1. T T H H I I Tennessee Health Indicators PROGRAM DIRECTOR: DR. JON WARKENTIN DATA DIRECTOR/EPIDEMIOLOGIST: JASON CUMMINS, MPH Tuberculosis Elimination Program April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 1

2. T T H H I I Tennessee Health Indicators TB Elimination Program Mission: "The mission of the TTBEP is to control, prevent and eliminate tuberculosis as a public health threat in Tennessee." The Tennessee TB Elimination Program is responsible for TB control activities in Tennessee. The three priorities for TB control are: 1.Cases 2.Contacts 3.Targeted Testing April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 2

3. T T H H I I Tennessee Health Indicators TB Case Rates U.S. and Tennessee 1986-2011 April - 20123 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program Case Rate per 100,000 Population

4. T T H H I I Tennessee Health Indicators Program Objectives TB Case Rates Completion of Treatment Contact Investigation Laboratory Turnaround Time HIV Status April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 4

5. T T H H I I Tennessee Health Indicators TB Elimination TB Case Rates Indicator: Decrease the TB case rate to 1.0/100,000 population by 2020 “Case rate” is defined as number of new cases of TB diagnosed per 100,000 population 2011 Tennessee TB case rate: 2.4/100,000 population Average U.S. TB case rate: 3.4/100,000 April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 5

6. T T H H I I Tennessee Health Indicators TB Elimination Completion of Treatment Indicator: For patients with newly-diagnosed TB for whom 12 months or less of treatment is indicated, increase the proportion of patients who complete treatment within 12 months to 93.0% by 2015 Cohort includes patients who are indicated for ≤ 12 months of therapy and alive at diagnosis; patients who died during therapy are excluded 2010 progress: 88.8% April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 6

7. T T H H I I Tennessee Health Indicators TB Elimination Contact Investigation Indicator: For contacts to sputum acid-fast bacillus smear-positive TB cases who has started treatment for newly diagnosed latent TB infection, increase the proportion who complete treatment to 79.0% by 2015 2009 progress: 56.9% April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 7

8. T T H H I I Tennessee Health Indicators TB Elimination TB Elimination Program 425 5 th Ave. North 1 st Floor, Cordell Hull Building 615-741-5818 http://health.state.tn.us/CEDS/TB/index.htm April - 2012 TENNESSEE DEPARTMENT OF HEALTH TB Elimination Program 8