Below this most recent conference agenda with links to full, recorded education sessions are links to previous meetings and their materials. You can request materials not provided through the contact us button on the bottom navigation bar.

51st Educational Conference: Health Equity and TB Elimination 

March 6-8, 2017 at the Walnut Creek Marriott 

March 6th TB Controllers Meeting Agenda

Approved Abstracts

March 7th Agenda

9:00  Welcome: Jayne Ash Memorial Keynote Address: TB and Health Equity, Karen Smith, MD, MPH (ppt)

10:00 TB Control Branch Presentation: California TB Control and Prevention, Pennan Barry, MD, MPH (ppt)

10:45 Break

11:15 Telling Her Own Story: A TB Patient's Journey through TB Diagnosis and Treatment 
         Stop the Stigma Talk and Panel: Eliminating Stigmatizing Language in the Care of TB Patients, Lisa Armitige, MD, MPH (ppt)

1:30- 5:00  Breakout Sessions

BREAKOUT SESSIONS

  Latent TB Infection (LTBI) in Children

  1. TB Among Unaccompanied Children in ORR Custody, John Jereb, MD, Medical Epidemiologist, Division of TB Elimination (ppt)

  2. Diagnostic Accuracy of Interferon-g Release Assays (IGRAs) in Young Children, Kristen Wendorf, MD, MS, Medical Officer, CDPH TBCB  (ppt)

  3. Treatment of LTBI in Children with Short-Course Regimens, Lisa Armitige, MD, PhD, Medical Consultant, Heartland Tuberculosis Center (ppt)

Learning Objective: At the conclusion of the session, participants will be able to:

  • Describe the routine TB tests used for unaccompanied children in ORR custody and respond to the related public health referrals from ORR with knowledge of the screening that led to the referral in order to improve care for this population.

  • Increase their use of IGRAs to test young children for TB, and utilize the results in clinical decision-making to achieve optimum results.

  • Increase their use of short course regimens to treat children for LTBI and achieve optimum pediatric patient adherence.

  Strategies to Facilitate LTBI Completion

  1. Improving LTBI Treatment Initiation and Completion among Drug Treatment Center and Homeless Shelter Residence, Marti Brentnall, MPH   (ppt)

  2. Feasability of Using Video Visits for Direct Observation of Treatment of LTBI with Twelve Weekly Doses of Isoniazid and Rifapentine, Deborah Gold, MD (ppt)

  3. Ge Vue, BSN, RN, PHN, Supervising Public Health Nurse, Fresno County Department of Public Health

Learning Objectives: At the conclusion of the session, participants will be able to: 

  • Identify at least two barriers—and strategies to overcome them--that prevent LTBI shelter and DTC patients from initiating LTBI treatment.

  • Describe two methods that improve motivation among drug treatment centers to be more involved in their clients’ LTBI treatment initiation.

  • Describe how video visits can be used for direct observation to optimize treatment of LTBI using 3HP.

  • Describe three strategies that can be used to improve completion of therapy rates in individuals infected with LTBI.

  • Describe how video visits can be used to expand implementation of a short course LTBI regimen resulting in more patients completing treatment.

 Using TB Genome Results to Control TB

  1. An Introduction to Whole Genome Sequencing, Benjamin Silk, PhD, MPH, Activity Lead, Molecular Epidemiology, CDC; (pdf)

  2. Translating WGS into Practice: A Local Health Department's Experience, Leslie Henry, BSN, PHN, Outbreak Response Nurse Consultant, CDPH TBCB (ppt)

  3. Genotyping vs. WGS: A State Perspective, Martin Cilnis, MS, MPH, Epidemiologist, CDPH TBCB (ppt)

  4. Whole Genome Sequencing: Local Perspective, Shameer Poonja, MPH, CDC Public Health Advisor, Los Angeles County Department of Public Health (ppt)

Learning Objectives: At the conclusion of the session, participants will be able to: 

  • Summarize the strengths and weaknesses of whole genome sequencing (WGS) as compared to routine genotyping results.

  • Describe how WGS was used in local cluster investigations to focus public health actions, identify or refute linkages between cases, and improve TB outbreak detection and surveillance.

  • Describe the steps to request WGS and obtain assistance in reviewing results

  LTBI In Special Populations: homeless and foreign born

  1. 3HP completion rates among homeless with LTBI, Jo Elliff, FNP and Rose Vigil, EN (ppt)

  2. Partnership for TB Elimination: Civil Surgeon Outreach Project in Los Angeles County, Sanghyuk Shin, PhD (ppt)

  3. Innovative LTBI treatment strategies among (B Notifications), Alex Duplantier, MPH, PA-C (ppt)

Learning Objectives: At the conclusion of the session, participants will be able to: 

  • Identify strategies for effective completion of LTBI treatment using a nurse-based clinic providing 12-dose DOT.

  • Identify opportunities for and challenges to partnering with civil surgeons to extend LTBI treatment to green card applicants.

  • Describe LTBI treatment preferences among green card applicants in Los Angeles County leading to optimum patient care.

  • Describe strategies for managing LTBI using shorter course therapies in new arrivals with Class B -notifications and apply this information within their jurisdictions to ensure patient follow up and referrals thereby improving Latent TB infection treatment initiation and completion rates.

 

ADJOURN

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