Tuberculosis Panel on Tips from the Field Lana Kay Tyer, RN MSN TB Nurse Consultant Department of Health Introductions Katie Dickerson, RN David Miller, RN Moni Muraki Cooperation 1
COOPERATION Long-term Cooperation 2
Sir John Crofton 3
Cooperation through Community Involvement 4
TB TUBERCULOSIS What the Community Should Know About TUBERCULOSIS OUR MISSION: To interrupt the transmission of tuberculosis in Seattle & King County TRUE or FALSE? Tuberculosis is a disease of the past and is no longer a public health concern. TRUE or FALSE? Tuberculosis is a disease of the past and is no longer a public health concern. 5
About TB Latent TB Infection Versus Active TB Disease How TB Bacteria Spread EXPOSURE TO TB BACTERIA Latent TB Infection Active TB Disease 6
TRUE or FALSE? If someone coughs, I will automatically get TB. TRUE or FALSE? If someone coughs, I will automatically get TB. Who Gets TB NOT EVERYONE WHO BREATHES IN TB BACTERIA WILL GET TB 7
TRUE or FALSE? If I do not have TB symptoms, I do not have TB. TRUE or FALSE? If I do not have TB symptoms, I do not have TB. Symptoms of Latent TB Infection NO SYMPTOMS! 8
Tests That Check for Latent TB Infection Tuberculin skin test (TST) QuantiFERON (QFT) Treatment of Latent TB Infection Isoniazid (INH) Latent TB can be treated with medication Rifapentine (RPT) Rifampin (RIF) Symptoms of Active TB Disease Coughing Feeling tired Unexplained weight loss Soaking night sweats Fever 9
Tests That Check for Active TB Disease Chest X-Ray Smear Sputum Collection Culture Treatment for Active TB Disease Active TB disease can be treated and cured TRUE or FALSE? I have been BCG vaccinated so I do not need to worry about getting infected. 10
TRUE or FALSE? I have been BCG vaccinated so I do not need to worry about getting infected. Take Home Messages 1. Get screened and tested 2. TB is curable and preventable 3. Having TB is nothing to be ashamed of 4. Take all medication, as prescribed by your doctor Take Charge of Your Health! Do not spend a lot of time around someone with active TB disease in closed spaces Visit your doctor on a regular basis Keep your immune system healthy by exercising regularly and eating healthy 11
TB Control Program Services We do not provide: Routine TB screening for school or employment. Visit your regular doctor or community health center for this service. Support and treat active cases of TB Screen people who were exposed to TB Track TB and prevent its spread Provide support and education Community Resources Clinic Address Telephone Number Country Doctor Community Health Centers 500 19 th Ave East Seattle, WA 98112 (206) 299-1600 Health Point Community Health Center 4040 South 188 th St #201 SeaTac, WA 98188 (206) 277-7200 Highline Medical Center International Community Health Services 16251 Sylvester Road SW Burien, WA 98166 3815 South Othello Street Seattle, WA 98104 (206) 244-9970 (206) 788-3650 Tuberculosis Control Program 325 9 th Avenue Seattle, WA 98104 Neighborcare Health Main Office (multiple sites) 905 Spruce St #300 Seattle, WA 98104 Seattle Indian Health Board 611 12 th Avenue South Seattle, WA 98144 SeaMar Community Health Centers 8915 14 th Avenue South Seattle, WA 98108 UW Medicine 314 NE Thornton Place Seattle, WA 98125 (206) 744-4350 (206) 461-6935 (206) 324-9360 (206) 762-3730 (206) 528-8000 Control TBProgram TUBERCULOSIS Questions? Ground Floor East Clinic Room: GEC 22 325 9 th Avenue Seattle, WA 98104 Phone: 206-744-4579 Fax: 206-744-4350 Open Monday, Tuesday, Thursday and Friday 8:00 am to 4:30 pm Open Wednesdays from 1:00 pm to 4:30 pm APPOINTMENTS ARE REQUIRED Seattle & King County Public Health website: www.kingcounty.gov/health/tb 12
David Miller RN, BSN TB/STD Public Health Nurse Yakima Health District Phone: (509) 249-6532 Fax: (509) 249-6632 David.Miller@co.yakima.wa.us Contacts Moni Muraki Public Health-Seattle & King County (206) 744-4578 Direct line monica.muraki@kingcounty.gov Katie Dickeson, RN TB Program Coordinator Opioid Treatment Program (509) 324-1613 cell (509) 701-8402 fax (509) 324-3600 kdickeson@srhd.org Spokane Regional Health District srhd.org 13