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TB Notes Newsletter
No. 2, 2007
TB EDUCATION AND TRAINING NETWORK UPDATES
Member Highlight
Margaret Marek Rohter, MPH, has been an Outreach
Program Supervisor for the Suburban Cook County TB
District in Illinois since February of 1996. She
received a bachelor of arts degree from Washington
University in St. Louis, Missouri, in 1973. Five years
later, she graduated from the University of Illinois
School of Public Health with a masters degree in public
health. Margaret is a Certified Public Health
Administrator in the state of Illinois, as well as a
Licensed Environmental Health Practitioner. In addition,
she is a fellow with the Institute of Medicine of
Chicago.
Margaret’s job responsibilities include planning and
delivering effective training and instructional programs
(primarily in English, but also in Spanish when
appropriate); developing and maintaining community
relationships; and facilitating collaboration and
communication with external groups to ensure
participation of key stakeholders, such as immigrant
groups. Her duties also encompass coordinating targeted
testing programs at community sites, reviewing and
developing educational materials for patients and staff,
and developing content for her agency’s website.
In the late 1990s, Margaret began contacting TB
programs around the country requesting that they share
their foreign language educational materials. Through
this effort, she heard about the first TB ETN conference
— Culture, Language, and Literacy in TB Education and
Training — in 2001. Unfortunately, she was unable to
attend that conference, but has attended every TB ETN
conference beginning with the following year and has
learned a great deal at each one.
Margaret joined the Cultural Competency subcommittee
in 2002 and was impressed with the efforts of that group
to identify resources for TB programs. In 2004 she
volunteered to serve as the incoming co-chair of that
subcommittee. “I have been most impressed with the
caliber of the individuals who have served as co-chairs
of this subcommittee. They have become a long-distance
support network for me. Members of this subcommittee are
dedicated professionals who are always willing to share
resources, experiences, and insights.” She is very proud
of the Cultural Competency Resource List that is
available on the
TB Education and Training Resources
website.
It is Margaret’s belief that the role of TB educators
will continuously evolve with the development of new
technologies, such as webinars, and diagnostic tools
such as the QuantiFERON blood test. It is critical for
TB ETN to continue to develop new materials to educate
the public and other health professionals about these
changes. As the number of TB cases and financial
resources decreases in the United States, it will be
even more important for TB ETN to provide a network for
staff members to use in sharing resources and to provide
a forum for discussing education and training issues.
She also hopes that TB ETN will be able to advocate for
international programs to reduce the burden of disease
in other countries.
Margaret’s most recent accomplishment has been the
re-design of her agency’s Website,
www.suburbantb.org.
Margaret noted that in the past, she had been more of an
“implementer” than a “developer” of products. Over the
course of 10 years, she has provided in-service training
in all of the long term–care facilities in the district.
She also provided training and materials for school
district nurses, drug abuse agency personnel, social
service providers, paramedics and police departments,
and other community agencies.
On a more personal note, Margaret has two children in
college and a husband who is a civil engineer and a
geographic information systems (GIS) instructor. She is
the oldest of seven daughters (no brothers). In her
spare time, Margaret enjoys listening to Brazilian
music, bicycling, and canoeing. She also loves traveling
and seeking out new experiences as was evidenced when
she traveled throughout South America for 6 months in
1976 after serving 2 years in Bahia, Brazil, as a Peace
Corps volunteer. She is involved with fundraising for
the Peace Corps Partnerships through the Oak Park
Council on International Affairs as well as advocacy for
TB through the Metropolitan Chicago TB Coalition. She is
also a member of Campaign for Better Health Care, the
Sao Paulo-Illinois Partners of the Americas, and the
Chicago Area Peace Corps Association.
If you’d like to join Margaret as a TB ETN member and
take advantage of all it has to offer, please send an
e-mail requesting a TB ETN registration form to
tbetn@cdc.gov.
The
registration form is available online
(PDF). You can also send a
request by fax to (404) 639-8960 or by mail to
TB ETN, CEBSB, Division of Tuberculosis Elimination,
CDC,
1600 Clifton Rd., N.E., MS E10,
Atlanta, Georgia 30333.
Please visit
TB ETN if you would like additional
information.
—By Jeuneviette Bontemps-Jones, MPH,
CHES
Div of TB Elimination
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Cultural Competency Workgroup:
Special Topic Discussion on “The Culture of Substance
Users”
At the 2006 TB ETN Annual Conference, the Cultural
Competency workgroup decided to hold quarterly
discussions to explore cultural issues regarding TB
control among specific populations that were not
traditionally defined foreign cultural groups. Suggested
topics for the quarterly discussions included TB among
substance users, corrections, African Americans,
alternative sexualities, and the homeless. The quarterly
discussions are conducted in conjunction with the
monthly workgroup conference call meetings. The first 30
minutes of the calls are devoted to the normal business
of the workgroup. The special cultural issue discussion
is held for the next hour. The current format includes
guest speakers who facilitate a discussion on the topic.
Ideally, these discussions will include an exchange of
resources that will be incorporated into the Cultural
Competency Resource List. This list is on the
Behavioral and Social Science Resources page of the TB
Education and Training Resources website.
The first special topics discussion, “The Culture of
Substance Users,” took place in November 2006 and
included guest speakers from New York City and
Washington State. The first guest speakers were Douglas
Goldsmith, an anthropology professor from the John Jay
College of Criminal Justice and staff from the TB
Control Program at the Snohomish Health District in
Everett, Washington. The staff included Susan Robison,
public health nurse; Jenny Donovan, disease
investigator; Gloria Fiedler, HIV/AIDS Program Manager;
and Donna Allis, TB program manager.
Based on his methadone treatment research for heroin
addicts, Dr. Goldsmith discussed different subcultures
of drug users, their unique set of beliefs and
perceptions, and how those influence treatment
compliance behavior. The staff from the Snohomish Health
District described their recent experience with an
outbreak of TB among individuals who use
methamphetamines, and identified some behavioral norms
of substance users.
The next edition of the
Northeastern RTMCC’s Cultural Competency Newsletter,
“TB and the Subculture of Methamphetamine Users,” will
be based on the experience of the Snohomish Health
District.
—Submitted by Kristina Ottenwess, MPH
Training Specialist
Southeastern National TB Center
University of Florida
CULTURAL COMPETENCY TIPS
We have become not a melting pot but a beautiful mosaic.
Different people, different beliefs, different
yearnings, different hopes, different dreams.
—Former President Jimmy Carter
Last Reviewed: 05/18/2008 Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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