The Northern Territory Disease Control Bulletin
Disease Control Bulletin
Territory Health Services, Centre for Disease Control
Northern Territory disease control bulletin; E-Journals; PublicationNT; Northern Territory disease control bulletin
Date:2002-03; This publication contains may contain links to external sites. These external sites may no longer be active.; Made available via the Publications (Legal Deposit) Act 2004 (NT).
Communicable diseases; Reporting; Northern Territory; Statistics; Periodicals
Northern Territory Government
Northern Territory disease control bulletin
v. 9 no. 1
Attribution International 4.0 (CC BY 4.0)
Northern Territory Government
The Northern Territory Disease Control Bulletin Vol 9, No.1, March 2002 5 The community, the health clinic and CDC TB staff worked together to screen approximately 81.3% of the community (79.5% of the targeted children and 83.2 % of the adults) for TB which is an achievement reflecting community concern and involvement and health services support, coordination and commitment. Further cases of active communicable diseases were not initially found, though smear negative and extra pulmonary cases of TB are being investigated. Importantly, 21 children and 34 close contact adults (many of whom were documented new converters) were found to be infected but not diseased. Mantoux positive children and new Mantoux converters are those at highest risk of progressing to disease and are the group who benefit most from being identified and treated. The majority of this treatment of LTBI will be DOT, administered 3 times weekly through the clinic just as treatment for active TB disease is given. This assists the patients in completing the treatment and effecting cure (or prevention). The clinic are assessing the added work load of supervising and observing the 6 month LTBI treatment regimens for 55 people in addition to the 11 people already on LTBI treatment from earlier contact tracing and the 6 patients on full TB treatment. A dedicated driver has been secured and employing a community worker to assist in the observed treatment is being discussed. Following the TB screening a local artist translated the community screening activities into a dot painting and presented it to the CDC RN and permission has been given to reproduce the painting to use it to promote and recognise TB control activities. Those aspects identified as contributing to the success of the community screening included extensive community education, a motivated community with active participation and encouragement by eg TB family members, continuity in the CDC staff working with the community, a hard working radiographer (one day, 98 CXRs were taken), constantly available transport, priority and support given to the screening by the RN3B and the Aboriginal Health Workers and the clinic staffs ability to maintain other clinical services throughout the 2 weeks. Report prepared by Dr Vicki Krause, Margaret Cooper RN, Dr Jan Bullen, Mark DiFrancesco RN (all from CDC), and the community health staff. Acknowledgments to the community and the health clinic staff for their commitment and support and to Nancy Nyberg RN of CDC, Peter McLoughney the radiographer and Ray the driver for all their good work. This painting by Norma Nanguala Joshua tells the story of TB community screening. The centre circle portrays the community. A represents a person. The 3 above and below portray a doctor, nurse and Aboriginal health worker at the clinic and the community members coming in for clinical reviews, CXRs, education etc. The side rectangles with the dots on them and with on each side show patients coming in to get their tablets from the AHWs for TB treatment or treatment of latent TB infection. The diagonal with the on one side of rectangle with the line of behind table (or rectangle) represent the giving of Mantoux tests . The other diagonal with the 2 on either side of the circle represents health staff telling the TB story to community members and then those people taking the story back to other community members.