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Tuberculosis

Information for Local Health Departments

• Alerts & Hot Topics
• Disease Manuals & Guides
• Support Services
• Forms
• Tools & Websites

Alerts & Hot Topics

• DHHS Memo: Resolution of TB Drug Shortages (May 22, 2020) (PDF)
• DHHS Memo: Tuberculin Shortage Resolution (December 2, 2019) (PDF)

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Manuals and Guides

• N.C. Tuberculosis Policy Manual
• N.C. Guidelines for the Use of Interferon Gamma Release Assays (IGRAs) in TB Diagnosis (PDF, 261 KB)
• N.C. Communicable Disease Manual
• N.C. laws and rules:
  • Communicable disease control and reporting laws: G.S. Chapter 130A - Public Health, Article 6 - Communicable Diseases
  • Communicable disease control and reporting rules: 10A NCAC 41 Subchapter A, Sections .0101-.0907.
  • Rules specific to tuberculosis control: 10A NCAC 41A .0205
• DHHS patient education materials
  • Home Isolation Instructions (PDF - English 11KB, Spanish 18KB)
  • Information about Isoniazid (PDF - English 22KB, Spanish 23KB)
  • Information about Rifampin (PDF - English 24KB, Spanish 24KB)
  • Information about Rifapentine (PDF, 16KB)
  • Instructions for Collecting Sputum for TB (PDF - English 773KB, Spanish 754KB)
  • TB and You (PDF - English 68KB, Spanish 80KB)
  • You Could Have TB (PDF - English 23KB, Spanish 26KB)
  • Order DHHS TB Control Materials (DHHS 2407)
• CDC patient education brochure: 12-Dose Regimen for Latent TB Infection (PDF, 430KB)

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Support Services

• Nurse Consultants:
  • Tuberculosis Nurse Consultants (PDF, 69KB) - Regional DPH staff supporting LHD TB Nurses across the state.
  • Communicable Disease Nurse Consultants (PDF, 33KB)- Regional Medical Consultation Unit staff supporting LHD Communicable Disease Nurses across the state.
• Tuberculosis Drug Shipment Program (see Chapter VII of N.C. TB Policy Manual)
  • Order form - TB Biologicals Requisition and Inventory (DHHS 3093) (PDF, 114KB)

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Forms

• DHHS:
  • Confidential Communicable Disease Report Form - DHHS 2124 (PDF) - Physicians and healthcare providers may use this form to notify the local health department of reportable communicable disease cases.
  • TB Drug Record- DHHS 1391 (PDF 202KB) Revised Dec 2020
  • TB Epidemiological Record- DHHS 1030 (PDF 215KB) DHHS 1030 Fillable (PDF 1MB) Revised Nov 2020
  • TB Flow Sheet- DHHS 2810 (PDF 216KB) DHHS 2810 Fillable (PDF 974KB) Revised Nov 2020
  • Nursing Record of TB Contacts- DHHS 1662 (PDF 179KB) DHHS 1662 Fillable (PDF 954KB) Revised Dec 2020
  • Record of TB Screening- DHHS 3405 (PDF 243KB) DHHS 3405 Fillable (PDF 796KB) Revised Jan 2021
  • SLPH Mycobacteriology Lab Requisition (DHHS 1247) - Specimens for isolation and identification of all Mycobacterium species (including Mycobacterium tuberculosis complex and other nontuberculous mycobacteria) are accepted from public and private health care providers.
  • TB Biologicals Requisition and Inventory- DHHS 3093 (PDF 217KB) DHHS 3093 Fillable (PDF 245KB) Revised Nov 2020
  • Report of Positive Smear (AFB) and/or Positive Culture of TB- DHHS 3005 (PDF 230KB) DHHS 3005 Fillable (PDF 811KB) Revised Dec 2020
  • Individual Contact Form- DHHS 4097 (PDF 57KB) DHHS 4097 Fillable (PDF 57KB) Revised Jan 2021
• Other:
  • University of Florida/Shands Infectious Disease Pharmokinetics Laboratory (IDPL): Instructions and Requisition for Therapeutic Drug Levels - IDPL requisition form, sample handling instructions and laboratory test catalog.
  • CDC: TB Publications and Ordering Information
  • U.S. Department of Veterans Affairs: Request for and Authorization to Release Medical Records or Health Information (VA Form 10-5345 )

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Tools & Websites

• Tuberculosis report worksheet for Healthcare Providers (PDF, 102KB) - The N.C. Tuberculosis Control Program has developed this worksheet to help hospital infection control nurses and other healthcare providers organize and quickly reference the information they will need to provide the local health department when reporting a suspected or confirmed tuberculosis case.
• Partners in N.C. tuberculosis control
• CDC: TB Publications and Ordering Information

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