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2003 National Healthcare Quality Report

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National TB Surveillance System (NTBSS)

Sponsor

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for HIV, STD, and TB Prevention (NCHSTP), Division of Tuberculosis Elimination.

Mode of Administration

Currently, individual TB case reports (Report of Verified Case of Tuberculosis, or RVCT) are submitted electronically via the Tuberculosis Information Management System (TIMS), a comprehensive CDC software system for TB surveillance, patient management, and program evaluation.

Survey Sample Design

Since 1953, through the cooperation of state and local health departments, CDC has collected information on the numbers of reported TB cases in the United States.

In January 1993, DTBE, implemented an expanded TB surveillance system, which collects additional information for each reported TB case in order to better monitor trends in TB.

For 1999, data are collected from 60 reporting areas (the 50 states, the District of Columbia, New York City, Puerto Rico, and other jurisdictions in the Pacific and Caribbean).

Primary Survey Content

Number of new tuberculosis (TB) cases, patient management, and program evaluation.

The expanded surveillance system started in 1993 collects additional data to better monitor and target groups at risk for TB disease, to estimate and follow the extent of drug-resistant TB, and to evaluate outcomes of TB cases.  The RVCT form for reporting TB cases was revised to collect information on occupation, the initial drug regimen, human immunodeficiency virus (HIV) test results, history of substance abuse and homelessness, and residence in correctional or long-term care facilities at the time of diagnosis.  RVCT Follow Up Report-1 was added to collect drug susceptibility results for the initial M. tuberculosis isolate from patients with culture-positive disease. To evaluate the outcomes of TB therapy, RVCT Follow Up Report-2 was added to collect information on the reason and date therapy was stopped, the type of health care provider, sputum culture conversion, the use of directly observed therapy, and the results of drug susceptibility testing for the final M. tuberculosis isolate from patients with culture-positive disease.

Population Targeted

U.S. civilian, noninstitutionalized population.

Demographic Data

Age, gender, race, country of origin, metropolitan.

Years Collected

Since 1953.

Schedule

Annually.

Geographic Estimates

National, and states.

Contact information

Agency homepage: http://www.cdc.gov.

Data source homepage: http://www.cdc.gov/nchstp/tb.

Reference:

CDC publication Reported Tuberculosis in the United States, 1999. Atlanta, GA: U.S. Dept. of Health and Human Services, CDC, August 2000.

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