Topic 10
HIV/AIDS/STDs/TB/Hepatitis  (Blood and Air - Borne Pathogens)
 

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Tuberculosis  (TB)

Overview:  Once considered under control, Tuberculosis (TB) is back, and with a vengeance.  New strains developing outside the United States and strains developing in conjunction with HIV/AIDS will, in my opinion become a major epidemic and maybe pandemic (multiple continents) in the world.  In addition, many of these new strains are drug resistant.  This is an extremely important section.  Really educate yourself on this topic.  Recognizing early symptoms may save your life. 

Goals:  This section provides you with an overview of TB transmission routes, prognosis, and treatment.  Furthermore, it should provide you with information regarding your personal protection.  Since many individuals who develop TB are drug users who are not in good health, it is quite likely if you are in the helping professions that you may be exposed to this disease.

Objectives:  Understand and describe the health and behavioral problems related to TB

Outcomes:  To provide students with information related to TB symptamatology, progression, and treatment.  This section will also be targeted at increasing your own awareness about the disease and your risk of acquiring it.

Readings: 
  Statistics
     TB Statistics Hyperlinks
     TB in the U.S.
     TB in Minorities

     TB in the Black Population
  

Statistical Slide Sets and Narratives
     If you download the slide set, the narratives are included in the notes section, otherwise review the slide sets and the narratives separately

Material from NIH is provided in the following section
    TB Definitions
    Detailed Explanation of TB from NIH

    Drug Resistant TB: A visual Tour.  Click on all the different links under this section.
          First Line Treatment for Drug Resistant TB
          Multidrug-Resistant Tuberculosis (MDR TB) and Possible Effective Treatments
          Extensively Drug-Resistant Tuberculosis (XDR TB) Diminishing Options for 
          Treatment

     Scientific Illustrations of Drug Resistant TB  Click on the next button to see all of the slides

     Material from the CDC 
     General Feature sheet with some additional hyperlinks
     CDC main Link Sheet with additional hyperlinks for your information  Use as needed

     Other material to read
     TB and HIV
     TB and Pregnancy

Tasks:

1.      Read the information related to TB from the hyperlinks.  Note the groups of individuals who are at high risk for TB. Share your thoughts about these issues with your classmates on the on-line Discussion for Topic 10.

2.      Write a reaction paper regarding TB.  How could this disease impact you?  Are you at risk?  What can you do to reduce your risk of TB?.  Send your paper to your instructor.

Resources:
     Interactive Course for Clinicians  This course is primarily for Physicians.  However, some of the 
     early material will be appropriate for anyone working with all types of clients

 Additional Web-Based Training.  A very good self-paced set of interactive modules to educate yourself more about TB.  Primarily designed for Public Health workers.  Can be taken for credit

You can get additional information from the following websites or your local library in the medical section.

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Your state or local American Lung Association or American Thoracic Society

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The CDC Fax Information Service at (888) CDC-FAX (232-3299)

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The CDC Voice and Fax Information System at (888) CDC-FACT (232-3228)

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The New Jersey Medical School National Tuberculosis Center at (800) 482-3627;

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The Francis J. Curry National Tuberculosis Center at (415) 502-4700

 TB Home Page from NIH

Discussion for Topic 10.