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Ending Neglect: The Elimination of Tuberculosis in the United States (2000)

Chapter: Appendix B Public Session Agendas

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Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
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APPENDIX B

Public Session Agendas

Committee on the Elimination of Tuberculosis in the United States

FIRST COMMITTEE MEETING
March 8–9, 1999


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March 8 (closed meeting)

6:00 p.m.

Introduction and Overview

Bias Discussion

Clyde Behney will be leading the bias discussion.

7:00 p.m.

Dinner

March 9

8:00 a.m.

Welcome and Introductions

8:15 a.m.

Tuberculosis in the United States

Sponsor's Goals

Overview of U.S. Tuberculosis Epidemiology

Organization of U.S. Tuberculosis Control

Foreign-Born Tuberculosis in the United States

Ken Castro and Ida Onorato, CDC

Ken Castro is the Director of the Division of Tuberculosis Elimination at the Centers for Disease Control and Prevention and will probably present the material on the Centers for Disease Control and Prevention goals for the study and on the organization of tuberculosis in the United States. Ida

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
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Page 174

Onorato is the Chief of the Surveillance, Epidemiology and Investigations Branch, in the Tuberculosis Division and will be presenting on the U.S. Tuberculosis epidemiology and foreign-born Tuberculosis in the United States. In previous discussions I have asked them to avoid encyclopedic “data dumps” and to try to highlight what they see as the key issues for the committee.

10:45 a.m.

Break

11:00 a.m.

TB Research

Ann Ginsberg, National Institutes of Health

Dr. Ginsberg is the program officer for Tuberculosis projects at the National Institute of Allergy and Infectious Diseases, National Institutes of Health. I have asked her to provide an overview of Tuberculosis research in general, not just what is happening in the National Institutes of Health. I also asked her to avoid an encyclopedic list but to provide a sense of the research priorities, whether work is under way in that area, and where there are research gaps.

11:30 a.m.

U.S. Role in Global Tuberculosis

Amy Bloom, U.S. Agency for International Development

Dr. Bloom is a Centers for Disease Control and Prevention assignee at the U.S. Agency for International Development providing technical support in the Health and Nutrition Division. AID has just recently allocated funds for Tuberculosis program support and has provided limited support to the World Health Organization and I asked her to outline this for the committee.

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
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Bess Miller, Centers for Disease Control and Prevention

Dr. Miller is Assistant Director for Science in the Tuberculosis Division at Centers for Disease Control and Prevention. She will be presenting briefly in this section on an effort by the World Health Organization to develop a global action plan for tuberculosis. Centers for Disease Control and Prevention is involved in and supports this effort.

12:00 p.m.

Information Needs and Sources

Commissioned Studies

Invited Expert Presentations

Site Visits

12:45 p.m.

Adjourn Public Session

1:00 p.m. (closed meeting)

Committee Planning

Future Meetings

3:00 p.m.

Adjourn

FIRST WORKSHOP
June 7–8, 1999


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PUBLIC AGENDA

Monday, June 7

8:30 a.m.

10-Year Review of the Strategic Plan by ACET

Charles Nolan, Advisory Committee for the Elimination of Tuberculosis

9:30 a.m.

Human Rights, Social and Legal Considerations

Lawrence Gostin, Georgetown University Law Center

10:30 a.m.

Break

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

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10:45 a.m.

Population Specific Issues

  • Tuberculosis Elimination at the United States-Mexico Border

Miguel Escobedo, Texas Department of Public Health

  • Tuberculosis Elimination in Migrant and Seasonal Workers

Deliana Garcia, Migrant Clinicians Network

  • Tuberculosis Elimination in the Homeless/ Marginally Housed

Andrew Moss, University of California at San Francisco

12:15 p.m.

Lunch

1:00 p.m.

Case Studies

  • Tuberculosis Elimination, the New York Experience

Paula Fujiwara, New York City Department of Health

  • Impact of Directly Observed Therapy

Stephen Weis, University of North Texas Health Science Center at Fort Worth

  • Tuberculosis in the District of Columbia

Michael Richardson, Medical Society of DC

  • TB Elimination in Low-Incidence Areas

Carol Poszik, South Carolina Department of Health and Environmental Control

3:00 p.m.

Break

3:20 p.m.

Contact Investigations and Outbreaks

  • Expanded Contact Investigations

Nancy Dunlap, University of Alabama at Birmingham.

  • Managing Tuberculosis Outbreaks

Ida Onorato, Centers for Disease Control and Prevention

4:40 p.m.

Employee Health and Institutional Transmission

  • Revised OSHA Regulations

Amanda Edens, Occupational Safety and Health Administration

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

Page 177

  • Staff Track

Eugene McCray, Centers for Disease Control and Prevention

6:00 p.m.

Adjourn

Tuesday, June 8

8:00 a.m.

Tuberculosis in the Foreign Born

  • Legal Issues in Immigration

Sophia Cox, Immigration and Naturalization Service

  • Tuberculosis Screening of Immigrants

Nancy Binkin, Centers for Disease Control and Prevention

  • Tuberculosis Elimination (Screening and Prevention) Among Immigrants in the United States

Charles Nolan, Seattle-King County Department of Public Health

9:30 a.m.

General Discussion and Questions

10:00 a.m.

Break

10:15 a.m.

Economic Issues

  • Costs of Tuberculosis

Zachary Taylor, Centers for Disease Control and Prevention

  • Securing Funding for Tuberculosis Elimination

Tim Westmoreland, Georgetown University Law Center

11:35 a.m.

Modeling Tuberculosis Elimination

Sally Blower, University of California at San Francisco

12:00 p.m.

Adjourn

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

Page 178

THIRD MEETING
August 17–19, 1999


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Tuesday, August 17

U.S. Role in Global Tuberculosis Control

8:30–9:30 a.m.

Current U.S. Activities in Global Tuberculosis Control

Nancy Binkin, Division of Tuberculosis Elimination

9:30–10:30 a.m.

A World Health Organization Perspective on the U.S. Role in Global Tuberculosis Control

Arata Kochi, World Health Organization

10:30 a.m.

Break

10:45–11:45 a.m.

A Nongovernmental Organization Perspective

Hans Rieder, International Union Against Tuberculosis and Lung Disease

11:45–12:30 p.m.

General Discussion

12:30–1:30 p.m.

Lunch

Training and Education Issues in Tuberculosis Control

1:30–2:15 p.m.

Strategic Plan for Training and Education in Tuberculosis

Andrea Green-Rush, Francis J. Curry National Tuberculosis Center, University of California at San Francisco

2:15–3:00 p.m.

Centers for Disease Control and Prevention

Activities in Tuberculosis Training and Education

Wanda Walton, Division of Tuberculosis Elimination

3:00–3:15 p.m.

Break

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

Page 179

3:15–4:00 p.m.

Innovative Programs in Health Communication

Scott Ratzan, Academy for Educational Development

4:00–4:45 p.m.

Risk Communication

Julie Downs, Carnegie Mellon University

4:45–5:30 p.m.

General Discussion

Wednesday, August 18

8:30 a.m.–5:30 p.m.

Closed Session

Thursday, August 19

8:30 a.m.–1:00 p.m.

Closed Session

FIFTH MEETING
January 11–13, 2000


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Tuesday, January 11

8:30 a.m.–12:30 p.m

Roundtable Discussion on the Practical, Legal, and Ethical Issues Related to:

8:30 a.m.–8:45 a.m.

Introductions

T. Alexander Aleinikoff, Professor of Law, Georgetown University

Mark Barnes, Proskauer Rose LLP

Angela M. Bean, Angela M. Bean and Associates Lawyers

Kenneth Castro, Centers for Disease Control and Prevention

Susan T. Cookson, Centers for Disease Control and Prevention

Sophia Cox, Adjudications Officer, Immigration and Naturalization Service

Michael Garotte, Consular Officer, Visa Section, U.S. Department of State

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

Page 180

Andrew I. Schoenholtz, Director of Law and Policy Studies, Georgetown University

Douglas Shenson, M.D. M.P.H., Director, Human Rights Clinic, Montefiore Medical Center, North Central Bronx Hospital

8:45 a.m.–10:15 a.m.

Can tuberculin skin testing be conducted for immigrants to the United States in their country of origin?

Can a B3 category be created for individuals with a positive tuberculin skin test and people in this category be processed much as category B1 and B2 immigrants are processed now?

Can the health screening requirements differ on the basis of country of origin?

Is the estimated prevalence of infection in other countries a suitable criterion for deciding who should be tuberculin tested prior to arrival?

Should immigrants from Mexico be tuberculin skin tested prior to immigration, since individuals born in Mexico account for the greatest number of foreign-born cases, even though the official estimates of the prevalence of infection is not above the global median?

10:15 a.m.–10:30 a.m.

Break

10:30 a.m.–12:30 p.m.

Can the completion of tuberculosis screening for immigrants with Class B waivers be tied to the right to permanent residence in the United States?

Should the completion of tuberculosis screening for immigrants with Class B waivers be tied to the right to permanent residence in the United States?

Should the completion of treatment for latent infection be legally mandated for individuals with the highest risk for developing tuberculosis?

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×

Page 181

Can/should individuals, other than immigrants and refugees, entering the United States for long periods of time, such as students, trainees, workers, and their families, be required to have screening for tuberculosis?

Could the completion of tuberculosis screening be made the responsibility of the sponsor of the students, trainees, workers, and their families?

12:30 p.m.

Adjourn the Public Session

12:30–1:30 p.m.

Lunch

1:30–5:30 p.m.

Executive Session (Closed to the Public)

Wednesday, January 12

8:30 a.m.–5:30 p.m.

Executive Session (Closed to the Public)

Continue Review of Report Draft

Thursday, January 13

8:30 a.m.–3:30 p.m.

Executive Session (Closed to the Public)

Continue Review of Report Draft

Discuss Report Release and Dissemination Plan

Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 173
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 174
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 175
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 176
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 177
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 178
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 179
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 180
Suggested Citation:"Appendix B Public Session Agendas." Institute of Medicine. 2000. Ending Neglect: The Elimination of Tuberculosis in the United States. Washington, DC: The National Academies Press. doi: 10.17226/9837.
×
Page 181
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Ending Neglect: The Elimination of Tuberculosis in the United States Get This Book
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Tuberculosis emerged as an epidemic in the 1600s, began to decline as sanitation improved in the 19th century, and retreated further when effective therapy was developed in the 1950s. TB was virtually forgotten until a recent resurgence in the U.S. and around the world-ominously, in forms resistant to commonly used medicines.

What must the nation do to eliminate TB? The distinguished committee from the Institute of Medicine offers recommendations in the key areas of epidemiology and prevention, diagnosis and treatment, funding and organization of public initiatives, and the U.S. role worldwide. The panel also focuses on how to mobilize policy makers and the public to effective action.

The book provides important background on the pathology of tuberculosis, its history and status in the U.S., and the public and private response.

The committee explains how the U.S. can act with both self-interest and humanitarianism in addressing the worldwide incidence of TB.

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