1. GALVESTON COUNTY TB PROGRAM  SYED HAIDRY TB PROGRAM MANAGER  Dr. MARK GUIDRY CEO, HEALTH AUTHORITY & TB CLINICIAN

2. TB ELIMINATION DEPARTMENT

3. TB PROGRAM ACTIVITIES  TB case finding and active surveillance  Directly Observed Therapy (DOT) /Directly Observed Preventive Therapy (DOPT)  Average daily DOT dosages 60 per month  52 bi-weekly per month.  Average biweekly DOPT dosages 67 per month.  Case Management  Contact Investigations and Targeted Testing  TB Inservices and Education

4. Current Patient Status from Jan 2006 to June 2006  TB Cases – 11 receiving DOT  TB Suspects – 8 receiving DOT  Latent TB infection (LTBI) – 66 currently self- administering (5 on DOPT)  Contacts – 21 PPD positive currently self- administering (2 on DOPT)  Lab services provided 114 chest x-rays, 113 lab test and 111 sputum specimen collected over 6 month period.

5. Chart Reviews by TB clinician & Galveston County Health Authority  Chart reviews ………. 15-20 per month  Signing TB orders….. 3-5 per month  Signing LTBI orders…10-15 per month  Quarantine letter……. 1 in 2006  TB consultation……... as needed  TB case management meeting with program manager ….. once a week

6. Tuberculosis Incidence Rates, Galveston, Texas, and U.S., 2003-2005

7. PERCENTAGES OF AGES FOR TB CASES IN 2003-2005 2003 2004 2005

8. TB CASES BY RACE AND ETHNICITY 2003-2005

9. TB CASES IN GALVESTON COUNTY BY CITIES

10. TB BUDGET 06-07 COST CATEGORIESSTATE FUNDSFEDERAL FUNDS COUNTY FUNDSTOTAL A. PERSONNEL 35,001.36,805.27,842.101,296. B. FRINGE BENEFITS 14,023.10,267.11,567.36,011. C. TRAVEL 10,000. E. SUPPLIES 1,207.500.1,707. H. OTHER 6,214.28,320.30,500. K. TOTAL 66,445.47,072.68,229.181,746.