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National action plan to combat multidrug-resistant tuberculosis.
Hinman AR; Hughes JM; Berreth DA; Broome CV; Curran JW; Hardy GE Jr.; Katz MF; Matthews GW; Millar JD; Nicola RM; Powell EK; Snider DE Jr.; Warren RC; Willis BM; Allen JR; Feigal DW; Goldberger MJ; Haverkos HW; Hill JC; Iser JP; McDiarmid MA; McDonald K; Moritsugu KP; Rosenberg ZF; Ross A; Shekar SS; Tempest BD; Trachtenberg AI; Zellinger J; Bass JB Jr.; Callan WJ; Hadler JL; Novick LF; Sharma D; Thacher AG
MMWR Recomm Rep 1992 Jun; 41(RR-11):1-48
At no time in recent history has tuberculosis (TB) been as great a concern as it is today. TB cases are on the increase, and the most serious aspect of the problem is the recent occurrence of outbreaks of multidrug-resistant (MDR) TB, which pose an urgent public health problem and require rapid intervention. A Task Force composed of representatives of many federal agencies has developed a National Action Plan for addressing this problem. The Task Force identified a number of objectives to be met if MDR-TB is to be successfully combatted. These objectives fail under the categories of a) surveillance and epidemiology -- determining the magnitude and nature of the problem; b) laboratory diagnosis -- improving the rapidity, sensitivity, and reliability of diagnostic methods for MDR-TB; c) patient management -- effectively managing patients who have MDR-TB and preventing patients with drug-susceptible TB from developing drug- resistant disease; d) screening and preventive therapy -- identifying persons who are infected with or at risk of developing MDR-TB and preventing them from developing clinically active TB; e) infection control -- minimizing the risk of transmission of MDR-TB to patients, workers, and others in institutional settings; f) outbreak control; g) program evaluation -- ensuring that TB programs are effective in managing patients and preventing MDR-TB; h) information dissemination/ training and education; and i) research to provide new, more effective tools with which to combat MDR-TB. The Action Plan lays out a series of activities to be undertaken at the national level. For each category, the Plan presents statements of problems to be overcome, followed by a summary of the objective to be achieved and steps to be carried out. For each implementation step, responsibility is assigned to the appropriate organization and start- up dates are listed.
Infection-control; Infectious-diseases; Respiratory-system-disorders; Pulmonary-system-disorders; Drug-interaction; Drugs; Public-health; Disease-control; Disease-prevention; Disease-transmission
Issue of Publication
Morbidity and Mortality Weekly Report: Recommendations and Report
GA; MD; NM