an irreversible decrease in the body’s supply.

X-rays will cause a person to become sterile or develop cancer.

The results of an x-ray can be affected by a person’s diet.

Examples:Drinking a cup of

milk will result in a “negative” chest x-ray

Drinking vinegar will cause an x-ray to be blurry.

Contact Information

Michael Lauzardo, MD, MSc

lauzam@medicine.ufl.edu

Donna Hope Wegener, MA

donna.wegener@medicine.ufl.edu

http://sntc.medicine.ufl.edu