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TB Control Strategy | Print |

In 2016, the World Health Organization (WHO) launched the End-TB global plan towards achieving the TB target of the United Nation's Sustainable Development Goal (SDG) 3 – to end the TB epidemic by 2030. While recent data shows that Fulton County like the rest of the United States has made significant progress in the reduction of new TB cases among its' population between 2000 and 2015, much ground remains to be covered in the move towards achieving the SDG targets for TB control.


Current strategies used by the Fulton TB program include –

  • Directly Observed Treatment (DOT) to treat all TB cases in the county. Using this approach, Fulton County has maintained a treatment completion rate that is above the state and national average for the 5th consecutive year (for patients eligible for treatment completion within 12 months of diagnosis).
  • Prompt and efficient contact tracing to ensure that all potential contacts to new TB cases are elicited and examined for TB infection.
  • Targeted Screening of high-risk persons. The Fulton County TB program with the support of Georgia State Department of Public Health and the Centers for Disease Control and Prevention (CDC), and in collaboration with the Homeless shelter management began to routinely screen all homeless shelter residents for TB infection in May 2015. This approach was adopted as a part of the TB outbreak control measure to reduce progression of latent infections to active disease among homeless persons in Fulton County. The TB screenings are done 2-3 times every week at all metro-Atlanta homeless shelter locations by trained Disease Investigation Specialists (DIS).
  • Prompt Latent TB Infection treatment. All contacts to TB cases that have latent TB infections are provided with treatment. Among homeless persons with latent TB infection, treatment is administered by the DIS daily at homeless shelters or other locations convenient to the patient to improve treatment adherence among this under-served group.
  • Administrative Controls Implementation. Administrative control measures aimed at reducing TB transmission were proposed and adopted by the shelter managements as a part of the TB outbreak control. Trained DIS from the Health department conduct field visits to assess shelters for compliance to the environmental controls and also provide recommendations to the facility management on public health measures to reduce TB transmission among residents.

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