1. CROYDON TB SERVICE ANNE SMITH Lead TB Nurse Specialist
ROSEMARY KHAN TB Nurse Specialist
JANET CAMARA TB Case Worker
ROSHAN SOOBRATTY TB Nurse Specialist
YVETTE BAILEY TB Administrator

2. Vulnerable groups in urban settings
High-risk groups:
Refugees, asylum seekers, migrants
No recourse to public funds
Homeless people.
Sofa surfing
Prisoners
Drug Abuse
Alcoholic
HIV-seropositive
Children
Elderly

3. Expected benefits
Reduce stigma and increased awareness- earlier presentation by TB patients.
Increased awareness by health care professionals- reduced times for diagnosis and referral.
Improved understanding and support of TB patients and their families.

4. DOT
Offered to all patients who require Enhanced Case Management

5. INPATIENTS
Support for diagnostic tests(i.e mantoux test and sputum specimen) and discharge plan.

6. PAEDIATRICS
Working with infectious diseases paediatrician.

7. RAISING AWARENESS Community Groups. Places of worship. Colleges.
Health care workers.

8. CONTACTS SCREENING
Screening usually take place approx. 6 weeks after an index case has been identified.

9. Latent TB infection
Individuals with latent TB are at increased risk of developing active TB, especially if they are recently infected or immunocompromised.
The systematic screening and treatment of individuals with LTBI is therefore expected to significantly decrease the incidence of TB in England.
Collaborative Tuberculosis Strategy for England consultations (2014), recommend to offer LTBI screening to new entrants who were born or lived in countries with an estimated TB incidence of 150 per 100,000 or over and who arrived in the UK within the last five years
4/6/2017

10. CROYDON INCIDENCES:-
College.
Hospital.
Khat house.
GP practice.

11. OCCUPATIONAL HEALTH Detection of active or latent TB.
Gives BCG vaccination if unvaccinated and Mantoux negative.

12. MEETINGS COHORT REVIEW SWL SECTOR MEETING SWL EDUCATIONAL MEETING
LONDON TB WORKFORCE GROUP.

13. In summary TB is here and increasing Awareness, awareness, awareness.
Ease of referral
Work together
Improve.

14. How to contact Telephone number: 020 8401 3140
Fax number:
TB Administer:
Clinic Reception:
Information regarding the Tb service can be found on the CUH intranet website.