1. CROYDON TB SERVICE ANNE SMITHLead TB Nurse Specialist ROSEMARY KHAN TB Nurse Specialist CHRISTINE BRISTOWTB Nurse Specialist JANET CAMARATB Case Worker ROSHAN SOOBRATTYTB Nurse Specialist

2. Global burden Tuberculosis (TB) remains a major global health problem. In 2012, an estimated 8.6 million people developed TB and 1.3 million died from the disease (including 320 000 deaths among HIV-positive people). (WHO 2013). 4500 people will die of TB by the end today- most of whom are in their most productive working years (ages 15 to 54).

3. INDEX CASE Tuberculosis (TB) incidence in England is at its highest since the 1980s. (PHE 2014). London has the highest TB rate of any capital city in western Europe. (PHE 2014). 113 New cases were notified in Croydon in 2012.

4. 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

5. 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.