1. 2010 TB Case Surveillance California TB Controllers Association October 22, 2010 Saul Kanowitz, M.P.H. Surveillance Analyst Tuberculosis Control Branch California Department of Public Health

2. Background  TIMS: Tuberculosis Information Management System  CalREDIE: California Reportable Disease Information System  RVCT: Report of Verified Case of TB form Report of Verified Case of TB – RVCT Report of Verified Case of TB – RVCT Initial Drug Susceptibility Report – FU1 Initial Drug Susceptibility Report – FU1 Case Completion Report – FU2 Case Completion Report – FU2

3. Objectives  Current status of TB reporting TIMS retirement CalREDIE implementation Revised RVCT  Next steps Completing 2010 TB case reporting Completing 2010 TB case reporting Year end deadlines Year end deadlines World TB Day World TB Day

4. Current Status of TB Case Reporting: TIMS  TIMS was retired September 23, 2010  Open 2009 cases are completed using the revised RVCT in CalREDIE

5. Current Status of TB Reporting: CalREDIE  CalREDIE went live January 2010 3 LHDs 3 LHDs TBCB doing RVCT data entry for other LHDs TBCB doing RVCT data entry for other LHDs 5 counties developing electronic messaging 5 counties developing electronic messaging  As of October 2010 800 RVCTs entered into CalREDIE 800 RVCTs entered into CalREDIE 19 LHDs trained and beginning to use CalREDIE 19 LHDs trained and beginning to use CalREDIE

6. New RVCT Fields (January 2010) Visa status Visa status Pediatric TB patients Pediatric TB patients Country of birth of guardians andCountry of birth of guardians and Living outside U.S. > 2 monthsLiving outside U.S. > 2 months Diagnostics: NAAT, IGRA, CT scan, Diagnostics: NAAT, IGRA, CT scan, Drug regimen/DST: Levofloxacin, Moxifloxacin, Rifapentine Drug regimen/DST: Levofloxacin, Moxifloxacin, Rifapentine TB risk factors TB risk factors Reason for deaths Reason for deaths Linking case ids: recurrent case; epi-link; transfer from out of state Linking case ids: recurrent case; epi-link; transfer from out of state Non-countable TB cases Non-countable TB cases

7. Next steps: CalREDIE-TB  Train LHDs through end of year to use CalREDIE Plan B: TBCB to enter data for sites trained in late December Plan B: TBCB to enter data for sites trained in late December  5 LHDs are working to message in data to CalREDIE from local systems Deadline of Nov. 1 to complete successful transfer Deadline of Nov. 1 to complete successful transfer Plan B: TBCB data entry for LHDs without completed electronic message Plan B: TBCB data entry for LHDs without completed electronic message  CDPH is working with Atlas on how to implement TB reporting for LHDs currently in contract with Atlas.  Contact Katherine.Robsky@cdph.ca.gov Katherine.Robsky@cdph.ca.gov

8. Next Steps: Year End  RVCT quality control: BIG PUSH! Previously done quarterly Previously done quarterly First 2010 QC reports scheduled for first week of November First 2010 QC reports scheduled for first week of November  TBCB deadline ~ Jan 20, 2011  CDC deadline ~ Feb 4, 2011  Data to LHDs for World TB Day ~ Mar 1, 2011

9. World TB Day Preparation  Meet deadlines to ensure accurate data for World TB Day reports  Priority is complete and accurate case counts  Complete demographics

10. Summary  2010: an exciting and challenging year for TB surveillance TIMS retirement TIMS retirement CalREDIE rollout CalREDIE rollout Revised RVCT implemented Revised RVCT implemented  Stay alert for QC reports – coming soon!

11. We Can Help!  General RVCT questions TBregistry@cdph.ca.gov orTBregistry@cdph.ca.gov orTBregistry@cdph.ca.gov Kelly.Waldow@cdph.ca.gov or 510-620-3026;Kelly.Waldow@cdph.ca.gov or 510-620-3026;Kelly.Waldow@cdph.ca.gov  CalREDIE challenges (e.g., passwords, general system use) CalREDIEHelp@cdph.ca.govCalREDIEHelp@cdph.ca.govCalREDIEHelp@cdph.ca.gov 866-866-1428866-866-1428  If you need a dataset for analysis Saul.Kanowitz@cdph.ca.gov or 510-620-3019Saul.Kanowitz@cdph.ca.gov or 510-620-3019Saul.Kanowitz@cdph.ca.gov Janice.Westenhouse@cdph.ca.gov or 510-620-3055Janice.Westenhouse@cdph.ca.gov or 510-620-3055Janice.Westenhouse@cdph.ca.gov

12. Thank You!  Our deepest appreciation to local health department staff who diligently reported RVCT cases using TIMS over the years  And to those who are now forging ahead into the new CalREDIE era  Your patience, dedication, and cooperative spirit are recognized and appreciated!