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No. 2, 2006
LABORATORY UPDATES
APHL TB Steering Committee Meets
to Discuss Implementation of TB Task Force Report
The Association of Public Health Laboratories (APHL) TB Steering
Committee, chaired by Dr. Nancy Warren of Pennsylvania,
met on November 21–22, 2005, at APHL headquarters in Washington,
DC. The main thrust of the meeting was to discuss
the best methods for implementing the recommendations of the TB
Task Force report entitled The Future of TB Laboratory Services.
This was the first formal meeting of the Committee.
The Committee members felt that updating the 1995 manual Mycobacterium
tuberculosis: Assessing Your Laboratory and providing an online
repository of existing assessment tools for public health laboratories
were the best ways to address the Task Force report’s first benchmark
of assessing a TB laboratory’s capabilities. In addition, these
steps would address issues such as capacity of services and identifying
unmet needs, obstacles to obtaining laboratory services, and opportunities
for improvement. The revised assessment manual would emphasize a
systems approach consisting of active communication between laboratories
to improve coordination of specimen and culture referral mechanisms,
to reduce delays in testing and reporting. A working group
led by Dr. David Warshauer of Wisconsin and
Kenneth Jost of Texas
and consisting of subject matter experts and partners in TB elimination
will be formed. The working group will be tasked with updating the
manual, with special attention to describing new technologies and
developing guidance and tools for assessment of the laboratory’s
role in the system of TB control. APHL members, with assistance
from the Steering Committee, will create on its website a repository
of existing assessment tools that can be used by public health laboratories.
The Steering Committee enlisted the assistance of the former chair
of the APHL TB Task Force, Dr. Eric Blank of Missouri,
to formulate the best plan of action for addressing the report’s
second benchmark of performing an assessment of the true costs of
providing TB laboratory services. Once created, this cost assessment
tool will not only help identify costs of TB testing, but also provide
laboratories with a means to justify their expenses to policymakers
and those who approve funding.
Other topics discussed by the Committee during the meeting included
the need for continued advocacy efforts for increased TB funding
of both programs and laboratories; the need to continue building
on the relationship between APHL, the state TB laboratories, and
the National TB Controllers Association, and to support meetings
of interest including the Northeastern TB Controllers meeting and
other regional controllers’ meetings; and interest in a potential
TB laboratory conference to be held jointly with NTCA.
—Reported by Anthony Tran, MPH, MT(ASCP)
Association of Public Health Laboratories
On behalf of the APHL TB Steering Committee
APHL TB Steering Committee Introduces
New Member
The APHL TB Task Force report entitled The Future of TB Laboratory
Services emphasizes a systems approach to TB laboratory services
and stresses a paradigm shift, placing the role of the laboratory
as the centerpiece between clinician, patient, and TB control program. Anne
Weber, director of the Montana
public health laboratory, recently joined the APHL TB Steering Committee.
As a state public health laboratory director with experience and
expertise in budgeting and grant writing and an overall understanding
of how the public health laboratory functions as an extension of
the health department, Weber’s leadership and knowledge will be
a great asset to the Steering Committee as it begins to think about
this paradigm shift and a systems approach.
—Reported by Anthony Tran, MPH, MT(ASCP)
Association of Public Health Laboratories
On behalf of the APHL TB Steering Committee
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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