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In 2001, New York City implemented genotyping to its tuberculosis (TB) control activities by using IS 6110 restriction fragment length polymorphism (RFLP) and spoligotyping to type isolates from culture-positive TB patients.
The current characteristics of TB cases and TB control activities in the U.S. include increased use of DOT, increased proportion of TB due to foreign born persons, and greater delivery of TB treatment by public health departments; Washington State has mirrored these trends [ 12].
Under the NTLCP, three levels of function exist in the regions, zones and districts for coordinating TB control activities.
Finally, future studies assessing the success of diagnostic retooling should not only explore the adoption of new tools by NTPs, but also their integration into national TB control activities.
Therefore, it only requires training HEWs which was two days in case of our study to enrol them in community based TB control activities to achieve the outcomes reported in our intervention.
During our field work, we also observed TB control activities, and notes were taken.
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We are currently developing a more detailed task analysis tool that includes the breakdown of each TB control activity into specific single tasks and a description of what constitutes each task; this will facilitate future studies.
WHO has estimated that an extra US$4000 million will be needed to fund global MDR-TB and XDR-TB control activities in 2007 [ 17].
Routine surveillance of drug resistance allows for proper treatment of all patients with tuberculosis and is critical for accurate planning, budgeting, and monitoring of tuberculosis and MDR-TB control activities.
Information obtained through TB surveillance ensures that TB-control activities are appropriate and can be used to evaluate the effectiveness of public health programs (2).
Therefore, maximizing early case detection and treatment, strengthening TB infection control activities and proper implementation of DOTS are recommended to reduce the burden of MDR-TB.
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