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Latin american initiatives

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Project Description

  • The World Health Organization reported that there were 22,473 new cases of active tuberculosis (TB) disease in Mexico in 2006, which reflects a case rate of 21 per 100,000 population. Comparatively, in the same year the United States reported 13,779 TB cases with a rate of 4.6 per 100,000 population.
  • Mexico is listed as the most common country of birth among foreign-born persons with TB in the United States. Mexican-born TB cases comprise 25% of all foreign-born TB cases in the United States. In addition, the National Health and Nutrition Examination Survey (1999-2000) found a higher prevalence of latent TB infection (LTBI) in Mexican Americans (9.4%) compared with U.S.-born Americans (4.2%) (total estimated number of persons with LTBI 11,213,000). Thus, in order to effectively address TB control in the United States it is also important to address TB control in Mexico.
  • Transmission of TB is a recognized risk to patients and health care workers (HCWs) in outpatient and inpatient settings. Therefore, infection control (IC) is an important strategy for effective TB prevention and control world-wide. This project seeks to serve as a pilot project to expand and augment existing IC practices in outpatient and inpatient settings and to strength the National IC Plan.
  • Mexican states participating are: Chihuahua, Guanajuato, and Chiapas.
  • Funding for this project was made available by USAID-Mexico and the CDC

Project Purpose

  • To build capacity within Mexico to ensure effective infection control measures and to strengthen the National Infection Control Plan by:
    • Partnering with the National TB Program and State Programs to deliver IC trainings in the three states selected for the pilot training.
    • Supporting facility plan development and supporting the state to ensure implementation and evaluation of local plans.
    • Empowering participants to -evaluate their state programs and local IC plans
    • Building capacity among the National TB Program staff to implement the National IC Plan
    • Providing technical assistance to the National and State TB programs

  Where in Mexico

  • Chiapas
  • Chihuahua
  • Jalisco

Partners

  • CNTC   
    • The Francis J. Curry National TB Center (CNTC) is part of the University of California, San Francisco (UCSF) and is an active partner in this project. CNTC is located in San Francisco, CA and regularly works with clinicians who see patients from Mexico as well as clinicians currently working in Mexico, particularly at the CA/Mexico border. CNTC has worked in Mexico as part of the International Standards for TB Care (ISTC), also in partnership with SNTC. CNTC also has a high level of IC expertise having recently published a comprehensive product: Tuberculosis Infection Control: A Practical Manual for Preventing TB. In December 2009, CNTC will release an online presentation on infection control focused on low-resource settings. CNTC’s bi-lingual Program Manager, Kelly Smith, has experience working as a Peace Corps Volunteer in the Dominican Republic and currently designs, manages, and evaluates trainings and educational products at CNTC. She also works on a variety of CNTC’s international projects.

  • SNTC   
    • The Southeastern National Tuberculosis Center (SNTC) is one of four Regional Training and Medical Consultation Centers (RTMCC) in the United States. The SNTC supports the education and training missions of TB programs throughout our region and provides a source of expert medical consultation for healthcare providers caring for TB patients. We serve 11 southeastern states, Puerto Rico and the U.S. Virgin Islands. The SNTC is uniquely qualified to conduct this pilot project. With Puerto Rico in the SNTCs region, the capacity to provide both medical consultation and training in Spanish has been developed by including bi-lingual medical and training staff members on the team. These individuals will form the nucleus of the project staff working on this pilot. The SNTCs Principal Investigator, Dr. Michael Lauzardo, is a pulmonologist with extensive experience with the public health and medical aspects of tuberculosis. The SNTC project coordinator for this pilot project, Paula Hamsho-Diaz, was trained as a physician in Mexico, obtained a degree in Public Health from the University of Florida, and has experience coordinating educational projects. The SNTCs bi-lingual Training Specialist, Kristina Ottenwess, has experience in the development, coordination and monitoring of TB training courses, including conducting trainings in Spanish as well as translating and back-translating educational materials. All trainings will be conducted in Spanish and, translation is required, these three team members will provide the translation for the English-speaking faculty recruited to collaborate on this project.

  • CDC
    • CDC will collaborate with project partners, monitor the scope of services provided and provide IC expertise.

  • USAID-Mexico

  • NTP-Mexico

Other Course Faculty

  • Dr. Martin Yagui Moscoso
  • Dr. Kevin Fennelly
  • Arq. Isabel Ochoa

Contact us

  • CNTC
    • tbcenter@nationaltbcenter.ucsf.edu
    • 415-502-4600
  • SNTC
    • sntc@medicine.ufl.edu
    • 888-265-7682

Resources

Chiapas Training Chihuahua Training

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