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TB Notes Newsletter
No.
3, 2007
2007 EIS Conference a Success for DTBE
CDC’s 56th
annual Epidemic Intelligence Service (EIS) Conference was held in
Atlanta April 16–20, 2007. EIS is a 2-year postgraduate
program of service and on-the-job training for health professionals
interested in the practice of applied epidemiology
.
Experienced epidemiologists throughout CDC and in state and local
health departments act as day-to-day mentors or primary supervisors
to EIS officers. Every year, this conference serves as a robust mix
of scientific presentations by current EIS officers and recruitment
activities for the incoming class of officers.
At this year’s
conference, DTBE actively promoted the work of its five current or
recent EIS officers and successfully recruited three new EIS
officers from the incoming class.
Current/recent EIS Officers
Sekai Chideya,
MD, EIS Class of 2005, finishing her second year assigned to the
International Research and Programs Branch (IRPB), presented
“Sub-Therapeutic Serum Concentrations of Anti-Tuberculosis
Medications and Treatment Outcome—Botswana, 1997–1999” in the
well-attended TB session entitled “Mass Consumption,” moderated by
DTBE Associate Director for Science Philip LoBue, MD, on the opening
day of the conference.
Michele Hlavsa,
RN, MPH, EIS Class of 2005, finishing her second year assigned
to the Surveillance, Epidemiology, and Outbreak Investigations
Branch (SEOIB), was a finalist for the competitive Mackel Award with
her presentation, “Human Mycobacterium bovis
Tuberculosis—United States, 1995–2005.” The Mackel session, which
highlights presentations that exemplify a combined epidemiological
and laboratory approach to an investigation, was co-moderated by
Thomas M. Shinnick, PhD, Chief of the DTBE Mycobacteriology
Laboratory Branch.
Eric Pevzner,
PhD, EIS Class of 2005, finishing his second year assigned to
IRPB, was just back from a TB Epi-Aid in Hawaii and did not have any
official presentations at this year’s EIS conference, which allowed
him to focus his energies on performing in the EIS satirical review
skit. This annual tradition gives outgoing EIS officers a forum to
reminisce about the past 2 years, poke fun at CDC, and offer
“survival tips” to the incoming class.
Ann Buff, MD,
MPH, EIS Class of 2006, finishing her first year assigned to
SEOIB, had two presentations: “Investigation of Mycobacterium
tuberculosis Transmission Among Sailors Aboard USS Ronald
Reagan—California, 2006,” in the opening TB session, and
“Investigation of Mycobacterium tuberculosis Transmission
Among a Social Network of Family and Friends—Connecticut, 2006,” in
the fast-paced closing late-breaker session.
Heather Menzies,
MD, MPH, EIS Class of 2006, finishing her first year assigned to
IRPB, presented “Extensively Drug-Resistant TB as a Risk Factor for
Poor Outcome Among MDR TB Patients—Latvia, 2000–2003,” to a
standing-room-only crowd at a special session about extensively
drug-resistant (XDR) TB, entitled “The Perfect Storm,” on the second
day of the conference.
New EIS Officers
Emily Bloss,
PhD, EIS Class of 2007 (incoming), a recent graduate of Tulane
University, did her dissertation field research as a Fulbright
Scholar with the National Leprosy and Tuberculosis Program in Kenya.
Dr. Bloss’s international experience also includes work in Nicaragua
and Sri Lanka. She is assigned to IRPB for a 2-year EIS term that
began in July 2007.
Mitesh Desai,
MD, MPH, EIS Class of 2007 (incoming), complete
d a primary
care internal medicine residency at Johns Hopkins University, where
his training focused on an underserved urban population
disproportionately affected by poverty, addiction, and HIV. During
Dr. Desai’s MD/MPH studies, he interned with the New York City
Department of Health and Mental Hygiene. He joined SEOIB in July
2007.
Rinn Song, MD,
EIS Class of 2007 (incoming), complet
ed a pediatrics residency
at New York University, where his work experiences included
rotations at both New York City’s Bellevue Hospital and a clinic for
HIV-infected children in Kenya. An accomplished oboe player, Dr.
Song completed medical school in Germany. He joined IRPB in July
2007.
Please see the
Personnel Notes section of this issue for more information about
these three new officers.
Special Presentations
The EIS Class of
2005 honored Peter Cegielski, MD, MPH, of IRPB, with the Philip S.
Brachman Award, a special award for excellence in teaching
epidemiology to EIS officers. Dr. Cegielski was recognized for the
time he takes out of his busy travel schedule each fall to teach a
multivariable analysis course to incoming EIS officers. This
in-house course was initially developed in 1999 for DTBE EIS
officers but has grown by such word-of-mouth popularity that now
many EIS officers beyond DTBE also attend.
As previously
mentioned, the XDR TB special session, “The Perfect Storm,” drew a
big crowd on the second day of the conference. In addition to EIS
officer Heather Menzies’ talk, other presentations included an
overview of XDR TB by Peter Cegielski that included the revised
definition1 and known global magnitude of XDR TB. Citing
the work of N.R. Ghandi and colleagues in South Africa,2
former IRPB Chief Charles Wells, MD, then described the dire
implications of the high mortality rates that have been seen in
patients coinfected with XDR TB and HIV. The session concluded with
a spirited discussion led by DTBE Director Kenneth G. Castro, MD,
about the U.S. experience with MDR TB outbreaks during the 1985–1992
TB resurgence and the preparations underway to deal with XDR TB at
this new critical juncture.
Finally, a
conference highlight was the Alexander D. Langmuir Memorial Lecture,
delivered this year by Thomas R. Frieden, MD, MPH, EIS Class of
1990, former Director of the NYC TB Control Program and current
Commissioner of the New York City Department of Health and Mental
Hygiene.3 Reminding the audience, “We are all connected
by the air we breathe,” Dr. Frieden proposed that if one understands
the epidemiology of TB in a given society, then one understands how
that society works. Dr. Frieden discussed how lessons learned from
TB control apply to evidence-based practice in other areas of public
health. He also cited the influence of the late Dr. Karel Styblo and
the importance of building accountability into public health
infrastructure for curing—not just counting—each TB case.
Special Thanks
Once again this
year, the National TB Controllers Association (NTCA) hosted a lunch
for the incoming EIS officers to discuss the opportunities available
if they matched to a DTBE assignment. In addition to EIS
supervisors, many current and former DTBE EIS officers attended the
lunch. The great Mexican food and relaxed atmosphere fostered
several lively conversations and provided a welcome respite from the
week's otherwise formal events. Many stayed well beyond the 1 hour
originally scheduled for the recruitment lunch. Ms. Carol Pozsik,
the Executive Director of NTCA, was on hand at the lunch meeting to
represent the TB Controllers. DTBE is grateful for NTCA's continued
support of the EIS program!
—
Reported by Maryam Haddad, MPH
Div of TB Elimination
References
- CDC. Notice to Readers: Revised definition of extensively drug-resistant
tuberculosis. MMWR 2006 Nov 3; 55(43): 1176.
- Ghandi NR et al. Extensively drug-resistant tuberculosis as a cause of death in
patients co-infected with tuberculosis and HIV in a rural area of South Africa.
Lancet 2006; 368,1575–1580.
- Fujiwara PI and Frieden TR.
TB Control in New York City: A Recent History. TB Notes No. 1, 2000.
Atlanta, GA: CDC, Division of TB Elimination; 2000.
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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